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Patient Assistance Information

 
 
 
Exjade Patient Assistance and Support Services (EPASS)


,
Phone : 888-903-7277 Ext OPT 2
Fax: 888-891-4924
Eligibility
> This program is intended for patients that have no prescription coverage. Patients with Medicare Part D will be considered on a an exception basis. Income requirements for this program have not been disclosed. Patients must be a US resident.
Who Can Apply
> The patient or doctor should call the above phone number and select the appropriate prompt for the medication to obtain additional information and next steps.
Required
>
Supply
> Up to a 30-day supply
Ship To
> Patient's home
Note
>
 
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.
 
Exjade (deferasirox)