Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
 

Leadiant Outreach Services Patient Assistance Program (Abelcet & Depocyt)

This program provides brand name medications at no or low cost

Provided by: Leadiant Biosciences, Inc.

200 Prinecrest Plaza
Morgantown, WV 26505-8065

TEL: 800-490-3262


Languages Spoken:

English

Program Website

 

Program Applications and Forms

Leadiant Patient Assistance Program Application: Contact program

 

Medications

  • Abelcet (amphotericin B lipid complex)
 

Eligibility Requirements   

Insurance Status Must have no coverage for the requested medication, be ineligible for federal or state programs
Those with Part D Eligible? No
Income At or below 300% of FPL
Diagnosis/Medical Criteria Not specified
US Residency Required? Must reside in the US and be under the direct care of a US physician
   

Application

Obtaining Call for prescreening
Receiving Faxed, emailed or mailed
Returning Email, fax or mail
Doctor's Action Call
Applicant's Action Inform Doctor that he/she is in need
Decision Communicated Health care provider notified via fax
Decision Timeframe 3-5 business days
   

Medication

Amount/Supply Up to 3 months supply
Sent To Doctor's office or infusion site
Delivery Time Shipped next business day
Refill Process Patient contacts pharmacy
Limit None
Re-application New application every 3 months
   

Additional Information

Insurance benefits, claims assistance and/or other reimbursement help is offered.


Updated May 25, 2017