Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  


Impax Patient Assistance Program

This program provides brand name medications at no or low cost

Provided by: Impax Laboratories, Inc.

Impax Specialty Pharma Patient Assistance Program
PO Box 66554
St. Louis, MO 63166-6554

TEL: 877-764-9021

FAX: 877-764-9022
Languages Spoken:

English, Others By Translation Service

Program Website


Program Applications and Forms

Impax Patient Assistance Program Application



  • Albenza (albendazole)

Eligibility Requirements   

Insurance Status Must be uninsured or underinsured
Those with Part D Eligible? Determined case by case
Income At or below 300% of FPL
Diagnosis/Medical Criteria FDA-approved diagnosis
US Residency Required? Must have a social security number


Obtaining Call or download
Receiving Faxed or downloaded from website
Returning Fax or mail from Doctor's office
Doctor's Action Complete section, sign, attach required documents
Applicant's Action Complete section, sign, attach required documents
Decision Communicated Patient and Doctor notified in writing
Decision Timeframe 2-3 business days


Amount/Supply Amount requested is sent
Sent To Patient's home, unless otherwise noted
Delivery Time Within 5-7 business days
Refill Process Good for 12 months
Limit Up to one year
Re-application Company contacts patient about reapplying

Additional Information

Those with Medicare Part D must have spent at least 3% of annual household income out-of-pocket on prescription medicines.

Updated February 11, 2019