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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 Novartis Pharmaceuticals
Program Name Novartis Patient Assistance Program for Specialty Medicines
Program Address PO Box 66531
St Louis, MO 63166
Phone Number

800-277-2254
Fax Number 866-470-1750
Medications on Program Neoral Capsules 25mg, 100mg (cyclosporine)
Neoral Oral Solution  (cyclosporine oral solution)
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 the requested medication 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. Fanapt is shipped to the physician's office. The remainder of the medications on this program are sent to the patient's home.
Application Process

Forms are available by calling the program number above. The application can be either faxed or mailed out upon request. The completed application can be faxed or mailed back.  The patient is notified of eligibility for the program.  
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 medication is sent to the patient's home.  Once a year the application process must be repeated.
Last Updated May 17, 2010


                                         

Program 2 of 2.

This company does not offer a patient assistance program.
Pharmaceutical Company HealthWell Foundation
Program Name HealthWell Foundation Copay Program
Program Address P.O Box 4133
Gaithersburg, MD 20878
Phone Number

800-675-8416
Fax Number 800-282-7692
Medications on Program Neoral   (cyclosporine)
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. The Foundation considers an individual's financial, medical, and insurance situation when determining who is eligible for assistance. Families with incomes below 400% of the Federal Poverty Level may qualify. Cost of living in a particular city or state is also taken into account. Medication must be used for medically appropriate condition. The patient must also reside in the US. This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.
Application Process

Anyone can call to get the application sent out or it may be completed online. The application is sent out or it may be completed online.     
Application Requirements

Not applicable.
Program Details

Not applicable.
Last Updated April 28, 2010