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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
AMAG Pharmaceuticals |
| Program Name |
AMAG Assist |
| Program Address |
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| Phone Number |
877-411-2510 opt 2
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| Fax Number |
866-470-5871 |
| Medications on Program |
Feraheme Injection 1 (ferumoxytol)
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| Application Forms |
AMAG Assist
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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 |
Patient must not have insurance or the medication is not covered by the insurance. The patient must meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. US residency requirements are
not specified. This program will also conduct insurance verification.
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| Application Process |
Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application can be faxed, mailed out or downloaded from website. The completed application must be faxed back.
Both the doctor and patient are notified or acceptance or denial. The decision is usually made within 48 hours.
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| Application Requirements |
The doctor must fill out a section, sign the application and attach a copy of the DEA or State License number. The patient must fill out a section and sign the application.
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| Program Details |
The medication is sent to the doctor's office.
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| Last Updated |
October 28, 2009 |
