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This program provides generic medications at a discount.
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| Pharmaceutical Company |
Xubex Pharmaceuticals |
| Program Name |
Xubex Patient Assistance Program |
| Program Address |
PO Box 1244
Winter Park, Fl 32790-1244 |
| Phone Number |
866-699-8239
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| Fax Number |
407-671-7960 |
| Medications on Program |
methotrexate Injection 25mg/ml (Rheumatrex)
methotrexate Tablets 2.5mg (Rheumatrex)
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| Application Forms |
Xubex Pharmaceutical Services
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On-line Application
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Link to online application
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| Web Site |
Click to go to program's web site |
| Eligibility Guidelines and Notes |
Applicants with insurance are eligible. The patient must have an income at or below 243% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. US residency requirements are
not specified. This is a program for generic medications only. There are fee for the medications either $20 or $30 for a 90 day supply. ($40 or $60 for a 180 day supply and $80 or $120 for a 360 day supply.)Xubex now offers a 30 day supply of some medications free of charge. Patients may apply online or print the prescription, complete and fax to the Xubex pharmacy for processing. Requests may be expedited by having the physician fax the completed form to the Xubex pharmacy.
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| Application Process |
Anyone requesting assistance can call to request a faxed application or download it from the website. The application will be faxed out. The completed application can be faxed or mailed back.
The medication is shipped within 10 business days.
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| Application Requirements |
The doctor needs to provide a prescription to the patient. The patient must fill out a section and sign the application.
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| Program Details |
The medication is sent to either the doctor's office or the patient's home. The company automatically sends out refills. Once a year a new application with financial documentation is needed.
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| Last Updated |
August 14, 2009 |
