| Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis. | ||||||
DirecTest No Coding Glucose Monitoring Kits |
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Provided by: Medpoint Diagnostics |
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TEL: Closed Program |
Languages Spoken:
English, Spanish
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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 | May have insurance | |||||
| Those with Part D Eligible? | Yes | |||||
| Income | At or below 400% of FPL | |||||
| Diagnosis/Medical Criteria | Not required | |||||
| US Residency Required? | Must reside in the US | |||||
Application |
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| Obtaining | Call, email, fax or mail request | |||||
| Receiving | Faxed, emailed or mailed | |||||
| Returning | Email, fax or mail | |||||
| Doctor's Action | Fax in prescription | |||||
| Applicant's Action | Complete section and sign | |||||
| Decision Communicated | ||||||
| Decision Timeframe | ||||||
Medication |
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| Amount/Supply | ||||||
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| Refill Process | ||||||
| Limit | ||||||
| Re-application | New application yearly | |||||
Additional Information |
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| Closed Program Meter is only free with purchase of the Directest Starter Kit or Combo DirecTest does not accept payment by insurance at this time. www.DirecTest.us |
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| Updated August 02, 2017 | ||||||
