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Patient Assistance Information

 
Program Sponsored By Rare Disease Therapeutics, Inc (External Link)
 
 
Cystadane Patient Assistance Program

C/O NORD
55 Kenosia Ave
Danbury, CT 06810
Phone : 844-766-6538
Fax: 203-349-3280
Eligibility
> Patients must have no prescription coverage for the needed medication. Income requirements for this program have not been disclosed. Patients must have a medically appropriate condition/diagnosis and must be a US resident.
Who Can Apply
> Patients or healthcare providers can call to have an application mailed to the patient's doctor or social worker.
Required
> Patients must complete a section, sign, and attach a copy of proof of income. Docotors must complete a section and sign. The application must then be faxed or mailed.
Supply
> Up to 90 day supply
Ship To
> Patient's home
Note
> Patient may be given assistance from 25-100% for up to one year. Negative decision may be appealed. Patient must be diagnosed with Homocystinuria or Homocystinemia with a ULI from Physician.
 
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.
 
Cystadane