I-Valex Patient Assistance Programs

I-Valex: Apply for prescription assistance below

If you are eligible, the programs below can help you afford I-Valex. 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?

Pathway Reimbursement Support Patient Assistance Program

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

Provided by: Abbott Nutrition
Abbott Nutrition Patient Assistance Program PO Box 4280 Gaithersburg, MD 20885-4280
TEL: 800-558-7677
ALT PHONE: 800-558-7677
FAX: 866-734-7353
Languages Spoken:
English
Program Website
Medications
  • I-Valex (medical food)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? No
  • Income Not disclosed
  • Diagnosis/Medical Criteria *See Additional Information section below
  • U.S. Residency Required? Must reside in the US or the District of Columbia
Application
  • Obtaining Call or download from Programs website
  • Receiving Faxed or downloaded from website
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Not specified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Not specified
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not specified
Additional Information
*Patient must require 100% of their caloric needs from the requested product. A product specific request form must be submitted prior to acceptance. Contact Program for details.
Updated September 24, 2018

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