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Elan Medical Needs Program
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Elan Medical Needs Program
7475 Lusk Blvd
San Diego, CA 92121
Phone
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(800) 859-8586
Fax:
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Eligibility
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Patient must be a US resident without 3rd party prescription coverage and have a household income less than 250% of the federal poverty guidelines. |
| Who Can Apply
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Anyone may call to initiate the application process. |
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Required
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Patient must provide income documentation and proof of Medicaid denial. |
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Supply
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Amount requested by physician. |
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Ship To
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Patient's home. |
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Note
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Once approved, a patient will receive a pharmacy card good, when accompanied by a prescription, for a 90 day supply with up to 3 refills. |
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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.
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| Cutivate Cream (fluticasone propionate) |
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