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AbbVie Norvir Kaletra Patient Assistance Program
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PO Box 270
Somerville, NJ 08876
Phone
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800-222-6885
Ext OPT 2
Fax:
866-483-1305
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Eligibility
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The AbbVie Patient Assistance Foundation provides AbbVie medicines at no cost to patients experiencing financial difficulties. Eligible patients typically have no healthcare coverage for the requested product and do not have access to alternative sources of coverage or funding. |
| Who Can Apply
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All applications are reviewed on a case-by-case basis to support the AbbVie Patient Assistance Foundation’s purpose of providing products at no cost to individuals in need. |
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Required
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The application must be completed and signed by the patient and prescriber. For Norvir Assistance: Financial information section is not required. |
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Supply
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A supply of medication will be shipped to the prescriber’s office. It is the responsibility of the prescriber or office staff to reorder 3 weeks prior to the patient requiring further medication. |
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Ship To
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Prescriber's office |
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Note
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Upon receipt of a completed application, the prescriber and patient will be notified of program eligibility. |
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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.
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| Norvir Oral Solution |
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Printable Application Forms
Applications that patients can fill out and bring to their doctor.
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| Download printable Form AbbVie Norvir Kaletra Patient Assistance Program |
(Requires Acrobat Reader) 
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