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Purdue Pharma Patient Assistance Program
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PO Box 66547
St. Louis, MO 63166-6547
Phone
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800-599-6070
Fax:
n/a
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Eligibility
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The patient must have no insurance and have an income at or below 139% of the Federal Poverty Level. The patient must also be a US resident or legal entrant. |
| Who Can Apply
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The doctor/doctor's office should call for an application. |
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Required
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The doctor must fill out a section, sign the application and attach a prescription.The patient must fill out a section, sign the application and attach proof of income and proof of residency. |
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Supply
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Up to a 30-day supply |
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Ship To
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Patient's home |
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Note
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The doctor/doctor's office should call for an application. |
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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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| Butrans transdermal system |
| Hysingla ER tablet |
| Oxycontin (Oxycodone HCl) |
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