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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
Endo Pharmaceuticals, Inc. |
| Program Name |
Endo Pharmaceuticals Patient Assistance Program |
| Program Address |
PO Box 66761
St. Louis, MO 63166-6761 |
| Phone Number |
866-824-4747
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| Fax Number |
800-889-0353 |
| Medications on Program |
Frova Tablets 2.5mg (frovatriptan)
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| Application Forms |
Endo Pharmaceuticals, Inc.
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On-line Application
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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 the requested medication and have an income at or below 200% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. Patients who are eligible for Medicare Part D but who did not enroll may still be eligible for this program and should apply.
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| Application Process |
With the patient's permission, anyone concerned can call for an application. The application will be faxed out. The completed application must be faxed or mailed from the doctor's office.
Both the patient and the health care professional are notified in writing of acceptance or denial. The decision is made within 5-7 business days. Allow 2 weeks for processing and delivery of medication.
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| Application Requirements |
The doctor must fill out a section and sign the application. The patient must fill out a section, sign the application and attach proof of income.
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| Program Details |
Up to a 90-day supply is sent to the doctor's office. The patient or doctor must contact the company for refills. Once a year the application process must be repeated.
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| Last Updated |
November 09, 2009 |
