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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
Lundbeck Inc. |
| Program Name |
Lundbeck Reimbursement Hotline |
| Program Address |
Four Parkway North
Suite 200
Deerfield, IL
60015 |
| Phone Number |
866-209-7604
|
| Fax Number |
866-209-7599 |
| Medications on Program |
Indocin Injection (indomethacin)
|
| 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 |
This program is based on guidelines that are not disclosed. meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. US residency requirements are
not specified. This program also has a Reimbursement Support Program to aid with insurance coverage issues and can refer patients for co-payment assistance. All the iv medications are only product replacement, they will not be sent out before the treatment.
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| Application Process |
The patient or doctor needs to call for a prescreening. The application is sent to either the doctor or the patient. The completed application can be faxed or mailed back.
Notification of acceptance or denial is sent to whomever started the application process.
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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 |
Up to a 90-day supply is sent to the doctor's office. Every 3 months a new application is needed.
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| Last Updated |
June 15, 2010 |
