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Recordati Reimbursement Hotline
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PO Box 4280
Gaithersburg, MD 20885
Phone
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(866)209-7604
Fax:
(866)209-7599
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Eligibility
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Insurance requirements have not been specified and income requirements have not been disclosed for this program. Patients must have an FDA-approved diagnosis and be a US resident. |
Who Can Apply
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The doctor or doctor's office must call for a prescreening. |
Required
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The doctor must complete a section of the application and sign. The patient must complete a section, sign, attach proof of income and any insurance information. The application must then be faxed or mailed |
Supply
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Up to 90 day supply |
Ship To
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Doctor's office |
Note
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Insurance benefits, patient assistance, claims assistance and/or other reimbursement help is offered.
Applicant must attach proof of income for all adults in the household. |
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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. |
succimer |
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