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Niche Pharmaceuticals Sample Program
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580 Commerce St, Suite 100
Southlake, TX 76092
Phone
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(800)677-0355
Fax:
(817)421-2778
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Eligibility
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This program is for Healthcare Professionals Only. Insurance requirements have not been specified. Income requirements for the patient have not been disclosed. Patients must be a US resident. |
| Who Can Apply
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Doctor or hospital must call for an application to be faxed to them. |
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Required
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Patients must inform their doctor that they are in need of assistance. Doctors must complete a section, sign and attach a prescription. |
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Supply
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Not specified |
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Ship To
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Not specified |
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Note
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Resources for HEALTHCARE PROFESSIONAL ONLY.
The Doctor must contact the program to place an order. |
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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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| Mag-Tab SR tablet |
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