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Patient Assistance Information

Program Sponsored By Cumberland Pharmaceuticals (External Link)
kKristalose Sample Program

2525 West End Avenue
Suite 950
Nashville, TN 37203
Phone : (866)423-7259
Fax: 866-897-8621
> Insurance and income requirements for this program have not been disclosed. US residency is required.
Who Can Apply
> The Doctor should call for an application or download it from the website. Application must be faxed to company from Doctor's office. Doctors must complete and sign the application. Doctor will be notified of decision.
> Amount requested is sent to Doctor's office. Refill process and limit not specified. Re-application process not specified.
Ship To
> Medication is shipped to Doctors office within 5-7 business days.
> This program is intended for US HEALTHCARE PROFESSIONALS and/or Professionals involved in Healthcare Reimbursement ONLY. The Doctor must contact the program. Contact program for Spanish 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.
Kristalose oral solution