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Patient Assistance Information

 
 
 
Nordisure Co-Pay Assistance Card

800 Scudders Mill Road
Plainsboro, NJ 08536
Phone : 888-668-6444
Fax: 888-508-8200
Eligibility
> This is a copay assistance program for patients that have private or commercial insurance. Patients are not eligible if they participate in federal or state funded benefits programs. Patients with Part D coverage may apply if the medication is not covered. There are no income limits for this program. Patients must have an FDA-approved diagnosis and must be a US resident.
Who Can Apply
> Patients must call for prescreening. There is no application for this program.
Required
> Patients must call for prescreening and answer questions over the phone to verify eligibility.
Supply
> Not applicable
Ship To
> Card sent to pharmacy
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.
 
Norditropin FlexPro Injection 5, 10, 15mg
Norditropin NordiFlex Injection 30mg