Lucemyra Prescription Assistance Programs

Lucemyra: Apply for prescription assistance below

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

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Lucemyra Patient Assistance Program

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

Provided by: US WorldMeds
Attn: Truax Patient Services 1112 Railroad St SE Suite #4 Bemdiji, MN 56601
TEL: 877-438-9759
ALT PHONE: 877-438-9759
FAX: 877-438-9759
Languages Spoken:
English
Program Website
Medications
  • Lucemyra tablet (lofexidine tablet)
Eligibility Requirements
  • Insurance Status Must have no prescription coverage for needed medication
  • Those with Part D Elibible? Yes, if medication is not covered
  • Income Based on FPL
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The applicant must have a social security number.
Application
  • Obtaining Call or download
  • Receiving Downloaded from website
  • Returning The completed application can be faxed, mailed or emailed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply As prescribed by Doctor
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Contact Program for Details
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not specified
Additional Information
None
Updated July 8, 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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