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Patient Assistance Information

 
 
 
Elan Medical Needs Program

Elan Medical Needs Program
7475 Lusk Blvd
San Diego, CA 92121
Phone : (800) 859-8586
Fax:
Eligibility
> Patient must be a US resident without 3rd party prescription coverage and have a household income less than 250% of the federal poverty guidelines.
Who Can Apply
> Anyone may call to initiate the application process.
Required
> Patient must provide income documentation and proof of Medicaid denial.
Supply
> Amount requested by physician.
Ship To
> Patient's home.
Note
> Once approved, a patient will receive a pharmacy card good, when accompanied by a prescription, for a 90 day supply with up to 3 refills.
 
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.
 
Aclovate Cream (alclometasone dipropionate)
Ceclor CD (Cefaclor)
Cutivate Cream (fluticasone propionate)
Oxistat Cream (oxiconazole nitrate)
Temovate (clobetasol propionate)