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Patient Assistance Information

 
1 Program for Carnitor Injection
 
 
Carnitor Drug Assistance Program

Carnitor Drug Assistance Program
C/O NORD
Danbury, CT 06813-1968
Phone : 855-653-3220
Fax: 203-349-3279
Eligibility
> The patient must have no prescription coverage for the requested medication and meet income guidelines that are not disclosed. The patient must be diagnosed with Carnitene Definciency, be a US resident and have a prescription from a US doctor.
Who Can Apply
> The doctor, patient, social worker or patient advocate must 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 and any insurance information.
Supply
> Up to a 90-day supply
Ship To
> Patient's home
Note
> Assistance may be give from 25-100% for up to 1 year. Negative decision may be appealed.
 
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.
 
Carnitor Injection