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Patient Assistance Information

 
1 Program for ITB Therapy
 
 
ITB Therapy Patient Assistance Program

Medtronic ITB Therapy Patient Assistance Program
C/O NORD
Danbury, CT 06813-1968
Phone : 800-999-6673 Ext OPT 3, OPT 1216
Fax: 203-798-2964
Eligibility
> The patient must have no prescription coverage for the requested medication and meet income guidelines that are not disclosed. The patient must also be a US resident.
Who Can Apply
> Anyone with the patient's and the doctor's information can call.
Required
> The doctor must fill out a section, sign the application and attach a prescription.The patient must fill out a section, sign the application and attach proof of income.
Supply
>
Ship To
> Doctor's office
Note
> Anyone with the patient's and the doctor's information can call.
 
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.
 
ITB Therapy