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Patient Assistance Information

 
1 Program for Potaba Envules
 
 
Glenwood Compassionate Drug Program

Glenwood LLC
111 Cedar Lane
Englewood, NJ 07631
Phone : 800-542-0772 Ext 1
Fax: 201-569-0250
Eligibility
> This is an informal program; decisions are made on a case-by-case basis.
Who Can Apply
> The doctor/doctor's office should call for an application.
Required
> The doctor must fill out a section, sign the application and attach a copy of the DEA or State License number.The patient must fill out a section, sign the application and attach proof of income.
Supply
> Up to a 90-day supply
Ship To
>
Note
> The doctor/doctor's office should call for an application.
 
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.
 
Potaba Envules