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Braintree Labs Sample Supply Program
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60 Columbian Street West
P.O. Box 850929
Braintree, MA 02185-0929
Phone
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(800) 874-6756
Fax:
(781) 843-7932
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Eligibility
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| Who Can Apply
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Physician only |
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Required
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Supply
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Braintree will supply samples to a physician requesting Miralax for a needy patient |
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Ship To
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Physician's Office |
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Note
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No formal Patient Assistance Program exists |
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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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| Miralax (PEG-3350, NF) |
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