Registered Users Log-in:

E-mail Address:
 

Password:
 

  
Forgot Password?
Registration
 
Patient Assistance Information

 
 
 
Carnitor Drug Assistance Program

Carnitor Drug Assistance Program
C/O NORD
Danbury, CT 06813-1968
Phone : 855-653-3220
Fax: 203-349-3279
Eligibility
> The patient must have no prescription coverage for the requested medication and meet income guidelines that are not disclosed. The patient must be diagnosed with Carnitene Definciency, be a US resident and have a prescription from a US doctor.
Who Can Apply
> The doctor, patient, social worker or patient advocate must call for a prescreening.
Required
> The doctor must fill out a section, sign the application and attach a prescription.The patient must fill out a section, sign the application and attach proof of income and any insurance information.
Supply
> Up to a 90-day supply
Ship To
> Patient's home
Note
> Assistance may be give from 25-100% for up to 1 year. Negative decision may be appealed.
 
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.
 
Carnitor (levocarnitine)
Carnitor Injection
Carnitor Oral Solution
Carnitor Sugar Free Oral Solution