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REACH (Resources for Expert Assistance and Care Helpline)
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PO Box 221289
Charlotte, NC 28222-1289
Phone
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877-322-4448
Fax:
866-639-5181
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Eligibility
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The patient may be uninsured or be insured but experiencing difficulty accessing the medications. the patient must also also have limited financial resources. |
| Who Can Apply
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With the patient's permission, anyone concerned can call for an application. |
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Required
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The doctor must complete the appropriate section and sign the application.The patient must also complete, sign the application and attach proof of income. |
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Supply
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Ship To
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Doctor's office |
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Note
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With the patient's permission, anyone concerned can call for an application. |
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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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| Campath |
| Fludara (fludarabine phosphate) |
| Leukine (sargramostim) |
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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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