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Copaxone Patient Assistance Program
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Shared Solutions
901 East 104th Street, Suite 900
Kansas City, MO 64131
Phone
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(800)887-8100
Fax:
Not Applicable
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Eligibility
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The patient must not have public insurance but may have private insurance. The patient must meet income guidelines that are not disclosed and must also be a US citizen. |
| Who Can Apply
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Patients or healthcare providers can call. |
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Required
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The doctor must give a prescription to the patient. The patient must fill out a section of the application and sign. |
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Supply
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Up to a 30 or 90 day supply |
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Ship To
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Patient's home |
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Note
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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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| Copaxone (glatiramer acetate) |
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