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View Prescription Drug Assistance Program Details
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| Nationwide: |
Yes |
| Program Name: |
Bertek Patient Assistance Program |
| Program Type: |
Pharmaceutical Company |
| Drugs Covered: |
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| Eligibility: |
You must meet the following requirements: You must be a U.S. citizen or a documented legal alien. Medicaid recipients are not eligible if you have prescription coverage. You can't have medical insurance that covers drug reimbursement. Income eligibility is based on Federal Poverty Guidelines. New levels are: $9,310 for 1 person; $12,490 for 2 people; $57,670 for 3 people; and $18,580 for 4 people. |
| Applicant: |
Patient and Physician / Licensed Practitioner |
| Company Name: |
Bertek Pharmaceuticals, Inc. |
| Address: |
P.O. Box 4310 |
| City: |
Morgantown |
| State: |
WV |
| Zip Code: |
26504-4310 |
| Telephone: |
8888237835 |
| Telephone: |
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| E-Mail: |
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| Web Site: |
http://www.bertek.com/
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| Service Hours: |
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| Couple Income Limit: |
1041 |
| Single Income Limit: |
776 |
| Enrollment Fee: |
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| Note: |
Original signed prescription, proof of your income, and waiver/release of liability form must accompany signed application. A maximum 3-month supply of medication will be shipped to the physician. Complete application package must be submitted every 3 months. Call (888) 823-7835 extension 4160 for additional information. |
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