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Patient Assistance Information

 
5 Programs Sponsored By Serono Laboratories, Inc (External Link)
 
 
Novantrone Patient Assistance Program

1 Technology Place
Rockland, MA 02370
Phone : 877-447-3243
Fax: 866-227-3243
Eligibility
> The patient must not have any private nor public insurance and meet income guidelines that are not disclosed. The patient must also be a US resident.
Who Can Apply
> The doctor/doctor's office should call for 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
>
Ship To
>
Note
> The doctor/doctor's office should call for 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.
 
Novantrone (mitoxantrone HCI)
 
 
 
Serono Compassionate Care Program for Infertility


,
Phone : 866-538-7879
Fax:
Eligibility
> The patient must have no insurance and meet income guidelines that are not disclosed. The patient must be a US citizen or legal resident.
Who Can Apply
> The patient must call for a prescreening.
Required
> The patient must fill out a section, sign the application and attach proof of income and any insurance information.
Supply
>
Ship To
> Doctor's office
Note
> The patient must 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.
 
Cetrotide (cetrorelix acetate)
Gonal-F (follitropin alfa)
Ovidrel (Chorionic Gonadotropin)
 
 
 
Saizen Patient Assistance Program

Saizen Patient Assistance Program
One Technology Place
Rockland, MA 02370
Phone : (800) 283-8088 Ext 2235
Fax:
Eligibility
> Available to pediatric patients with growth hormone deficiency. Patient must have no reimbursement alternative such as insurance, state aid, etc.
Who Can Apply
> Anyone may call to initiate application process.
Required
> Physician must fax all requested clinical data to Serono Labs.
Supply
>
Ship To
> Physician's office.
Note
> Representative will help patient try to find means to pay for medications. Once all alternatives are exhausted, medication will be sent to the physician's office.
 
 
 
 
Serono Laboratories Compassionate Care Program

Serono Laboratories Compassionate Care Program
One Technology Place
Rockland, MA 02370
Phone : (888) 275-7376
Fax: (781) 681-2940
Eligibility
> Each case is reviewed individually considering patient's income and insurance staus.
Who Can Apply
> Anyone may call to initiate application process.
Required
>
Supply
>
Ship To
> Physician's office.
Note
> Patients and physicians are requested to contact the program at the toll-free number provided for specific details concerning this program.
 
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.
 
Cetrotide (cetrorelix acetate)
Crinone (progesterone)
Gonal-F (follitropin alfa)
Ovidrel (Chorionic Gonadotropin)
Pergonal (menotropins)
 
 
 
MS LifeLines Patient Assistance Program


,
Phone : 877-447-3243
Fax: 866-227-3243
Eligibility
> The patient must have no prescription coverage, have reached his/her cap or cannot afford the co-payments and meet income guidelines that are not disclosed.
Who Can Apply
> The patient must call for a prescreening.
Required
> The doctor/doctor's office must fax a prescription to the company.The patient must fill out a section, sign the application and attach proof of income.
Supply
>
Ship To
> Patient's home
Note
> The patient must 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.
 
Rebif