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Infergen Patient Assistance Program
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12900 Foster St.
Overland Park, KS 66213
Phone
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888-668-3393
Ext 2234
Fax:
800-474-4448
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Eligibility
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The patient must have no insurance and meet income guidelines that are not disclosed. |
Who Can Apply
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The doctor or patient can call to request an application. |
Required
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The doctor must fill out a section and sign the application.The patient must fill out a section, sign the application and attach proof of income. |
Supply
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Up to a 30-day supply |
Ship To
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Either Doctor's office or Patient's home |
Note
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The doctor or patient can call to request an application. |
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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. |
Infergen (interferon alfacon-1interferon) |
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RibaCare Patient Assistance Program
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600 Penn Center Blvd.
Pittsburgh, PA 15235
Phone
:
866-650-7422
Fax:
412-325-6697
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Eligibility
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The patient must have no insurance and meet income guidelines that are not disclosed. The patient must also be a US resident. |
Who Can Apply
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The patient or doctor needs to call for a prescreening. |
Required
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The doctor/doctor's office must fax in a prescription.The patient must provide information and proof of income. |
Supply
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Up to a 30-day supply |
Ship To
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Either Doctor's office or Patient's home |
Note
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The patient or doctor needs to call for a prescreening. |
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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. |
Ribasphere Tablets |
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