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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
GlaxoSmithKline |
| Program Name |
Bridges to Access |
| Program Address |
PO Box 29038
Phoenix, AZ 85038-9038 |
| Phone Number |
866-728-4368
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| Fax Number |
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| Medications on Program |
Olux Foam 0.05% (clobetasol)
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| Application Forms |
GSK Bridges to Access
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On-line Application
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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 have an income at or below 250% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. Bridges to Access has new enrollment instructions. It's no longer required to enroll via an advocate unless the patient requires immediate access to their medicine. Applicants can enroll by mailing a completed application, a current prescription and income documentation. An advocate, however, must call to enroll Bridges to Access applicants who need immediate access to medicine (please see web page http://www.bridgestoaccess.com/ for further details about the two methods of enrollment).
The application can be filled out and printed from the website, but each application need an individual number (which the website does automatically.)
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| Application Process |
Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application can be faxed, mailed out or downloaded from website. The completed application must be mailed back.
The patient is notified in writing of acceptance or denial.
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| Application Requirements |
Not applicable.
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| Program Details |
Up to a 90-day supply is sent to the patient's home. The patient must contact the company to arrange for refills. Once a year the application process must be repeated.
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| Last Updated |
August 31, 2010 |
