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Fentora Reinbursement Program
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PO Box 4280
Gaithersburg, MD 20885
Phone
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877-433-6867
Fax:
866-495-0657
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Eligibility
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The patient must have no prescription coverage for any medications and meet income guidelines that are not disclosed. The patient must be a US citizen or legal resident. |
| Who Can Apply
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The patient or doctor needs to call for a prescreening. |
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Required
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The doctor must fill out a section, sign the application and attach a prescription.The patient must fill out a section, sign the application and attach proof of income. |
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Supply
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Up to a 90-day supply |
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Ship To
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Patient's home |
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Note
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The patient or doctor needs to call for a prescreening. |
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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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| Fentora (fentanyl buccal) |
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