Registered Users Log-in:

E-mail Address:
 

Password:
 

  
Forgot Password?
Registration
 
Patient Assistance Information

 
Program Sponsored By Doak Dermatologics (External Link)
 
 
Doak Dermatologics Rebate Program

PO Box 540007
El Paso, TX 88554-0007
Phone : 800-405-3625
Fax: 610-232-2020
Eligibility
> This company doesn't have an assistance program but does have a rebate program.
Who Can Apply
>
Required
>
Supply
>
Ship To
>
Note
>
 
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.
 
Adoxa Capsules
Adoxa Tablets
Kerol Redi-Cloths
Rosula (sodium sulfacetamide & sulfur)
Solaraze Gel
Zoderm Cleanser
Zoderm Cream
Zoderm Gel
Zoderm Redi-Pads
Zonalon (Doxepin HCl)
 
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
 
Download printable Form Application Form
(Requires Acrobat Reader