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Patient Assistance Information

 
 
 
Eldepryl Patient Rewards Program

2202 North Westshore Blvd.
Suite 450
Tampa, FL 33607
Phone : 800-892-8889
Fax: Not Applicable
Eligibility
>
Who Can Apply
> The doctor or patient can call to request an application.
Required
> The doctor needs to provide a prescription to the patient.The patient must fill out a section and sign the application.
Supply
> Up to a 90-day supply
Ship To
> Patient's home
Note
> The doctor or patient can call to request 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.
 
Eldepryl Capsules