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Patient Assistance Information

 
1 Program for Lustra (hydroquinone)
 
 
Medicis Patient Assistance Program

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