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Patient Assistance Information

1 Program for Anamantle HC (lidocaine HCl & hydrocortisone acetate)
Bradley Pharmaceuticals Patient Assistance Program

383 Route 3 West
Fairfield, NJ 07004
Phone : (800) 929-9300 Ext 584
> Eligibility is based on income and lack of third party prescription coverage.
Who Can Apply
> Application information is taken over the phone.
> Caller must provide complete physician information (including DEA, State License, phone and fax numbers) as well as complete patient information.
> 90 days.
Ship To
> Physician's office.
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.
Anamantle HC (lidocaine HCl & hydrocortisone acetate)
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
Download printable Form Application Form
(Requires Acrobat Reader