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View Prescription Drug Assistance Program Details
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| Nationwide: |
Yes |
| Program Name: |
Carnitor Drug Assistance Program |
| Program Type: |
Pharmaceutical Company |
| Drugs Covered: |
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| Eligibility: |
You must be a U.S. resident. There is no age requirement. Eligibility is determined by medical and financial criteria and applied to a cost share formula. You must prove financial need above and beyond access to government funded programs, private insurance or family resources. You must not be eligible for Medicaid.</l> You may be eligible if you have exhausted your coverage. |
| Applicant: |
Patient or Family Member |
| Company Name: |
Sigma-Tau Pharmaceuticals Inc. |
| Address: |
NORD<br>55 Kenosia Avenue<br>P.O. Box 1968<br> |
| City: |
Danbury |
| State: |
CT |
| Zip Code: |
06813-1968 |
| Telephone: |
8009996673 |
| Telephone: |
2037440100 |
| E-Mail: |
bnavarette@rarediseases.org |
| Web Site: |
http://www.rarediseases.org
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| Service Hours: |
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| Couple Income Limit: |
99999 |
| Single Income Limit: |
99999 |
| Enrollment Fee: |
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| Note: |
Must have legal prescription. Must be re-certified annually. You must pay shipping and handling costs. Physician must certify medical need and send prescription once approved. Product use must meet approved label indications and recommended dosage. Carnitor has Medicare/Medicaid reimbursement hotline at 1-800-490-3262. |
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