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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
Digestive Care, Incorporated |
| Program Name |
Pancrecarb Assistance Program |
| Program Address |
Digestive Care, Inc. 1120 Win Drive Bethlehem, PA 18017 |
| Phone Number |
610-882-5950
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| Fax Number |
610-882-0349 |
| Medications on Program |
Pancrecarb MS-4 Capsules (amylase/lipase/pancrelipase/protease)
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| Application Forms |
Pancrecarb Assistance Program
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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 |
Individual eligibility and level of financial support is determined on a case by case basis. meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. US residency requirements are
not specified. If the patient has a very high co-pay then s/he should still apply because the patient may get some assistance. Each applicant is looked at on a case by case basis.
There is also a 'Starter Program' for patients with CF and 'First Start Program' for patients without CF. These programs will sent a free bottle of 100 capsules to a patient who is prescribed the medication. The order form can be downloaded, and filled out by both patient and doctor.
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| Application Process |
Anyone can call to get an application faxed out. The application can be faxed, mailed out or downloaded from website. The completed enrollment form must be faxed back.
The medication is shipped out within 5-7 business days.
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| Application Requirements |
The doctor must fill out a section and sign the application. The patient must fill out a section and sign the application.
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| Program Details |
Up to a 90-day supply is sent to the doctor's office. The application process must be repeated to get refills.
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| Last Updated |
August 03, 2010 |