Continuation in the program is conditioned upon timely verification of income
2 Location
Missing information and/or required documents may delay processing of application
The cost for fenofibrate oral pill 160 grams is circle $17 with a supply of 30 tablet, depending on the pharmacy to visit
Patient will be enrolled in the program for a rolling 12-month period
If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser
reimbursement limited to $200 per month
Patient Information (Please provide physical address; no
Instead of submitting a copy of their Federal tax return, they can simply check a box on the updated application form
These programs and tips can help make your prescription more affordable Patient Assistance Program from HealthWell Foundation Save at least $5 per month on your
Fenofibrate is used with a low-fat diet, exercise, and sometimes with other medications to reduce the amounts of fatty substances such as cholesterol and triglycerides in the blood
Date: UCB, INC
00 Salary/Wages: Child Support /Alimony: Retirement: Work Comp: Social Security: The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc
Esperion will evaluate the patient’s eligibility and communicate an eligibility decision to the patient
Household Size
After six months of not receiving my medication, I was able to get it covered through the Help at Hand Program
Full effects of this substance might take up to 3 monthly to occur
As the nation’s fastest growing pharmacy program, we work with over 180 U
Get started by answering a few questions
Learn how our program can assist you if you need help paying for your GlaxoSmithKline prescription medicines and vaccines, whether you have coverage or not
Eligibility Requirements
Fenofibrate comes as a capsule, a delayed-release (long-acting) capsule, and a tablet to take by mouth
Examine your eligibility now
Submit completed application pages 2 thru 8 only with documentation to: Fax: 833-919-3509 (toll free) / 240-575-3932 (direct dial) Mail: Johnson & Johnson Patient Assistance Foundation, Inc
and the AbbVie Patient Assistance Foundation, a separate legal entity from AbbVie Inc
You cannot afford to pay for your medicine
Sometimes, more than one medicine is needed to help control high blood lipids
We will review and confirm the information in your application and provide a response