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Lipitor Choice Co-Pay Program
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LIPITOR Choice Card
14001 Weston Parkway, Suite 103
Cary, NC 27513
Phone
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800-314-7957
Fax:
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Eligibility
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This is a copay assistance program for patients that have private insurance. Patients with government funded insurance are not eligible. Patient with Medicare Part D are eligible but must contact the program for details. There are no income requirements for this program. MA residents are not eligible. |
| Who Can Apply
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Patients or healthcare providers can call to complete by phone or complete online. |
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Required
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Patients must enroll online or by phone and doctors must provide a prescription. |
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Supply
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Not applicable |
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Ship To
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Patient sent card to be used at pharmacy |
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Note
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Program expires 12/31/16
This card is only valid at participating pharmacies.
The maximum savings is $2500 per year.
To qualify for this offer your out-of-pocket expense must be more than $4 per prescription. |
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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.
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| Lipitor Tablets |
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Xubex Pharmaceutical Services
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PO Box 1244
Winter Park, FL 32790-1244
Phone
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866-699-8239
Fax:
407-671-7960
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Eligibility
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Patients may have insurance. There are no income limits for this program. Patients must be a US resident. |
| Who Can Apply
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Anyone requesting assistance can call to request a faxed application or download it from the website. |
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Required
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The doctor needs to provide a prescription to the patient.The patient must fill out a section and sign the application. |
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Supply
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Varies |
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Ship To
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Either Doctor's office or Patient's home |
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Note
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No proof of income is required. Check the website for the exact price.
This service is not currently available in Montana. |
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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.
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| Lipitor Tablets |
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Printable Application Forms
Applications that patients can fill out and bring to their doctor.
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| Download printable Form |
(Requires Acrobat Reader) 
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