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Updated February 07, 2014

Shire Cares

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

Provided by: Shire Pharmaceuticals

Shire Cares Patient Assistance & Support Program
6900 College Boulevard, Suite 1000
Overland Park, KS 66211

TEL: 888-227-3755


ALT PHONE:
FAX: 877-922-7379
Languages Spoken:

English, Others By Translation Service

Program Website
 

Patient Assistance Applications

Shire Cares Application Form

 

Medications

  • Carbatrol Capsule 100mg, 200mg, 300mg (carbamazepine)
  • Intuniv Tablet; Extended Release 1mg, 2mg, 3mg, 4mg (guanfacine)
  • Pentasa  Capsule 250mg, 500mg (mesalamine)
  • Fosrenol Tablet; Chewable 500mg, 750mg, 1000mg (lanthanum carbonate)
  • Lialda Tablet l.2g (mesalamine)
  • Vyvanse  Capsule 20mg, 30mg, 40mg, 50mg, 60mg, 70mg (lisdexamfetamine dimesylate)
 

Eligibility Requirements

Insurance Status Determined case by case
Those with Part D Eligible? Yes
Income At or below 300% of FPL
Diagnosis/Medical Criteria FDA-approved diagnosis.
US Residency Required? Must reside in the US
   

Application

Obtaining Call or download
Receiving Faxed, mailed or downloaded from website
Returning Mail or fax
Doctor's Action Complete section, sign
Applicant's Action Complete section, sign, attach proof of income and any insurance information
Decision Communicated Patient and Doctor notified in writing
Decision Timeframe 2-4 business days
   

Medication

Amount/Supply Not specified
Sent To Patient sent card to be used at pharmacy
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application New application yearly
   

Additional Information

Each Application will be considered on a case by case basis.

Contact program for Spanish application.