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Medicis Patient Assistance Program
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Patient Assistance Program
Customer Service Scottsdale, AZ 85258
Phone
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(800) 550-5115
Fax:
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Eligibility
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Eligibility is ddetermined on a case by case basis |
Who Can Apply
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Physician only |
Required
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Physician must provide a letter of compelling need and an original prescription. |
Supply
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Amount determined by physician dependant upon medication needed |
Ship To
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Physician's office |
Note
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This is a very informal program and there are no exact income guiddelines for eligibility. |
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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. |
Lidex-E (fluocinonide) |
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