| |
Comprehensive Care Program for CF
|
Comprehensive Care Program for CF
PO Box 52065
Phoenix, AZ 85072-9152
Phone
:
866-292-2679
Fax:
n/a
|
|
Eligibility
|
| > |
Any cystic fibrosis patient or Shwachman-Diamond Syndrome patient in the U.S. or Puerto Rico who takes ULTRASE® or ULTRASE® MT |
| Who Can Apply
|
| > |
The patient should call the Comprehensive Care for CFSM Program Line at (866) AXCAN-RX (866-292-2679) to enroll. |
|
Required
|
| > |
The doctor needs to provide a prescription to the patient. |
|
Supply
|
| > |
Patient will receive up to $20 for out-of-pocket expense for a prescription of ULTRASE® or ULTRASE® MT SCANDISHAKE® (24 envelopes) or SCANDICAL® (two 8-ounce canisters), ADEKs® Tablets (60-count) or Pediatric Drops (one 60mL bottle, a certificate for FLUTTER® mucus clearance device, redeemable with physician approval and Cystic Fibrosis: A Guide for Patient and Family educational book. |
|
Ship To
|
| > |
Patient will fill prescription at the pharmacy. |
|
Note
|
| > |
Anyone with the patient's and the doctor's information can call. |
| |
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.
|
| ADEKs (mutivitamin, multimineral) |
| Adek Tablets |
| FLUTTER Mucus Clearance Device |
| Scandical |
| Scandishake |
| Ultrace MT Capsules |
| Ultrase MT (lipase; amylase; protease) |
| |
| |
|
|