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Picato Co-Pay Program
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Phone
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855-242-6936
Fax:
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Eligibility
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Picato Co-Pay Program is a co-pay assistance program. Patients with Medicare Part D are not eligible. Income requirements for this program have not been disclosed. Patients must be 18 years of age or older and must be a US citizen. |
| Who Can Apply
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Patients can call or download from the website. |
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Required
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Doctor must provide the patient with a prescription. The patient will respond to a questions over the phone to determine eligibility. |
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Supply
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Patient presents voucher card to the pharmacy for each refill. Voucher can be used 6 times. |
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Ship To
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Not applicable |
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Note
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For patients with private health insurance, this card will cover up to $200 of your copay, or up to $250 of the cash price if you are not insured. |
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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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| Picato gel |
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