Genotropin Prescription Assistance Programs

Genotropin: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Genotropin. 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?

Pfizer Bridge Program

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

Provided by: Pfizer, Inc.
None
TEL: 800-645-1280
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
Program Applications and Forms
Medications
  • Genotropin (somatropin recombinant)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Determined case by case
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The patient must be a US citizen or legal resident.
Application
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning The completed application should be faxed back from the doctor's office.
  • Doctor's Action Complete and fax Statement of Medical Necessity and signed Patient Authorization forms which are on the website
  • Applicant's Action Patient or patient representative signs authorization form
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Not specified
  • Delivery Time Not specified
  • Refill Proces Company contacts patient to arrange
  • Limit Not specified
  • Re-application New application, new documentation yearly
Additional Information
None
Updated November 7, 2019

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

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