Registered Users Log-in:

E-mail Address:
 

Password:
 

  
Forgot Password?
Registration
 
Patient Assistance Information

 
2 Programs for K-Dur Tablets
 
 
Schering Laboratories Patient Assistance Program

PO Box 6842
Somerset, NJ 08875
Phone : 800-656-9485 Ext OPT2
Fax: Not Applicable
Eligibility
> The patient must have no prescription coverage for any medications and have an income at or below 200% of the Federal Poverty Level. This is a hospital replacement program, so the patient must have already received the medication.The patient must also be a US resident.
Who Can Apply
> Someone from the hospital must call for an application.
Required
> The hospital contact person must fill out and sign the application.The patient must provide information (financial, insurance, and medical) but no signature is required.
Supply
>
Ship To
> Hospital
Note
> Someone from the hospital must 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.
 
K-Dur Tablets
 
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
 
Download printable Form Application Form
(Requires Acrobat Reader
 
 
SP-Cares

PO Box 52122
Phoenix, AZ 85072
Phone : 800-656-9485 Ext OPT 1
Fax: 800-995-9620
Eligibility
> The patient must have no prescription coverage for the requested medication and have an income at or below 250% of the Federal Poverty Level.
Who Can Apply
> Anyone requesting assistance can call to request a faxed application or download it from the website.
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
> Up to a 90-day supply
Ship To
> Doctor's office
Note
> Anyone requesting assistance can call to request a faxed application or download it from the website.
 
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.
 
K-Dur Tablets
 
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
 
Download printable Form Application Form
(Requires Acrobat Reader