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Keppra 500 mg, of program Keppra Patient Assistance Program,

A Free Prescription Drug Program of UCB Pharma, Inc.

Keppra 500 mg of program Keppra Patient Assistance Program can be found below. The program Keppra Patient Assistance Program directed by UCB Pharma, Inc. conveys this drug Keppra 500 mg to patients who qualify after acceptance occurs. Read the available data and then proceed towards applying to the Keppra Patient Assistance Program program(s) for Keppra 500 mg by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Keppra Patient Assistance Program program to get Keppra 500 mg meds. At times, a program's process may change without advanced notice.

Listen to the Keppra Patient Assistance Program program associate's requests competely because they are there to help you. Free prescription drug programs (this Keppra 500 mg prescription and others) exist for the good of everyone including needy patients, the program's company UCB Pharma, 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.

 

Keppra 500 mg

Name of Program Keppra Patient Assistance Program
Affiliated Company UCB Pharma, Inc.
Address of Program 1951 Lake Park Drive
Address 2 Smyrna, GA 30081
Address 3
Phone (Voice) 800-477-7877 x8
Fax na
How to get application request application
General guidelines/directives for applicants Must not have any prescription coverage, be eligible for Medicaid benefits or have an annual income greater than $15,000 (family income not to be greater than $25,000). Program will not supply quantities in excess of maximum approved daily dose (3000 mg/day.)
Beginning course of action to obtain drugs Call program to fax application. Completed application must be mailed back (no fax). Blank application can be copied.
Doctor/provider's Completes application section and attaches 6 month supply prescription.
Responsibilities of Patient Completes application section.
Distribution manner Medication sent to the doctor's office (maybe a long lead time).
Amount distributed six month supply
Refill process New application required every six months.
Program limitations Indefinite
Paid source(s):




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