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Patient Assistance Information

 
1 Program for Edecrin (ethacrynic acid)
 
 
Aton Pharma Patient Assistance Program

C/O NORD
PO Box 1968
Danbury, CT 06813-1968
Phone : 877-286-6549 Ext OPT 3
Fax:
Eligibility
> The patient must have no prescription coverage, have reached his/her cap or cannot afford the co-payments and meet income guidelines that are not disclosed.
Who Can Apply
> The patient or doctor needs to call for a prescreening.
Required
> The doctor must fill out a section and sign the application.The patient must fill out a section and sign the application.
Supply
>
Ship To
> Doctor's office
Note
> The patient or doctor needs to call for a prescreening.
 
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.
 
Edecrin (ethacrynic acid)