Sustol Patient Assistance Programs

Sustol: Apply for prescription assistance below

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

Heron Connect

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

Provided by: Heron Therapeutics, Inc.
None
TEL: 844-437-6611
FAX: 844-504-8652
Languages Spoken:
English
Program Website
Medications
  • Sustol (granisetron)
Eligibility Requirements
  • Insurance Status May have insurance; must be experiencing financial difficulty
  • Those with Part D Elibible? No
  • Income At or below 500% of FPL
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be residing in the US or US territory
Application
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Doctor notified
  • Decision Timeframe 2-3 business days
Medication
  • Amount/Supply Not specified
  • Sent To Doctor's office
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit One year
  • Re-application New enrollment every 12 months
Additional Information
The physician must submit the Practice Enrollment Form before applying for the Patient Assistance Program. This program also provides co-pay and reimbursement assistance.
Updated February 11, 2019

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