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Campath Distribution Program
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Phone
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877-422-6728
Fax:
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Eligibility
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Insurance requirements for this program are not specified, this includes Medicare PartD. |
Who Can Apply
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Doctor/Doctor's office must call to have application faxed to Doctor's office. Application must be faxed or mailed back to company from Doctor's office. |
Required
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Doctor must complete section and sign. Patient must inform Doctor that he/she is in need. Doctor will be notified of decision. |
Supply
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Amount/supply not specified. Refill process and limit not specified. Re-application process not applicable. |
Ship To
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Not specified. |
Note
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The Doctor must contact the program to place an order. |
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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. |
Campath injection |
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