Programas de asistencia al paciente para clozapine

Solicite apoyo para su receta con clozapine

Si califica, los programas a continuación le pueden ser útiles para conseguir clozapine. 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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Mylan Clozapine Patient Assistance Program (MCPAP)

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

Provienen de: Mylan, Inc.
None
TEL: 800-796-9526
ALT PHONE: 800-796-9526
Idiomas hablados:
English, Spanish
La Página del Programa
Medicamentos
  • None (clozapine)
Requisitos de Elegibilidad
  • Insurance Status Must have no prescription coverage
  • Those with Part D Elibible? No
  • Income Based on FPL
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? The patient must be a US citizen or legal resident.
Solicitud
  • Obtaining Call
  • Receiving Faxed, emailed or mailed
  • Returning Varies
  • Doctor's Action Will be discussed with patient and Doctor after request is received
  • Applicant's Action Inform Doctor that he/she is in need
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Varies
Medicamento
  • Amount/Supply Varies
  • Sent To Varies
  • Delivery Time Contact Program for Details
  • Refill Proces Contact company, determined on case by case basis
  • Limit Not specified
  • Re-application Not specified
Información Adicional
There are two steps and two sets of paperwork for this program. The first step is to register the patient, which is required for any patient taking Clozapine, regardless of insurance or financial situations. Call 844-267-8678 to register (www.clozapineREMS.com). This is a two-page form that the patient, physician and pharmacist must fill out.
Actualizado November 25, 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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