Tranxene Patient Assistance Programs

Tranxene: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Tranxene. 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 or go to the program website.

Looking for a different medication?

Recordati Reimbursement Hotline

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

Provided by: Recordati Rare Diseases
PO Box 4280 Gaithersburg, MD 20885
TEL: 866-209-7604
FAX: 866-209-7599
Languages Spoken:
English, Others By Translation Service
Program Website
Program Applications and Forms
  • Tranxene (clorazepate dipotassium)
Eligibility Requirements
  • Insurance Status Not specified
  • Those with Part D Elibible? Not specified
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The patient must also be a US citizen.
  • Obtaining Doctor/Doctor's office must call for prescreening
  • Receiving Sent to Doctor's office
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach proof of income and any insurance information
  • Decision Communicated Doctor notified
  • Decision Timeframe Within 24-48 hours
  • Amount/Supply Up to 90 day supply
  • Sent To Doctor's office
  • Delivery Time Within 3-5 business days
  • Refill Proces Doctor's office must contact the company
  • Limit Not applicable
  • Re-application New application every 6 months
Additional Information
Insurance benefits, patient assistance, claims assistance and/or other reimbursement help is offered. Applicant must attach proof of income for all adults in the household. This program also provides copay assistance for Penhematin. Contact program for details.
Updated April 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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