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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
Abbott |
| Program Name |
Abbott Patient Assistance Foundation |
| Program Address |
P.O. Box 270
Somerset, NJ
08876 |
| Phone Number |
800-222-6885
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| Fax Number |
866-898-1473 |
| Medications on Program |
Advicor ER Tablets 20/100mg, 20/500mg (lovastatin/niacin)
Azmacort Inhaler (triamcinolone inhaled)
Cardizem LA Tablets 120mg, 180mg, 240mg, 300mg, 360mg, 420mg (diltiazem)
Depakene Liquid 250mg/5ml (valproic acid)
Depakene Tablets 250mg (valproic acid)
Depakote Sprinkle Capsules 125mg (divalproex sodium)
Depakote Tablets 125mg, 250mg, 500mg (divalproex sodium)
Depakote ER Tablets 250mg, 500mg (divalproex sodium)
Gengraf Capsules 25mg, 100mg (cyclosporine)
Gengraf Oral Solution 100mg/ml (cyclosporine injectable)
Niaspan ER Tablets 500mg, 750mg, 1000mg (niacin)
Simcor Tablet 500/20mg, 750/20mg, 1000/20mg (simvastatin/niacin extended release)
Synthroid Tablets 25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg, 300mcg (levothyroxine)
Tarka Tablets 1mg/240mg, 2mg/180mg, 2mg/240mg, 4mg/240mg (trandolapril and verapamil)
Teveten Tablets 400mg, 600mg (eprosartan)
Teveten HCT Tablets 12.5mg, 25mg (eprosartan)
Tricor Tablets 48mg, 145mg (fenofibrate)
Trilipix Capsules 45mg,135mg (fenofibric acid)
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| Application Forms |
Abbott Patient Assistance Foundation
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On-line Application
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| Web Site |
Click to go to program's web site |
| Eligibility Guidelines and Notes |
The patient must not have any private nor public insurance and meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. US residency requirements are
not specified. Patients with prescription drug coverage, including enrollment in a Medicare Part D Prescription Drug Plan, who have difficulty accessing their Abbott medications may be eligible for assistance by obtaining a Pharmaceutical Assistance Program exception based on health-related expenditures and household income.
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| Application Process |
The doctor or patient can call to request an application. The application can be either faxed or mailed out upon request. The completed application can be faxed or mailed back.
The doctor is notified of acceptance or denial. The decision is made within 5-7 business days. 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, sign the application and attach proof of income.
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| Program Details |
Up to a 90-day supply is sent to the doctor's office. The doctor/doctor's office must contact the company to arrange refills. Once a year a new application with financial documentation is needed.
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| Last Updated |
August 13, 2009 |
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