|
Cetylite Industries, Inc
|
PO Box 90006
Pennsauken,, NJ 08110
Phone
:
800-257-7740
Fax:
856-665-5408
|
Eligibility
|
> |
This is an informal program; decisions are made on a case-by-case basis. |
Who Can Apply
|
> |
The doctor/doctor's office must write a letter on letterhead stating the patient's need, lack of prescription coverage and attach a prescription. |
Required
|
> |
|
Supply
|
> |
|
Ship To
|
> |
Doctor's office |
Note
|
> |
The doctor/doctor's office must write a letter on letterhead stating the patient's need, lack of prescription coverage and attach a prescription. |
|
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. | Cetacaine Liquid |
|
|
|
|
Cetylite Patient Assistance Program
|
PO Box 90006
Pennsauken, NJ 08110
Phone
:
(800) 257-7740
Fax:
(609) 665-5408
|
Eligibility
|
> |
Eligibility determined on a case by case basis. |
Who Can Apply
|
> |
Physician calls. |
Required
|
> |
|
Supply
|
> |
Amount specified by physician |
Ship To
|
> |
Physician's Office |
Note
|
> |
They have an informal program. Put the request in writing and fax it to them. If there's a problem they will get back to you. They will help if they can. |
|
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. | Cetacaine Liquid |
|
|
|
|