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Patient Assistance Information

 
2 Programs for ADEKs Pediatric Drops
 
 
Care First for CF

Care First for CF
PO Box 2914
Phoenix, AZ 85062
Phone : 866-292-2679
Fax: n/a
Eligibility
> Any cystic fibrosis patient or Shwachman-Diamond Syndrome patient in the U.S. or Puerto Rico up to 3 years of age
Who Can Apply
> The caregiver should call (866) AXCAN-RX (866-292-2679) to enroll
Required
> The patient must provide information (financial, insurance, and medical) but no signature is required.
Supply
> The patient is sent a pharmacy card to be used once a month.
Ship To
> Patient's home
Note
> Patients will receive a free copy of Cystic Fibrosis: A Guide for Patient and Family educational book and a diaper bag with CareFirst for CF logo.
 
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.
 
ADEKs (mutivitamin, multimineral)
 
 
 
Comprehensive Care Program for CF

Comprehensive Care Program for CF
PO Box 52065
Phoenix, AZ 85072-9152
Phone : 866-292-2679
Fax: n/a
Eligibility
> Any cystic fibrosis patient or Shwachman-Diamond Syndrome patient in the U.S. or Puerto Rico who takes ULTRASE® or ULTRASE® MT
Who Can Apply
> The patient should call the Comprehensive Care for CFSM Program Line at (866) AXCAN-RX (866-292-2679) to enroll.
Required
> The doctor needs to provide a prescription to the patient.
Supply
> Patient will receive up to $20 for out-of-pocket expense for a prescription of ULTRASE® or ULTRASE® MT SCANDISHAKE® (24 envelopes) or SCANDICAL® (two 8-ounce canisters), ADEKs® Tablets (60-count) or Pediatric Drops (one 60mL bottle, a certificate for FLUTTER® mucus clearance device, redeemable with physician approval and Cystic Fibrosis: A Guide for Patient and Family educational book.
Ship To
> Patient will fill prescription at the pharmacy.
Note
> Anyone with the patient's and the doctor's information can call.
 
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.
 
ADEKs (mutivitamin, multimineral)