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Helping Hands For Special Kids Program
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2400 W. Lloyd Expressway
Evansville, IN 47721
Phone
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800-222-9123
Fax:
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Eligibility
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This program is for healthcare professionals only. Patients must not have prescription coverage for the needed medication. |
Who Can Apply
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The doctor must contact the sales representative. |
Required
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The patient must inform the doctor that he/she is in need. The doctor must complete and return the product request form. The patient must also provide information and proof of income. |
Supply
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Varies |
Ship To
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Patient's home |
Note
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Baby must be under one year of age. Guidelines are based on family size and income, and is intended to serve those outside of WIC guidelines.
The Doctor must contact the program to place an order - see website for complete product list. |
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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. |
OA 1 Infant Formula powder |
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