|
Braintree Labs Sample Supply Program
|
60 Columbian Street West
P.O. Box 850929 Braintree, MA 02185-0929
Phone
:
(800) 874-6756
Fax:
(781) 843-7932
|
Eligibility
|
> |
|
Who Can Apply
|
> |
Physician only |
Required
|
> |
|
Supply
|
> |
Braintree will supply samples to a physician requesting Miralax for a needy patient |
Ship To
|
> |
Physician's Office |
Note
|
> |
No formal Patient Assistance Program exists |
|
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. |
Miralax (PEG-3350, NF) |
|
|
|