Mycamine Patient Assistance Programs

Mycamine: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Mycamine. 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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Astellas Stock Replacement Program

(Program 1 of 2 — Scroll down to see them all)

Provided by: Astellas Pharma, Inc.
PO Box 13185 La Jolla, CA 92039
TEL: 800-477-6472
FAX: 866-317-6235
Languages Spoken:
English Others By Translation Service
Program Website
Medications
  • Mycamine injection (micafungin sodium injection)
Eligibility Requirements
  • Insurance Status Must be uninsured
  • Those with Part D Elibible? No
  • Income At or below 250% of FPL
  • Diagnosis/Medical Criteria FDA-approved diagnosis or authorized compendia listing
  • U.S. Residency Required? The patient must also be a US resident.
Application
  • Obtaining Health care provider must complete online
  • Receiving Downloaded from website
  • Returning The application must be submitted online by the health care provider
  • Doctor's Action Complete and submit an Astellas Access Program application via Astellas eService at www.astellasreimbursement.com
  • Applicant's Action Inform Doctor that he/she is in need
  • Decision Communicated Doctor notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Not specified
  • Sent To Doctor's office or specific site
  • Delivery Time Within 10 days
  • Refill Proces New application
  • Limit Not specified
  • Re-application New application yearly
Additional Information
Please visit www.AstellasReimbursement.com for more information.
Updated August 8, 2018

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

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Astellas Pharma Support Solutions

(Program 2 of 2 — Scroll down to see them all)

Provided by: Astellas Pharma, Inc.
PO Box 13185 La Jolla, CA 92039
TEL: 800-477-6472
Languages Spoken:
English
Program Website
Medications
  • Mycamine injection (micafungin sodium injection)
Eligibility Requirements
  • Insurance Status Uninsured or Underinsured
  • Those with Part D Elibible? No
  • Income At or below 250% of FPL
  • Diagnosis/Medical Criteria FDA-approved diagnosis or authorized compendia listing
  • U.S. Residency Required? Must have a verifiable US shipping address and be treated by US Doctor
Application
  • Obtaining Call, download or apply online
  • Receiving Downloaded from website
  • Returning The application must be submitted online by the health care provider
  • Doctor's Action Complete and submit an Astellas Access Program application via Astellas eService at www.astellasreimbursement.com
  • Applicant's Action Inform Doctor that he/she is in need
  • Decision Communicated Doctor notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Not specified
  • Sent To Patient's home
  • Delivery Time Within 10 days
  • Refill Proces Automatically sent out
  • Limit Not specified
  • Re-application New application yearly
Additional Information
Please visit www.astellaspharmasupportsolutions.com for more information This program also provides copay assistance.
Updated June 15, 2018

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

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