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Cetylite Industries, Inc
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PO Box 90006
Pennsauken,, NJ 08110
Phone
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800-257-7740
Fax:
856-665-5408
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Eligibility
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This is an informal program; decisions are made on a case-by-case basis. |
| Who Can Apply
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The doctor/doctor's office must write a letter on letterhead stating the patient's need, lack of prescription coverage and attach a prescription. |
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Required
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Supply
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Ship To
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Doctor's office |
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Note
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The doctor/doctor's office must write a letter on letterhead stating the patient's need, lack of prescription coverage and attach a prescription. |
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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 |
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Cetylite Patient Assistance Program
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PO Box 90006
Pennsauken, NJ 08110
Phone
:
(800) 257-7740
Fax:
(609) 665-5408
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Eligibility
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Eligibility determined on a case by case basis. |
| Who Can Apply
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Physician calls. |
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Required
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Supply
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Amount specified by physician |
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Ship To
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Physician's Office |
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Note
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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. |
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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 |
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