Episil Patient Assistance Programs

Episil: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Episil. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Episil Direct Program

(Program 1 of 1 — Scroll down to see them all)

Provided by: R-Pharm US
c/o Cardinal Health Specialty Pharmacy 7172 Columbia Gateway Dr. Columbia, MD 21046
TEL: 888-662-6779
FAX: 877-800-4790
Languages Spoken:
English
Program Website
Medications
  • Episil concentrated oral liquid (wound dressing oral concentrated oral liquid)
Eligibility Requirements
  • Insurance Status Contact program for details.
  • Those with Part D Elibible? Yes, but contact program for details
  • Income Not Required
  • Diagnosis/Medical Criteria Not specified
  • U.S. Residency Required? Must reside in the US, Guam, Puerto Rico or US Virgin Islands
Application
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning Fax or E-Prescribe online
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Call for information or inform doctor that he/she is in need
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Within 24-48 hours
Medication
  • Amount/Supply 1 box
  • Sent To Doctor's office or patient's home
  • Delivery Time 1-2 business days
  • Refill Proces Contact program for details.
  • Limit Varies
  • Re-application Not applicable
Additional Information
Contact program for details.
Updated September 13, 2018

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for Episil prices here.

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