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Patient Assistance Information

 
2 Programs for Gonal-F (follitropin alfa)
 
 
Serono Compassionate Care Program for Infertility


,
Phone : 866-538-7879
Fax:
Eligibility
> The patient must have no insurance and meet income guidelines that are not disclosed. The patient must be a US citizen or legal resident.
Who Can Apply
> The patient must call for a prescreening.
Required
> The patient must fill out a section, sign the application and attach proof of income and any insurance information.
Supply
>
Ship To
> Doctor's office
Note
> The patient must call for a prescreening.
 
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.
 
Gonal-F (follitropin alfa)
 
 
 
Serono Laboratories Compassionate Care Program

Serono Laboratories Compassionate Care Program
One Technology Place
Rockland, MA 02370
Phone : (888) 275-7376
Fax: (781) 681-2940
Eligibility
> Each case is reviewed individually considering patient's income and insurance staus.
Who Can Apply
> Anyone may call to initiate application process.
Required
>
Supply
>
Ship To
> Physician's office.
Note
> Patients and physicians are requested to contact the program at the toll-free number provided for specific details concerning this program.
 
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.
 
Gonal-F (follitropin alfa)