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Patient Assistance Information

 
 
 
StiefelCare Program

P.O. Box 259
Acworth, GA 30101
Phone : (800) 572-3225 Ext 2234
Fax:
Eligibility
> Eligibility is based on income and lack of prescription insurance coverage.
Who Can Apply
> Anyone may call to initiate the request.
Required
> A completed application signed by the prescribing health care professional and the patient is required.
Supply
> Up to a 90 Day Supply is available.
Ship To
> The medication will be shipped to the physician's office.
Note
> The Stiefel Laboratories Indigent Care Program has a new number. Please Contact (800) 572-3225 for all requests.
 
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.
 
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%