Registered Users Log-in:

E-mail Address:
 

Password:
 

  
Forgot Password?
Registration
 
Patient Assistance Information

 
1 Program for ADEKs Tablets
 
 
Comprehensive Care Program for CF

Comprehensive Care Program for CF
PO Box 52065
Phoenix, AZ 85072-9152
Phone : 866-292-2679
Fax: n/a
Eligibility
> Any cystic fibrosis patient or Shwachman-Diamond Syndrome patient in the U.S. or Puerto Rico who takes ULTRASE® or ULTRASE® MT
Who Can Apply
> The patient should call the Comprehensive Care for CFSM Program Line at (866) AXCAN-RX (866-292-2679) to enroll.
Required
> The doctor needs to provide a prescription to the patient.
Supply
> Patient will receive up to $20 for out-of-pocket expense for a prescription of ULTRASE® or ULTRASE® MT SCANDISHAKE® (24 envelopes) or SCANDICAL® (two 8-ounce canisters), ADEKs® Tablets (60-count) or Pediatric Drops (one 60mL bottle, a certificate for FLUTTER® mucus clearance device, redeemable with physician approval and Cystic Fibrosis: A Guide for Patient and Family educational book.
Ship To
> Patient will fill prescription at the pharmacy.
Note
> Anyone with the patient's and the doctor's information can call.
 
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.
 
Adek Tablets