Programas de asistencia al paciente para Cialis

Solicite apoyo para su receta con Cialis

Si califica, los programas a continuación le pueden ser útiles para conseguir Cialis. Revise la información para saber si califica. Las solicitudes están disponibles en formato PDF y deben enviarse directamente a quien proporciona el programa de asistencia al paciente.

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Lilly Cares Foundation Patient Assistance Program

(Programa 1 de 2 — Para visualizar todos, deberá desplazarse hacia abajo )

Provienen de: Lilly USA, LLC.
PO Box 13185 La Jolla, CA 92039
TEL: 800-545-6962
FAX: 844-431-6650
Idiomas hablados:
English, Spanish
La Página del Programa
Medicamentos
  • Cialis tablet (tadalafil tablet)
Requisitos de Elegibilidad
  • Insurance Status *Contact program for details.
  • Those with Part D Elibible? Varies
  • Income Varies
  • Diagnosis/Medical Criteria Not specified
  • U.S. Residency Required? The patient must also be residing in the US or Puerto Rico
Solicitud
  • Obtaining Call, download or apply online
  • Receiving Faxed
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Not specified
Medicamento
  • Amount/Supply Up to 120 day supply
  • Sent To Varies
  • Delivery Time Contact Program for Details
  • Refill Proces Contact program for details.
  • Limit Not specified
  • Re-application New application, new documentation yearly
Información Adicional
Please visit www.LillyCares.com or call 800-545-6962 for more information. Additional products may be available. Please contact the program for a complete product listing. Lilly donates products to the Lilly Cares Foundation Patient Assistance Program.
Actualizado December 9, 2019

Si usted, su paciente o un ser querido no es elegible para este programa o otros, se pueden encontrar precios de aquí.

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Rx Outreach Medications

(Programa 2 de 2 — Para visualizar todos, deberá desplazarse hacia abajo )

Provienen de: Rx Outreach
PO Box 66536 St. Louis, MO 63166-6536
TEL: 888-796-1234
FAX: 800-875-6591
Idiomas hablados:
English, Spanish
La Página del Programa
Medicamentos
  • Cialis tablet (tadalafil tablet)
Requisitos de Elegibilidad
  • Insurance Status May have insurance
  • Those with Part D Elibible? Yes
  • Income At or below 400% of FPL
  • Diagnosis/Medical Criteria Not required
  • U.S. Residency Required? The patient must also be residing in the US.
Solicitud
  • Obtaining Call, download or apply online
  • Receiving Faxed, mailed or downloaded from website
  • Returning Fax or E-Prescribe online
  • Doctor's Action Give prescription to patient
  • Applicant's Action Complete section and sign
  • Decision Communicated Medications sent if accepted. If denied patient and doctor notified
  • Decision Timeframe Usually same day
Medicamento
  • Amount/Supply Varies
  • Sent To Doctor's office or patient's home
  • Delivery Time Not specified
  • Refill Proces Company contacts patient to arrange
  • Limit Only limited by manufacturer's guidelines
  • Re-application New application yearly
Información Adicional
Some medications are available for a fee of $20 for up to a 180 day supply. Check the Rx Outreach website for the exact price and most current medication list. Contact Program for Spanish Application(s)/Form(s).
Actualizado September 17, 2019

Si usted, su paciente o un ser querido no es elegible para este programa o otros, se pueden encontrar precios de aquí.

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