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Patient Assistance Information

 
1 Program for Innohep (tinzaparin sodium)
 
 
Innohep Patient Assistance Program

PO Box 18979
Louisville, KY 40261
Phone : 866-742-7646 Ext OPT 4, OPT 2
Fax: 866-369-4333
Eligibility
> The patient must not have any private nor public insurance and be financially unable to afford the medication. The patient must also be a US resident.
Who Can Apply
> With the patient's permission, anyone concerned can call for an application.
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 30-day supply
Ship To
>
Note
> With the patient's permission, anyone concerned can 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.
 
Innohep (tinzaparin sodium)
 
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
 
Download printable Form Application Form
(Requires Acrobat Reader