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Patient Assistance Information

 
2 Programs Sponsored By Three Rivers Pharmaceuticals (External Link)
 
 
Infergen Patient Assistance Program

12900 Foster St.
Overland Park, KS 66213
Phone : 888-668-3393 Ext 2234
Fax: 800-474-4448
Eligibility
> The patient must have no insurance and meet income guidelines that are not disclosed.
Who Can Apply
> The doctor or patient can call to request an application.
Required
> 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
> Up to a 30-day supply
Ship To
> Either Doctor's office or Patient's home
Note
> The doctor or patient can call to request an application.
 
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)
 
 
 
RibaCare Patient Assistance Program

600 Penn Center Blvd.
Pittsburgh, PA 15235
Phone : 866-650-7422
Fax: 412-325-6697
Eligibility
> 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
> The patient or doctor needs to call for a prescreening.
Required
> The doctor/doctor's office must fax in a prescription.The patient must provide information and proof of income.
Supply
> Up to a 30-day supply
Ship To
> Either Doctor's office or Patient's home
Note
> The patient or doctor needs to call for a prescreening.
 
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