masthead



                                         

Program 1 of 3 Scroll down to see them all.

This program provides brand name medications at no or low cost.
Pharmaceutical Company Novartis Pharmaceuticals
Program Name Novartis Patient Assistance Foundation Program
Program Address PO Box 66556
St. Louis, MO 63166-6556
Phone Number

800-277-2254, opt 3
Fax Number
Medications on Program Enablex Tablets 7.5mg, 15mg (darifenacin)
Application Forms Novartis Patient Assistance Foundation Program
Novartis Patient Assistance Foundation Program (Spanish)
On-line Application
 No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

The patient must have no prescription coverage for any medications and meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. 
Application Process

Anyone requesting assistance can call to request a faxed application or download it from the website. The application will be faxed out. The completed application must be mailed back.  The patient is notified of eligibility for the program within 2 weeks.  
Application Requirements

The doctor must fill out a section, sign the application and attach a prescription for 90 days. The patient must fill out a section, sign the application and attach proof of income.
Program Details

The medications are either sent to the doctor's office or the patient is sent a pharmacy card. A refill/reorder form is included with each shipment that must be filled out and returned to get the next shipment. Once a year a new application with financial documentation is needed.
Last Updated April 14, 2010


                                         

Program 2 of 3 Scroll down to see them all.

This program provides brand name medications at no or low cost.
Pharmaceutical Company Xubex Pharmaceuticals
Program Name Xubex Free Medication Program
Program Address PO Box 1244
Winter Park, Fl 32790-1244
Phone Number

866-699-8239
Fax Number 407-671-7960
Medications on Program Enablex Tablets 7.5mg, 15mg (darifenacin)
Application Forms Not Applicable
On-line Application
 No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

Applicants with insurance are eligible. Not applicable Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. This program is non-need based. Some medications may be offered for less than a 30 day supply .Check the program's website as the medications change frequently.
Application Process

Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application can be faxed, mailed out or downloaded from website. The completed application should be faxed back from the doctor's office.    Once the application is received, the medication will be shipped within 24 hours.
Application Requirements

The doctor must fill out a section and sign the application. 
Program Details

Up to a 30-day supply is sent to the patient's home.  
Last Updated August 03, 2010


                                         

Program 3 of 3.

This is a discount card program.
Pharmaceutical Company Together Rx Access
Program Name Together Rx Access
Program Address PO Box 9426
Wilmington, DE 19809-9944
Phone Number

800-444-4106
Fax Number
Medications on Program Enablex Tablets 7.5mg, 15mg (darifenacin)
Application Forms Not Applicable
On-line Application
 No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

The patient must have no prescription coverage for any medications and have an income at or below $45000 if single, $60000 for a family of 2, $75000 for a family of 3, $90000 for a family of 4, $105000 for a family of 5 Medical diagnosis necessary for this program is not specified.  The patient must not be eligible for Medicare. Most cardholders save between 25%-40% on brand name prescription medications. Each card holder's savings depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased.
Application Process

The patient can enroll online to get their ID number which can be used immediately.      
Application Requirements

Not applicable.
Program Details

The patient is sent a Together Rx Access prescription savings card.  
Last Updated May 10, 2010