Programas de asistencia al paciente para Peptamen Junior

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Si califica, los programas a continuación le pueden ser útiles para conseguir Peptamen Junior. 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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Nestle HealthCare Nutrition Adult Patient Assistance Program

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

Provienen de: Nestle HealthCare Nutrition, Inc.
Nestle HealthCare Nutrition, Inc. Attn: Renae Simmons 2150 E. Lake Cook Road Suite 800 Buffalo Grove, IL 60089
TEL: 800-422-2752
Idiomas hablados:
English
La Página del Programa
Medicamentos
  • Peptamen Junior (medical food)
Requisitos de Elegibilidad
  • Insurance Status Must have no prescription coverage for needed product
  • Those with Part D Elibible? Yes, if product is not covered
  • Income At or below 200% of FPL
  • Diagnosis/Medical Criteria *See Additional Information section below
  • U.S. Residency Required? The patient must also be a US citizen being treated by a US doctor.
Solicitud
  • Obtaining Call
  • Receiving Faxed or mailed
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section and sign
  • Decision Communicated Product sent if accepted. If denied patient notified
  • Decision Timeframe Within 48 hours
Medicamento
  • Amount/Supply Varies
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Within 2 weeks
  • Refill Proces Not applicable
  • Limit Varies
  • Re-application New application yearly
Información Adicional
Products are intended for tube feeding. *Eligibility Criteria: Only patients whose sole or primary source of nutrition is the requested product are eligible (100% of the patients caloric needs are met by the product). Patients who use the products as supplements are not eligible. The products must meet specialty determined nutrient requirements which cannot be achieved by modification of the normal diet alone. The product names listed above are trademarks of Societe des Produits Nestlé SA, Vevey, Switzerland.
Actualizado November 14, 2018

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Nestle HealthCare Nutrition Pediatric Patient Assistance Program

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

Provienen de: Nestle HealthCare Nutrition, Inc.
Nestle HealthCare Nutrition, Inc. Attn: Renae Simmons 2150 E. Lake Cook Road Suite 800 Buffalo Grove, IL 60089
TEL: 800-422-2752
Idiomas hablados:
English
La Página del Programa
Medicamentos
  • Peptamen Junior (medical food)
Requisitos de Elegibilidad
  • Insurance Status Must have no prescription coverage for needed product
  • Those with Part D Elibible? Yes, if product is not covered
  • Income At or below 200% of FPL
  • Diagnosis/Medical Criteria *See Additional Information section below
  • U.S. Residency Required? The patient must also be a US citizen being treated by a US doctor.
Solicitud
  • Obtaining Call
  • Receiving Faxed or mailed
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section and sign
  • Decision Communicated Product sent if accepted. If denied patient notified
  • Decision Timeframe Within 48 hours
Medicamento
  • Amount/Supply Varies
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Within 2 weeks
  • Refill Proces Not applicable
  • Limit Varies
  • Re-application New application yearly
Información Adicional
Most products are intended for tube feeding. Some are oral nutritional supplements. *Eligibility Criteria: The patient is 18 years of age or younger. Only patients whose sole or primary source of nutrition is the requested product are eligible (80% - 100% of the patients caloric needs are met by the product). The product names listed above are trademarks of Societe des Produits Nestlé SA, Vevey, Switzerland.
Actualizado November 14, 2018

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