|
Serono Compassionate Care Program for Infertility
|
,
Phone
:
866-538-7879
Fax:
|
Eligibility
|
> |
The patient must have no insurance and meet income guidelines that are not disclosed. The patient must be a US citizen or legal resident. |
Who Can Apply
|
> |
The patient must call for a prescreening. |
Required
|
> |
The patient must fill out a section, sign the application and attach proof of income and any insurance information. |
Supply
|
> |
|
Ship To
|
> |
Doctor's office |
Note
|
> |
The patient must call for a prescreening. |
|
Includes Support for This Drug NOTE: Linked drugs are available for Prescribers to Apply Online now. Click drug logo or drug name to start online application. |
Gonal-F (follitropin alfa) |
|
|
|
|
Serono Laboratories Compassionate Care Program
|
Serono Laboratories Compassionate Care Program
One Technology Place Rockland, MA 02370
Phone
:
(888) 275-7376
Fax:
(781) 681-2940
|
Eligibility
|
> |
Each case is reviewed individually considering patient's income and insurance staus. |
Who Can Apply
|
> |
Anyone may call to initiate application process. |
Required
|
> |
|
Supply
|
> |
|
Ship To
|
> |
Physician's office. |
Note
|
> |
Patients and physicians are requested to contact the program at the toll-free number provided for specific details concerning this program. |
|
Includes Support for This Drug NOTE: Linked drugs are available for Prescribers to Apply Online now. Click drug logo or drug name to start online application. |
Gonal-F (follitropin alfa) |
|
|
|