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Nordisure Co-Pay Assistance Card
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800 Scudders Mill Road
Plainsboro, NJ 08536
Phone
:
888-668-6444
Fax:
888-508-8200
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Eligibility
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This is a copay assistance program for patients that have private or commercial insurance. Patients are not eligible if they participate in federal or state funded benefits programs. Patients with Part D coverage may apply if the medication is not covered. There are no income limits for this program. Patients must have an FDA-approved diagnosis and must be a US resident. |
| Who Can Apply
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Patients must call for prescreening. There is no application for this program. |
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Required
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Patients must call for prescreening and answer questions over the phone to verify eligibility. |
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Supply
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Not applicable |
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Ship To
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Card sent to pharmacy |
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Note
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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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| Norditropin NordiFlex Injection 30mg |
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Norditropin Patient Access Program
|
800 Scudders mill Road
Plainsboro, NJ 08536
Phone
:
(888)668-6444
Fax:
(888)508-8200
|
|
Eligibility
|
| > |
Patients must have an FDA-approved diagnosis and be a US Resident. The income guidelines are not disclosed and patients with insurance will be evaluated on a case by case basis. Patient must demonstrate financial need and must have attempted to find alternative reimbursement. Several factors are considered in evaluating financial need, including cost of living, size of household, and burden of total medical expenses. |
| Who Can Apply
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Patients will need to contact the program directly to begin the application process. There is no form to fill out. Healthcare providers will need to provide medical information during the screening process. |
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Required
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Healthcare providers will need to provide medical information during the screening process. |
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Supply
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A 90-day supply will be provided to eligible patients. |
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Ship To
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| > |
The medication will be shipped directly to the patient's home. |
|
Note
|
| > |
|
| |
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.
|
| Norditropin NordiFlex Injection 30mg |
| |
| |
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