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Program 1 of 2 Scroll down to see them all.

This program provides brand name medications at no or low cost.
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
Fax Number 800-889-0353
Medications on Program Frova Tablets 2.5mg (frovatriptan)
Application Forms Endo Pharmaceuticals, Inc.
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 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.

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.
Application Requirements

The doctor must fill out a section, sign the application and attach a prescription. The patient must fill out a section, sign the application and attach proof of income.
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.
Last Updated August 02, 2010


                                         

Program 2 of 2.

This company does not offer a patient assistance program.
Pharmaceutical Company Xubex Pharmaceuticals
Program Name Xubex Copay Assistance Program
Program Address PO Box 1244
Winter Park, Fl 32790-1244
Phone Number

866-699-8239
Fax Number 407-671-7960
Medications on Program Frova Tablets 2.5mg (frovatriptan)
Application Forms Xubex Copay Program
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

 This program does not have income limitations. Medical diagnosis is not necessary This program is not valid in Massachusetts, so MA residents are not eligible. This is a copay assistance program that covers all or part of the applicant's copay for the medication. The amount of the copay assistance varies by medication, check the program's website for the exact amount. The application does not require a HCP signature, however the applicant must send the prescription(s) in with the application.
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 either faxed or mailed out upon request. The completed application can be faxed or mailed back.    
Application Requirements

Not applicable.
Program Details

The medication is sent to the patient's home.  
Last Updated August 03, 2010