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Berlex Oncology CamCare Program
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Berlex Oncology CamCare Program
PO Box 221289
Charlotte, NC 28222-1289
Phone
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(800) 473-5832
Fax:
(800) 513-1824
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Eligibility
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Patient must be physicially residing in the US or its territories and must be ineligible for third party prescription coverage. |
| Who Can Apply
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Anyone may call to initiate application process.
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Required
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Completed application with original signatures is required. |
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Supply
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As requested by physician. |
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Ship To
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Physician's office. |
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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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| Campath |
| Fludara (fludarabine phosphate) |
| Leukine (sargramostim) |
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Printable Application Forms
Applications that patients can fill out and bring to their doctor.
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| Download printable Form Application Form |
(Requires Acrobat Reader) 
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