Programas de asistencia al paciente para Tranxene

Solicite apoyo para su receta con Tranxene

Si califica, los programas a continuación le pueden ser útiles para conseguir Tranxene. 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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HealthWell Foundation Copay Program

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

Provienen de: HealthWell Foundation
P.O. Box 489 Buckeystown, MD 21717
TEL: 800-675-8416
FAX: 800-282-7692
Idiomas hablados:
English, Others By Translation Service
La Página del Programa
Medicamentos
  • Tranxene tablet (clorazepate dipotassium tablet)
Requisitos de Elegibilidad
  • Insurance Status May have insurance
  • Those with Part D Elibible? Yes
  • Income Varies
  • Diagnosis/Medical Criteria FDA Approved Diagnosis - See Program Website for Details
  • U.S. Residency Required? The patient must also be residing in the US.
Solicitud
  • Obtaining Call or complete online
  • Receiving Sent out or may be completed online
  • Returning The completed application must be mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach a copy of proof of income
  • Decision Communicated Patient notified in writing
  • Decision Timeframe 3-5 business days
Medicamento
  • Amount/Supply Not applicable
  • Sent To Varies
  • Delivery Time Not specified
  • Refill Proces Good for one year
  • Limit Not specified
  • Re-application New application every 12 months
Información Adicional
This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.
Actualizado October 14, 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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Recordati Reimbursement Hotline

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

Provienen de: Recordati Rare Diseases
PO Box 4280 Gaithersburg, MD 20885
TEL: 866-209-7604
Idiomas hablados:
English, Others By Translation Service
La Página del Programa
Medicamentos
  • Tranxene tablet (clorazepate dipotassium tablet)
Requisitos de Elegibilidad
  • Insurance Status Not specified
  • Those with Part D Elibible? Not specified
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The patient must be a US citizen or legal resident.
Solicitud
  • Obtaining Doctor/Doctor's office must call for prescreening
  • Receiving Sent to Doctor's office
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach proof of income and any insurance information
  • Decision Communicated Doctor notified
  • Decision Timeframe Within 24-48 hours
Medicamento
  • Amount/Supply Up to 90 day supply
  • Sent To Doctor's office
  • Delivery Time Within 3-5 business days
  • Refill Proces Doctor's office must contact the company
  • Limit Not applicable
  • Re-application New application every 6 months
Información Adicional
Insurance benefits, patient assistance, claims assistance and/or other reimbursement help is offered. Applicant must attach proof of income for all adults in the household. This program also provides copay assistance for Penhematin. Contact program for details.
Actualizado September 11, 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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