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Patient Assistance Information

 
1 Program for Mephyton tablet
 
 
Valeant Patient Assistance Program

PO Box 836
Somerville, NJ 08876
Phone : (866)268-7325
Fax: (866)217-7164
Eligibility
> Patient must have no prescription coverage, be at or below 200% of the Federal Poverty Level and be a US citizen or legal resident.
Who Can Apply
> Patients or healthcare providers can call to have an application faxed or mailed.
Required
> Doctors must complete a section of the application, sign and attach a prescription. Patients must also complete a section and sign.
Supply
> Up to 90 day supply
Ship To
> Doctor's office
Note
> Wellbutrin XL IS NOT AVAILABLE FOR NEW PATIENTS. Call for information on the most recent medications as the list is subject to change.
 
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.
 
Mephyton tablet