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Updated April 15, 2014
Prostigmin

Valeant Patient Assistance Program

This program provides brand name medications at no or low cost.

Provided by: Valeant Pharmaceuticals, Inc.

P.O. Box 836
Somervile, NJ 08876

TEL: 866-268-7325


ALT PHONE:
FAX: 866-217-7164
Languages Spoken:

English

Program Website
 

Patient Assistance Applications

Valeant Patient Assistance Program

 

Medications

  • Prostigmin Tablet 15mg (neostigmine bromide)
 

Eligibility Requirements

Insurance Status Must have no prescription coverage
Those with Part D Eligible? No
Income Based on FPL
Diagnosis/Medical Criteria Not required
US Residency Required? Must be citizen or legal resident
   

Application

Obtaining Call
Receiving Faxed or mailed
Returning Mail or fax
Doctor's Action Complete section, sign, attach prescription
Applicant's Action Complete section, sign
Decision Communicated If accepted, medication sent to Dr office. If denied, Dr office is informed
Decision Timeframe Within 2-3 days
   

Medication

Amount/Supply Up to 90 day supply
Sent To Doctor's office
Delivery Time Within 5-7 business days
Refill Process Copy of application with new doctor signature
Limit Not specified
Re-application New application yearly
   

Additional Information

Wellbutrin XL IS NOT AVAILABLE FOR NEW PATIENTS.