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Glenwood Compassionate Drug Program
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Glenwood LLC
111 Cedar Lane
Englewood, NJ 07631
Phone
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800-542-0772
Ext 1
Fax:
201-569-0250
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Eligibility
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This is an informal program; decisions are made on a case-by-case basis. |
| 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 copy of the DEA or State License number.The patient must fill out a section, sign the application and attach proof of income. |
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Supply
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Up to a 90-day supply |
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Ship To
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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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| Potaba Capsules |
| Potaba Envules |
| Potaba Tablets |
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