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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
Biogen Idec |
| Program Name |
Access Program |
| Program Address |
5000 Davis Drive
PO Box 13919
Research Triangle Park
Morrisville, NC 27709
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| Phone Number |
800-456-2255
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| Fax Number |
877-301-5140 |
| Medications on Program |
Tysabri IV infusion (natalizumab)
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| Application Forms |
Not Applicable |
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 be uninsured or underinsured and meet income guidelines that are not disclosed. The patient must have a relapsing form of MS. The patient must also reside in the US. Patients will be referred to a financial assistance counselor to determine the most appropriate financial assistance option. Those with Medicare may be eligible. Decisions made on a case by case basis. There is no written application. Some income documentation may be requested. Patients must have resided in the US for the last 6 months.
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| Application Process |
The patient must call for a prescreening. There is no application.
The decision is made during the phone screening.
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| Application Requirements |
The doctor/doctor's office must fax in a prescription. The patient must provide information and proof of income.
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| Program Details |
Up to a 90-day supply is sent to the doctor's office. The company contacts the patient to arrange for refills. The company will contact the patient regarding reapplication.
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| Last Updated |
August 21, 2009 |
