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Patient Assistance Information

 
3 Programs Sponsored By Watson Pharmaceuticals (External Link)
 
 
Trelstar Reimbursement Assistance Program

PO Box 1265
San Bruno, CA 94066
Phone : (866)755-3315 Ext 2
Fax:
Eligibility
> Patients must have no prescription coverage for the needed medication. They must have an FDA-approved diagnosis and be a US citizen or legal resident.
Who Can Apply
> Patients or healthcare providers can call to obtain an application.
Required
> The patient and healthcare provider must complete and sign a section of the application.
Supply
> The amount of medication requested will be supplied to the patient.
Ship To
> The medication will be shipped to the healthcare providers office.
Note
>
 
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.
 
Trelstart Injectable Suspension (triptorelin)
 
 
 
Rapaflo Patient Assistance Program

P.O. Box 1265
San Bruno, CA 94066
Phone : (866)676-4068
Fax: (866)676-4063
Eligibility
> Patients must have no prescription coverage for the needed medication. They must have an FDA-approved diagnosis and be a US citizen or legal resident.
Who Can Apply
> Patient or healthcare providers may call to obtain an application
Required
> The patient must complete and sign a section of the application. The healthcare provider must also complete and sign a section of the application and attached a prescription for the brand name medication.
Supply
> Up to a 90-day supply of the medication will be provided
Ship To
> The request will be sent to the healthcare provider's office.
Note
>
 
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.
 
Rapaflo Capsule (silodosin)
 
 
 
Gelnique Patient Assistance Program

PO Box 1265
San Bruno, CA 94066
Phone : (866)303-7060
Fax: (877)717-7721
Eligibility
> Patients must have no prescription coverage for the needed medication. They must have an FDA-approved diagnosis and be a US citizen or legal resident.
Who Can Apply
> Patients or healthcare providers must call to obtain an application.
Required
> Patients and healthcare providers must complete and sign a section of the application.
Supply
> A 90 day supply will be provided.
Ship To
> The medication is shipped to the healthcare providers office.
Note
>
 
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.
 
Gelnique Gel 3%, 10% (oxybutynin chloride)