Fortovase, of program Roche HIV Therapy Assist Program,
A Free Prescription Drug Program of Roche Pharmaceuticals
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Fortovase of program Roche HIV Therapy Assist Program can be found below. The program Roche HIV Therapy Assist Program directed by Roche Pharmaceuticals conveys this drug Fortovase to patients who qualify after acceptance occurs. Read the available info and then proceed towards applying to the Roche HIV Therapy Assist Program program(s) for Fortovase by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Roche HIV Therapy Assist Program program to get Fortovase meds. At times, a program's process may change without advanced notice.
Listen to the Roche HIV Therapy Assist Program program associate's requests competely because they are there to help you. No-cost prescription drug programs (this Fortovase prescription and others) exist for the good of everyone including needy patients, the program's company Roche Pharmaceuticals 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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Fortovase |
| Name of Program |
Roche HIV Therapy Assist Program |
| Affiliated Company |
Roche Pharmaceuticals |
| Address of Program |
PO Box 4281 |
| Address 2 |
Gaithersburg, MD 20886 |
| Address 3 |
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| Phone (Voice) |
800-282-7781 |
| Fax |
240-632-3822 |
| How to get application |
Call program |
| General guidelines/directives for applicants |
Must not have any current prescription coverage and fall under income and other program guidelines. Program determines if there are any public assistance programs available to patient and helps coordinate. |
| Beginning course of action to obtain drugs |
Doctor calls to provide patient information over the phone for registration. Program will fax an application if they see qualification probable. Completed application may be faxed on return. |
| Doctor/provider's |
Doctor completes section of application which prescription information to expedite first shipment. Original prescription must be sent later. |
| Responsibilities of Patient |
Provides financial and insurance information on application and attaches proof of income. |
| Distribution manner |
Medication is sent to the doctor's office. |
| Amount distributed |
one month supply |
| Refill process |
New prescription every month. Program sends Update Form every 3 months for doctor and patient to sign and return. New application required with new documentation yearly. |
| Program limitations |
Indefinite |
Paid source(s):
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