Urocit-K Patient Assistance Programs

Urocit-K: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Urocit-K. 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?

Mission Product Request

(Program 1 of 3 — Scroll down to see them all )

Provided by: Mission Pharmacal Company
None
TEL: 877-425-0325
FAX: 877-426-2795
Languages Spoken:
English, Spanish
Program Website
Program Applications and Forms
Medications
  • Urocit-K (potassium citrate)
Eligibility Requirements
  • Insurance Status Not specified
  • Those with Part D Elibible? Not specified
  • Income Not disclosed
  • Diagnosis/Medical Criteria Not disclosed
  • U.S. Residency Required? US residency requirements are not specified.
Application
  • Obtaining The Doctor should call for an application or download it from the website
  • Receiving Faxed to Doctor's office
  • Returning The completed application should be faxed back from the doctor's office.
  • Doctor's Action Complete section and sign
  • Applicant's Action Inform Doctor that he/she is in need
  • Decision Communicated Doctor notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Doctor's office
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Doctor contacts company
Additional Information
Resources for HEALTHCARE PROFESSIONAL ONLY. The Doctor must contact the program to place an order.
Updated November 12, 2018

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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Mission Pharmaceutical Patient Assistance Program

(Program 2 of 3 — Scroll down to see them all )

Provided by: Mission Pharmacal Company
None
TEL: 800-292-7364
Languages Spoken:
English
Program Website
Medications
  • Urocit-K (potassium citrate)
Eligibility Requirements
  • Insurance Status Must be uninsured
  • Those with Part D Elibible? No
  • Income At or below 100% of FPL
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? The patient must also be a US citizen.
Application
  • Obtaining Doctor's office needs to send letter indicating patient needs this medication, duration, diagnosis, patient name, contact name, phone and fax numbers
  • Receiving Sent to Doctor's office
  • Returning The completed application must be faxed or mailed from the doctor's office.
  • Doctor's Action Complete section, sign, attach prescription
  • Applicant's Action Not applicable
  • Decision Communicated Doctor notified
  • Decision Timeframe 7-10 business days
Medication
  • Amount/Supply Up to 90 day supply
  • Sent To Doctor's office
  • Delivery Time Within 2 weeks
  • Refill Proces Doctor's office sends copy of letter with new dates and any change in dosage. Must be at least 3 weeks prior to prescription running out. In some cases new application may be needed
  • Limit Not specified
  • Re-application New application every 3 months
Additional Information
Contact the program for more details (1-800-292-7364).
Updated November 7, 2018

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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Rx Outreach Medications

(Program 3 of 3 — Scroll down to see them all )

Provided by: Rx Outreach
PO Box 66536 St. Louis, MO 63166-6536
TEL: 888-796-1234
FAX: 800-875-6591
Languages Spoken:
English, Spanish
Program Website
Medications
  • None (potassium citrate)
Eligibility Requirements
  • Insurance Status May have insurance
  • Those with Part D Elibible? Yes
  • Income At or below 300% of FPL
  • Diagnosis/Medical Criteria Not required
  • U.S. Residency Required? The patient must also be residing in the US.
Application
  • Obtaining Call, download or apply online
  • Receiving Faxed, mailed or downloaded from website
  • Returning Fax or E-Prescribe online
  • Doctor's Action Give prescription to patient
  • Applicant's Action Complete section and sign
  • Decision Communicated Medications sent if accepted. If denied patient and doctor notified
  • Decision Timeframe Usually same day
Medication
  • Amount/Supply Varies
  • Sent To Doctor's office or patient's home
  • Delivery Time Not specified
  • Refill Proces Company contacts patient to arrange
  • Limit Only limited by manufacturer's guidelines
  • Re-application New application yearly
Additional Information
Some medications are available for a fee of $20 for up to a 180 day supply. Check the Rx Outreach website for the exact price and most current medication list. Contact Program for Spanish Application(s)/Form(s).
Updated September 10, 2018

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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