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Patient Assistance Information

 
Program Sponsored By Octapharma (External Link)
 
 
Octapharma Reimbursement

121 River Street, Suite 1201
Hoboken, NJ 07030
Phone : (800)554-4440
Fax: (800)554-6744
Eligibility
> This program is for Healthcare Professionals Only. Insurance eligibility, income requirements and citizenship requirements for this program have not been disclosed. Patients must have a medically appropriate diagnosis.
Who Can Apply
> Doctors or the doctor's office must call to have an application sent to their office.
Required
> Doctors must complete and sign the application.
Supply
> Up to 1 month supply
Ship To
> Not specified
Note
> This program is intended for US HEALTHCARE PROFESSIONALS and/or Professionals involved in Healthcare Reimbursement ONLY.
 
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.
 
Nuwiq
Wilate liquid