| |
Elan Medical Needs Program
|
Elan Medical Needs Program
7475 Lusk Blvd
San Diego, CA 92121
Phone
:
(800) 859-8586
Fax:
|
|
Eligibility
|
| > |
Patient must be a US resident without 3rd party prescription coverage and have a household income less than 250% of the federal poverty guidelines. |
| Who Can Apply
|
| > |
Anyone may call to initiate the application process. |
|
Required
|
| > |
Patient must provide income documentation and proof of Medicaid denial. |
|
Supply
|
| > |
Amount requested by physician. |
|
Ship To
|
| > |
Patient's home. |
|
Note
|
| > |
Once approved, a patient will receive a pharmacy card good, when accompanied by a prescription, for a 90 day supply with up to 3 refills. |
| |
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.
|
| Aclovate Cream (alclometasone dipropionate) |
| Ceclor CD (Cefaclor) |
| Cutivate Cream (fluticasone propionate) |
| Oxistat Cream (oxiconazole nitrate) |
| Temovate (clobetasol propionate) |
| |
| |
|
|