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Ilaris Patient Support Program
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Phone
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866-972-8315
Fax:
855-817-2711
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Eligibility
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This program provides brand name medications at no or low cost. Insurance status requirements will be considered on a case by case basis. Medicare Part D recipients will be considered on an exception basis. Income requirements for this program have bot been disclosed. Patients must have an FDA-approved diagnosis and be a US resident. |
| Who Can Apply
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Patients or doctors can call to obtain an application. |
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Required
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Doctors must complete and sign a portion of the application. Patients must complete a portion of the application, sign, attach proof of income and attach any insurance information. |
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Supply
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Varies |
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Ship To
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Card obtained from doctor's office |
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Note
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Eligibility determined on a case-by-case basis. |
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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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| Ilaris injection; subcutaneous |
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