|
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 |
March 06, 2009 |
