|
Copaxone Patient Assistance Program
|
Shared Solutions
901 East 104th Street, Suite 900 Kansas City, MO 64131
Phone
:
(800)887-8100
Fax:
Not Applicable
|
Eligibility
|
> |
The patient must not have public insurance but may have private insurance. The patient must meet income guidelines that are not disclosed and must also be a US citizen. |
Who Can Apply
|
> |
Patients or healthcare providers can call. |
Required
|
> |
The doctor must give a prescription to the patient. The patient must fill out a section of the application and sign. |
Supply
|
> |
Up to a 30 or 90 day supply |
Ship To
|
> |
Patient's home |
Note
|
> |
|
|
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. |
Copaxone (glatiramer acetate) |
|
|
|