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Xenazine Information Center
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PO Box 8725
Gaithersburg, MD 20898
Phone
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888-882-6013
Fax:
866-341-5601
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Eligibility
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Xenazine Information Center is a program that provides brand name medications at no or low cost. Insurance requirements are determined on a case by case basis. Income requirements for this program are not disclosed. Diagnosis and residency requirements have not been specified. |
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Patients and doctors can call or download the application. |
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Required
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Doctors and patients must complete and sign the application and fax it back. |
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Supply
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Varies |
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Ship To
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Patient's home, doctor's office, hospital or pharmacy. |
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Note
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Depending on insurance coverage, REACH (Resources, Education and Access for patients with Chorea associated with Huntington's disease) offers a variety of services: Information Center, Starter Rx prescription supply, Copay/Co-Insurance Assistance and Patient Assistance. |
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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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| Xenazine tablet |
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Printable Application Forms
Applications that patients can fill out and bring to their doctor.
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| Download printable Form |
(Requires Acrobat Reader) 
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