Ethyol, of program Ethyol Protect Program,
A Free Prescription Drug Program of Medimmune, Inc.
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Ethyol of program Ethyol Protect Program can be found below. The program Ethyol Protect Program directed by Medimmune, Inc. conveys this drug Ethyol to patients who qualify after acceptance occurs. Read the available information and then proceed towards applying to the Ethyol Protect Program program(s) for Ethyol by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Ethyol Protect Program program to get Ethyol meds. At times, a program's process may change without advanced notice.
Listen to the Ethyol Protect Program program associate's requests competely because they are there to help you. No-cost prescription drug programs (this Ethyol prescription and others) exist for the good of everyone including needy patients, the program's company Medimmune, Inc. and even those who do not require this offer. The respect and good manner you show the program and its employees will help yourself and other patients for years into the future.
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Ethyol |
| Name of Program |
Ethyol Protect Program |
| Affiliated Company |
Medimmune, Inc. |
| Address of Program |
PO Box 222197 |
| Address 2 |
Charlotte NC 28222-2197 |
| Address 3 |
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| Phone (Voice) |
800-887-2467 |
| Fax |
877-675-6513 |
| How to get application |
request application |
| General guidelines/directives for applicants |
This program mostly deals with Ethyol, but also has an application for NeuTrexin. There are two programs with the same application. One is The Insurance Patient Program which is a safety net for physicians if the patient's insurance denies the claim. It also acts a benefits verification program. If the patient is denied coverage and the decision is appealed and still holds up, the company will send replacement medication to the physician's office. The Second program is for uninsured patients and provides medication to patients who met their requirements. |
| Beginning course of action to obtain drugs |
call for application |
| Doctor/provider's |
Physician provides basic information and signs a Provider Site Agreement. |
| Responsibilities of Patient |
Provides insurance and/or financial information and signs application and Patient Consent Form. |
| Distribution manner |
Medication is sent to the physician's office. |
| Amount distributed |
For Ethyol- up to 15 vials. For NeuTrexin- one cycle. |
| Refill process |
Doctor completes refill form (originally sent with delivered drugs) and attaches prescription New application required yearly. |
| Program limitations |
Indefinite |
Paid source(s):
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