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Patient Assistance Information

 
2 Programs for Prednisolone oral solution
 
 
Good Days Program

6900 dallas Parkway
Suite 200
Plano, TX 75024
Phone : (877)968-7233
Fax: (214)570-3621
Eligibility
> Insurance requirements not specified, this includes Medicare PartD. Income requirements for this program have not been disclosed. US residency requirements not specified.
Who Can Apply
> Call to have application faxed, mailed, download from website or apply online. Return application via fax, mail or submit online. Patient and/or Doctor are notified of decision.
Required
> Diagnosis/Medical Criteria not specified. Doctor gives prescription to patient. Patient must complete application, sign and attach required documents.
Supply
> Refill process and limit not specified. Must re-enroll at the end of every calendar year.
Ship To
> Shipping location not specified.
Note
> Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
 
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.
 
Prednisolone oral solution
 
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
 
Download printable Form Good Days Program
(Requires Acrobat Reader
 
 
Mission Product Request


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Phone : 877-425-0325
Fax: 877-426-2795
Eligibility
> This program is for healthcare professionals only. Eligibility requirements for this program have not been disclosed.
Who Can Apply
> The Doctor should call for an application or download it from the website.
Required
> Doctors must complete and sign the application.
Supply
> Varies
Ship To
> Doctor's office
Note
> Resources for HEALTHCARE PROFESSIONAL ONLY. The Doctor must contact the program to place an order.
 
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.
 
Prednisolone oral solution