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Patient Assistance Information

 
Program Sponsored By INO Therapeutics (External Link)
 
 
INOtherapy Assistance Program

INOtherapy Assistance Program
PO Box 1968
Danbury, CT 06813-1968
Phone : (877) 566-9466
Fax:
Eligibility
> Eligibility is based on income and lack of precription coverage. Each application is reviewed individually to determine eligibility.
Who Can Apply
> Anyone may call to initiate application process.
Required
> A completed application, verification of diagnosis and patient's proof of income are required.
Supply
> Amount used.
Ship To
> Medication is credited to hospital's account.
Note
> This is a product replacement program. Negative decisions may be appealed.
 
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.
 
INOmax (nitric oxide)