Otiprio Patient Assistance Programs

Otiprio: Apply for prescription assistance below

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

Otonomy Answers Reimbursement Support Program

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

Provided by: Otonomy, Inc.
4796 Executive Drive San Diego, CA 92121-2245
TEL: 844-684-7746
Languages Spoken:
English
Program Website
Program Applications and Forms
Medications
  • Otiprio (ciprofloxacin)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Determined case by case
  • Income Not applicable
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be treated by US licensed healthcare provider
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 section, sign, attach required documents
  • Applicant's Action Inform Doctor that he/she is in need
  • Decision Communicated Not specified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Not specified
  • Sent To Not specified
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not applicable
Additional Information
This program is intended for US HEALTHCARE PROFESSIONALS and/or Professionals involved in Healthcare Reimbursement ONLY. The Doctor must contact the program.
Updated November 13, 2018

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