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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
The Medicines Company |
| Program Name |
Angiomax Reimbursement and Patient Financial Assistance Program |
| Program Address |
Not Applicable |
| Phone Number |
800-756-6463
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| Fax Number |
800-759-4491 |
| Medications on Program |
Angiomax Injection 250mg/vial (bivalirudin)
Cleviprex (clevidipine butyrate)
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| Application Forms |
Not Applicable |
On-line Application
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| Web Site |
Click to go to program's web site |
| Eligibility Guidelines and Notes |
The patient must have no insurance and meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. This is product replacement program.
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| Application Process |
Someone from the hospital must call for an application. The application will be faxed out. The completed application must be faxed back.
The doctor is notified of acceptance or denial.
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| Application Requirements |
The hospital contact or doctor must fill out the application and verify the patient's financial situation. The patient must inform the doctor that s/he is in need.
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| Program Details |
Not applicable.
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| Last Updated |
April 13, 2010 |
