Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis. | ||||||
Nestle HealthCare Nutrition Patient Assistance ProgramThis program provides brand name medications at no or low cost |
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Provided by: Nestle HealthCare Nutrition, Inc. |
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Languages Spoken:
English
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Patient Assistance Applications |
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Generic Name Medications |
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Eligibility Requirements |
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Insurance Status | Must have no prescription coverage for needed product | |||||
Those with Part D Eligible? | Yes, if medication is not covered | |||||
Income | Not disclosed | |||||
Diagnosis/Medical Criteria | *See Additional Information section below | |||||
US Residency Required? | Yes, and must be treated by US doctor | |||||
Application |
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Obtaining | Call | |||||
Receiving | Faxed or mailed | |||||
Returning | Fax or mail | |||||
Doctor's Action | Complete section and sign | |||||
Applicant's Action | Complete section and sign | |||||
Decision Communicated | ||||||
Decision Timeframe | ||||||
Medication |
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Amount/Supply | ||||||
Sent To | ||||||
Delivery Time | ||||||
Refill Process | ||||||
Limit | ||||||
Re-application | New application yearly | |||||
Additional Information |
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Old Program Name 3/9/2017 See: Nestle HealthCare Nutrition Pediatric Patient Assistance Program or Nestle HealthCare Nutrition Adult Patient Assistance Program Only patients whose sole or primary source of nutrition is the requested product are eligible for this program. Patients who use the products as supplements are not eligible. |
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Updated March 09, 2017 |