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Patient Assistance Information

 
1 Program for Copaxone (glatiramer acetate)
 
 
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)