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Patient Assistance Information

 
 
 
TheraCys Patient Assistance Program

C/O NORD
PO Box 1968
Danbury, CT 06813-1968
Phone : 877-798-8716
Fax: Not Applicable
Eligibility
> This program is based on guidelines that are not disclosed. The patient is given assistance from 25%-100% for one year. A negative decision can be appealed.The patient must also be a US citizen being treated by a US doctor.
Who Can Apply
> With the patient's permission, anyone concerned can 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.
Supply
>
Ship To
> Doctor's office
Note
> With the patient's permission, anyone concerned can 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.
 
TheraCys BCG Live (Bacillus Calmette; Guerin)