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Patient Assistance Information

 
1 Program for Kytril Injection
 
 
Roche Oncoline Patient Assistance Program

P.O. Box 18647
Louisville, KY 40261
Phone : (888)249-4918
Fax: (888)249-4919
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 doctor, patient, social worker or patient advocate must call for a prescreening.
Required
> The doctor must fill out a section, sign the application and attach a prescription for 90 days.The patient must fill out a section, sign the application and attach proof of income.
Supply
> Up to a 90-day supply is sent to the doctor's office or the patient's home.
Ship To
> Either Doctor's office or Patient's home
Note
> The doctor, patient, social worker or patient advocate 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.
 
Kytril Injection