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Patient Assistance Information

 
 
 
Helping Hands For Special Kids Program

2400 W. Lloyd Expressway
Evansville, IN 47721
Phone : 800-222-9123
Fax:
Eligibility
> This program is for healthcare professionals only. Patients must not have prescription coverage for the needed medication.
Who Can Apply
> The doctor must contact the sales representative.
Required
> The patient must inform the doctor that he/she is in need. The doctor must complete and return the product request form. The patient must also provide information and proof of income.
Supply
> Varies
Ship To
> Patient's home
Note
> Baby must be under one year of age. Guidelines are based on family size and income, and is intended to serve those outside of WIC guidelines. The Doctor must contact the program to place an order - see website for complete product list.
 
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.
 
3232 A Infant Formula powder
BCAD 1 Infant Formula powder
BCAD 2 Medical Food powder
Enfagrow Toddler Transitions Gentlease powder
Enfagrow Toddler Transitions Soy powder
Enfamil 24 liquid
Enfamil A.R. powder
Enfamil EnfaCare liquid
Enfamil Gentlease liquid
Enfamil Human Milk Fortifer
Enfamil Premature 30 liquid
Enfamil Premature High Protein 24 liquid
Enfamil Premature Low Iron 20 liquid
Enfamil Premature Low Iron 24 liquid
Enfamil Premature with Iron 20 liquid
Enfamil Premature with Iron 24 liquid
Enfamil ProSobee liquid
Enfamil Reguline powder
Enfaport liquid
GA Infant Formula powder
HCY 1 Infant Formula powder
HCY 2 Medical Food powder
LMD Infant Formula powder
Nutramigen with Enflora LGG powder
Nutramigen with Enflora LGG Toddler powder
OA 1 Infant Formula powder
OA 2 Medical Food powder
PFD 2 Medical Food powder
PFD Toddler Medical Food powder
Pregestimil powder
PurAmino powder
Tyros 1 Medical Food powder
Tyros 2 Medical Food powder
WND 1 Infant Formula powder
WND 2 Medical Food powder