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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
Accredo Therapeutics |
| Program Name |
Flolan Patient Assistance Program |
| Program Address |
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| Phone Number |
724-778-3980
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| Fax Number |
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| Medications on Program |
Flolan IV (epoprostenol)
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| Application Forms |
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On-line Application
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No on-line application available at this time |
| Web Site |
No link available. |
| Eligibility Guidelines and Notes |
The patient must have no insurance. have an income at or below 500% of the Federal Poverty Level. The medication must be used for a FDA-approved diagnosis. The patient must also be a US resident. Patient needs to call to get program specifics. Speak with Shannon or Heather. Patient needs to shown that they have submitted applications for Medicare, Medicaid and SS Disability.
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| Application Process |
The patient must call for a prescreening. The application is sent to the patient. The completed application must be mailed back.
The decision is usually made within 24-48 hours.
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| Application Requirements |
The doctor must fill out a section and sign the application. The patient must fill out a section and sign the application.
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| Program Details |
The medication is sent to the patient's home.
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| Last Updated |
May 08, 2009 |
