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Patient Assistance Information

 
1 Program for Suboxone film; sublingual
 
 
Suboxone Patient Assistance Program

Here to Help Patient Assistance Program
PO Box 220281
Charlotte, NC 28222
Phone : (888)898-4818
Fax:
Eligibility
> The patient can have no public or private insurance and have an income at or below 250% of the federal poverty level. The patient must have medical diagnosis of opoid dependence. The patient must also be a US resident.
Who Can Apply
> The doctor, doctor's office or patient should call for an enrollment form.
Required
> The doctor must fill out a section and sign the application.The patient must fill out a section, sign the authorization and attach proof of income.
Supply
> Up to a 30-day supply
Ship To
> Pharmacy card sent to patient to obtain medication at a retail pharmacy.
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.
 
Suboxone film; sublingual