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Patient Assistance Information

SHARE Patient Assistance Program

Phone : (888)457-4273
Fax: (877)742-1002
> SHARE Patient Assistance Program is a program that provides brand name medications at no or low cost. Patients with insurance, including Medicare Part D are eligible for this program. Income requirements are based on the federal poverty level. Patients must have an FDA-approved diagnosis and must reside in the US.
Who Can Apply
> Doctors must fax a referral for this program.
> Doctors must fax a referral for this program and provided patient with prescription. Program will contact patient for information. A new application is needed yearly.
> Up to 30 day supply. Pharmacy will contact patient for refill.
Ship To
> Patients home
> Insurance benefits, claims assistance and/or other reimbursement help is offered.
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.
Sabril oral solution
Sabril tablet