Programas de asistencia al paciente para Sandostatin LAR Depot

Solicite apoyo para su receta con Sandostatin LAR Depot

Si califica, los programas a continuación le pueden ser útiles para conseguir Sandostatin LAR Depot. 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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PANO (Novartis Patient Assistance Now Oncology)

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

Provienen de: Novartis Pharmaceuticals
None
TEL: 866-884-5906
ALT PHONE: 866-884-5906
FAX: 888-891-4924
Idiomas hablados:
English, Others By Translation Service
La Página del Programa
Medicamentos
  • Sandostatin LAR Depot (octreotide acetate)
Requisitos de Elegibilidad
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Considered on exception basis
  • Income Household income at or less than $75,000
  • Diagnosis/Medical Criteria Not specified
  • U.S. Residency Required? The patient must reside in the US, Puerto Rico or the USVI.
Solicitud
  • Obtaining Call or complete online
  • Receiving Faxed, mailed or complete online
  • Returning The completed application can be faxed, mailed or submitted online.
  • Doctor's Action Enroll in the program
  • Applicant's Action Call or enroll online
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Not specified
Medicamento
  • Amount/Supply Not specified
  • Sent To Doctor's office or patient's home
  • Delivery Time Not specified
  • Refill Proces Patient must contact company
  • Limit None
  • Re-application New application yearly
Información Adicional
Eligibility determined on a case-by-case basis. Uninsured patients, call 1-866-884-5906 Patients with insurance, call 1-800-282-7630 This program also provides copay assistance up to $36,000 per year for Signifor and $9,600 per year for Sandostatin. Carcinoid tumor patients are now eligible.
Actualizado July 8, 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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Novartis Patient Assistance Foundation, Inc.

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

Provienen de: Novartis Pharmaceuticals
PO Box 52029 Phoenix, AZ 85072-2029
TEL: 800-277-2254
FAX: 855-817-2711
Idiomas hablados:
English, Others By Translation Service
La Página del Programa
Medicamentos
  • Sandostatin LAR Depot (octreotide acetate)
Requisitos de Elegibilidad
  • Insurance Status Contact program for details.
  • Those with Part D Elibible? Contact program for details.
  • Income At or below 600% of FPL
  • Diagnosis/Medical Criteria Not specified
  • U.S. Residency Required? The patient must reside in the US, Puerto Rico or the USVI.
Solicitud
  • Obtaining Call or download
  • Receiving Faxed
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section, sign, attach prescription for 90 days
  • Applicant's Action Complete section, sign, attach proof of income
  • Decision Communicated Doctor notified via mailed letter
  • Decision Timeframe Not specified
Medicamento
  • Amount/Supply Varies
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Not specified
  • Refill Proces Patient must contact company
  • Limit Not specified
  • Re-application New application, new documentation yearly
Información Adicional
For Focalin XR, Clozaril, and Ritalin LA, Clozarila pharmacy card will be issued. All other medication will be shipped directly to the patient, unless otherwise noted. *Additional products may be available. Please contact the program for a complete product listing. www.pap.novartis.com
Actualizado July 3, 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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