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Patient Assistance Information

 
 
 
Purdue Pharma Patient Assistance Program

PO Box 66547
St. Louis, MO 63166-6547
Phone : 800-599-6070
Fax: n/a
Eligibility
> The patient must have no insurance and have an income at or below 200% of the Federal Poverty Level. The patient must also be a US resident.
Who Can Apply
> The doctor/doctor's office should call for an application.
Required
> 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.
Supply
> Up to a 30-day supply
Ship To
> Patient's home
Note
> The doctor/doctor's office should call for an application.
 
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.
 
Oxy IR Capsules
Oxycontin (Oxycodone HCl)
OxyIR(Oxycodone HCl)