This program provides brand name medications at no or low cost.
Pharmaceutical Company Abbott
Program Name Abbott Patient Assistance Foundation (HUMIRA)
Program Address PO Box 789
San Bruno, CA 94066
Phone Number

800-222-6885

Fax Number 866-250-2803
Medications on Program Humira Injection  (adalimumab)
Application Forms Abbott Patient Assistance Foundation (HUMIRA)
On-line Application
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.

Application Process

The patient or doctor should call for an application. The application can be either faxed or mailed out upon request. The completed application can be faxed or mailed back.  Both the patient and health care professional are notified of acceptance into the program. The decision is usually made within 24-48 hours. The medication is shipped within 3-5 business days.

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 and any insurance information.

Program Details

Up to a 90-day supply is sent to the doctor's office or the patient's home. The patient or doctor must contact the company for refills. Once a year a new application with financial documentation is needed.

Last Updated May 11, 2010