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Patient Assistance Information

Program Sponsored By Taro Pharmaceuticals (External Link)

Taro Pharmaceuticals U.S.A., Inc.
3 Skyline Dr.
Hawthorne, NY 10532
Phone : 855-611-3401
Fax: 855-423-8304
> Patients must be uninsured or underinsured. Patients can have Medicare Part D but should contact the program for details. Patients must be at or below 600% of the Federal Poverty Level and must be a US citizen or legal resident.
Who Can Apply
> Patients or healthcare providers can call or download an application .
> Doctors must complete a section and sign. Patients must complete a section, sign, and attach proof of income.
> 30 day supply
Ship To
> Patient's home, unless otherwise noted
> This program also provides copay assistance.
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.
Keveyis tablet
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
Download printable Form
(Requires Acrobat Reader