| |
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.
|
| Topicort LP (desoximetasone) |
| |
| |
|
|