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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
Aton Pharma |
| Program Name |
Aton Pharma Patient Assistance Program |
| Program Address |
C/O NORD
PO Box 1968
Danbury, CT 06813-1968 |
| Phone Number |
877-286-6549, Opt 2
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| Fax Number |
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| Medications on Program |
Cuprimine Capsules 125mg, 250mg (penicillamine)
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| Application Forms |
Not Applicable |
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 prescription coverage, have reached his/her cap or cannot afford the co-payments and meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. The patient must be a US citizen or legal resident.
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| Application Process |
The patient or doctor needs to call for a prescreening. The application is sent to the patient. The completed application must be mailed back.
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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 doctor's office. The company automatically sends out refills. Every year a new application is needed.
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| Last Updated |
September 21, 2009 |
