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Patient Assistance Information

 
1 Program for Cellcept Tablets
 
 
Roche Reimbursement and PAP for HCV, HIV and Transplants

PO Box 66763
St. Louis, MO 63166-6763
Phone : 866-247-5084
Fax: 800-305-1830
Eligibility
> The patient must meet insurance guidelines that are not disclosed and have an income at or below 300% of the Federal Poverty Level. The patient must also be a US resident.
Who Can Apply
> The patient or doctor needs to call for a prescreening.
Required
> The doctor must fill out a section, sign the application and attach a prescription.The patient must fill out a section, sign the application and attach proof of income.
Supply
>
Ship To
> Either Doctor's office or Patient's home
Note
> The patient or doctor needs to call for a prescreening.
 
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.
 
Cellcept Tablets