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To be accepted into the Berlex Patient Assistance Program, a patient must meet the following criteria: 1) Must be a US citizen 2) Must be ineligible for any public or private health insurance, including Medicare and Medicaid and any other state or private programs and have an annual gross family income of $20,000 or less. (Annual Gross Family Income includes salary, Social Security, disability payments, pension benefits, unemployment, etc. and must include spouse's income if married) or 3) Be eligible for Medicare but ineligible for prescription coverage and must have an annual gross family income of $15,000 or less; and 4) must be under the care of a doctor/prescriber who has prescribed Betapace, Betapace AF, or Climara as medically appropriate for the patient applying for assistance. |