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Program 1 of 1.  Updated May 20, 2013 Back | Print Page

This program provides brand name medications at no or low cost.

Ferndale Laboratories Patient Assistance Program

Provided by:


Ferndale Laboratories, Inc.
Customer Services
780 West Eight Mile Rd.
Ferndale, MI 48220

TEL: 800-621-6003, ext 421


ALT PHONE: 248-548-0900, ext 421
FAX: 248-548-0279
 Program Website

Languages Spoken: English

Patient assistance
applications

 

Medications

  • Analpram HC  Cream 1%, 2.5% (hydrocortisone/pramoxine)
  • Analpram HC  Lotion 2.5% (hydrocortisone/pramoxine)

Eligibility Requirements

APPLICATION

MEDICATION
Insurance Status May have insurance
Those with Part D Eligible? Yes
Income Based on FPL
Diagnosis/Medical Criteria Not required
US Residency Required? Yes
Obtaining Call
Receiving Mailed, faxed or emailed
Returning Mail, fax or email
Doctor's Action Complete section, sign, attach prescription
Applicant's Action Complete section, sign, attach proof of income
Decision Communicated Patient notified
Decision Timeframe 7-10 business days
Amount/Supply Amount requested is sent
Sent To Doctor's office or patient's home
Delivery Time Within 7-10 business days
Refill Process Patient or Doctor must contact company
Limit None
Re-application New application yearly

Additional Information:

Eligibility determined on a case-by-case basis.



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