|
Ventavis Patient Assistance Program
|
,
Phone
:
877-483-6828
Ext OPT 2
Fax:
|
Eligibility
|
> |
The patient must have no insurance and meet income guidelines that are not disclosed. The patient must also be a US resident. |
Who Can Apply
|
> |
The doctor, patient, social worker or patient advocate must call for a prescreening. |
Required
|
> |
The doctor must fill out and sign the enrollment form.The patient must fill out a section of the enrollment form and sign it. |
Supply
|
> |
Up to a 30-day supply |
Ship To
|
> |
Either Doctor's office or Patient's home |
Note
|
> |
The doctor, patient, social worker or patient advocate must 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. |
Ventavis Inhaltaion Solution |
|
|
|