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TheraCys Patient Assistance Program
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C/O NORD
PO Box 1968 Danbury, CT 06813-1968
Phone
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877-798-8716
Fax:
Not Applicable
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Eligibility
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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
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With the patient's permission, anyone concerned can call for an application. |
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. |
Supply
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Ship To
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Doctor's office |
Note
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With the patient's permission, anyone concerned can 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. |
TheraCys BCG Live (Bacillus Calmette; Guerin) |
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