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Patient Assistance Information

 
1 Program for Peganone Tablets (ethotoin tablets, USP)
 
 
Ovation Pharmaceuticals Patient Assistance Program

4 Parkway North
Deerfield, IL 60015
Phone : 866-209-7604
Fax: 866-209-7599
Eligibility
> This program is based on guidelines that are not disclosed.
Who Can Apply
> The patient or doctor needs to call for a prescreening.
Required
> The doctor must fill out a section and sign the application.The patient must fill out a section and sign the application.
Supply
> Up to a 90-day supply
Ship To
> Doctor's office
Note
> The patient or doctor needs to 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.
 
Peganone Tablets (ethotoin tablets, USP)