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Patient Assistance Information

 
1 Program for Miralax (PEG-3350, NF)
 
 
Braintree Labs Sample Supply Program

60 Columbian Street West
P.O. Box 850929
Braintree, MA 02185-0929
Phone : (800) 874-6756
Fax: (781) 843-7932
Eligibility
>
Who Can Apply
> Physician only
Required
>
Supply
> Braintree will supply samples to a physician requesting Miralax for a needy patient
Ship To
> Physician's Office
Note
> No formal Patient Assistance Program exists
 
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.
 
Miralax (PEG-3350, NF)