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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 Serono Laboratories, Inc.
Program Name Novantrone Patient Assistance Program
Program Address 1 Technology Place
Rockland, MA 02370
Phone Number

877-447-3243

Fax Number 866-227-3243
Medications on Program Novantrone Infusion 20mg/10ml, 25mg/12.5ml, 30mg/15ml (mitoxantrone)
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 not have any private nor public insurance 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. 

Application Process

The doctor/doctor's office should call for an application. The application is sent to the doctor's office. The completed application can be faxed or mailed back.  The doctor is notified of acceptance or denial. The estimated timeline is 3-5 business days. The medication is shipped within 48 hours.

Application Requirements

The doctor must fill out a section and sign the application. 

Program Details

The medication is sent to the patient's home. The patient must contact the company to arrange for refills. Once a year a new application with financial documentation is needed.

Last Updated June 02, 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 Novantrone   (mitoxantrone)
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