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Patient Assistance Information

 
2 Programs for Cetacaine Liquid
 
 
Cetylite Industries, Inc

PO Box 90006
Pennsauken,, NJ 08110
Phone : 800-257-7740
Fax: 856-665-5408
Eligibility
> This is an informal program; decisions are made on a case-by-case basis.
Who Can Apply
> The doctor/doctor's office must write a letter on letterhead stating the patient's need, lack of prescription coverage and attach a prescription.
Required
>
Supply
>
Ship To
> Doctor's office
Note
> The doctor/doctor's office must write a letter on letterhead stating the patient's need, lack of prescription coverage and attach a prescription.
 
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.
 
Cetacaine Liquid
 
 
 
Cetylite Patient Assistance Program

PO Box 90006
Pennsauken, NJ 08110
Phone : (800) 257-7740
Fax: (609) 665-5408
Eligibility
> Eligibility determined on a case by case basis.
Who Can Apply
> Physician calls.
Required
>
Supply
> Amount specified by physician
Ship To
> Physician's Office
Note
> They have an informal program. Put the request in writing and fax it to them. If there's a problem they will get back to you. They will help if they can.
 
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.
 
Cetacaine Liquid