Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
Updated October 10, 2014
 

Lialda

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Shire Cares

This program provides brand name medications at no or low cost.

Provided by: Shire Pharmaceuticals

Shire Cares Patient Assistance & Support Program
PO Box 5666
Louisville, KY 40255-0666

TEL: 888-227-3755


ALT PHONE:
FAX: 877-922-7379
Languages Spoken:

English, Others By Translation Service

Program Website

 

Patient Assistance Applications

Shire Cares Application

Shire Cares Application (Spanish)

 

Medications

  • Lialda Tablet l.2g (mesalamine)
 

Eligibility Requirements   

Insurance Status Determined case by case
Those with Part D Eligible? Yes
Income At or below 300% of FPL
Diagnosis/Medical Criteria FDA-approved diagnosis
US Residency Required? Must be US citizen or legal entrant
   

Application

Obtaining Call or download
Receiving Faxed, mailed or downloaded from website
Returning Fax or mail
Doctor's Action Complete section and sign
Applicant's Action Complete section, sign, attach proof of income and any insurance information
Decision Communicated Patient and Doctor notified in writing
Decision Timeframe 2-4 business days
   

Medication

Amount/Supply Not specified
Sent To Patient sent card to be used at pharmacy
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application New application yearly
   

Additional Information

Each Application will be considered on a case by case basis.

Contact program for Spanish application.