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Patient Assistance Information

 
 
 
Bayer Patient Assistance Program for Nimotop & Precose

PO Box 29209
Phoenix, AZ 85038-9209
Phone : 800-998-9180 Ext OPT 1
Fax: Not Applicable
Eligibility
> The patient must meet insurance and financial guidelines that are not disclosed. The patient must be a US citizen or legal US resident.
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
> The patient is sent a pharmacy card.
Ship To
> Patient's home
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.
 
Precose (acarbose)
 
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
 
Download printable Form Application Form
(Requires Acrobat Reader