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Roche Reimbursement and PAP for HCV, HIV and Transplants
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PO Box 66763
St. Louis, MO 63166-6763
Phone
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866-247-5084
Fax:
800-305-1830
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Eligibility
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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
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The patient or doctor needs to call for a prescreening. |
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Required
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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. |
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Supply
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Ship To
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Either Doctor's office or Patient's home |
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Note
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The patient or doctor needs to call for a prescreening. |
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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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| Invirase Tablets |
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