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StiefelCare Program
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P.O. Box 259
Acworth, GA 30101
Phone
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(800) 572-3225
Ext 2234
Fax:
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Eligibility
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Eligibility is based on income and lack of prescription insurance coverage. |
| Who Can Apply
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Anyone may call to initiate the request. |
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Required
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A completed application signed by the prescribing health care professional and the patient is required. |
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Supply
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Up to a 90 Day Supply is available. |
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Ship To
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The medication will be shipped to the physician's office. |
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Note
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The Stiefel Laboratories Indigent Care Program has a new number. Please Contact (800) 572-3225 for all requests. |
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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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| Brevoxyl ® Acne Wash Kit |
| Brevoxyl ® Gel |
| Brevoxyl Acne Wash Kit |
| Brevoxyl Creamy Wash |
| Evoclin ® Foam 1% |
| Extina ® FOAM 2% |
| Luxiq 0.12% Foam |
| MimyX ® Cream |
| Olux ® Foam 0.05% |
| Olux 0.05% Foam |
| Olux-E ® Foam 0.05% |
| ROSAC ® Cream with Sunscreens |
| ROSAC ® Wash |
| Soriatane Capsules |
| Soriatane® Kit |
| Sulfoxyl Regular Lotion |
| Sulfoxyl Strong Lotion |
| Verdeso 0.05% Foam |
| Verdeso Foam 0.05% |
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