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Bayer Patient Assistance Program for Nimotop & Precose
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PO Box 29209
Phoenix, AZ 85038-9209
Phone
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800-998-9180
Ext OPT 1
Fax:
Not Applicable
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Eligibility
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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
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The patient or doctor needs to call for a prescreening. |
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Required
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The doctor must fill out a section and sign the application.The patient must fill out a section and sign the application. |
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Supply
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The patient is sent a pharmacy card. |
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Ship To
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Patient's home |
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Note
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The patient or doctor needs to call for a prescreening. |
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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.
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| Precose (acarbose) |
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Printable Application Forms
Applications that patients can fill out and bring to their doctor.
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| Download printable Form Application Form |
(Requires Acrobat Reader) 
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