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Patient Assistance Information

 
1 Program for Ultrase MT EC Minitablets
 
 
Care First for CF

Care First for CF
PO Box 2914
Phoenix, AZ 85062
Phone : 866-292-2679
Fax: n/a
Eligibility
> Any cystic fibrosis patient or Shwachman-Diamond Syndrome patient in the U.S. or Puerto Rico up to 3 years of age
Who Can Apply
> The caregiver should call (866) AXCAN-RX (866-292-2679) to enroll
Required
> The patient must provide information (financial, insurance, and medical) but no signature is required.
Supply
> The patient is sent a pharmacy card to be used once a month.
Ship To
> Patient's home
Note
> Patients will receive a free copy of Cystic Fibrosis: A Guide for Patient and Family educational book and a diaper bag with CareFirst for CF logo.
 
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.
 
Ultrace MT 18 Capsules