Financial Support

Drug Assistance Programs for the Uninsured

Aciphex (rabeprazole)

Aciphex Patient Assistance Program
PO Box 220458 Charlotte, NC 28222-0458
800-523-5870
800-526-6651
The patient can have no public or private prescription insurance and
With the patient's permission, anyone concerned can call for an application.
The doctor must fill out a section and sign the application.
The medication is sent to the doctor's office.
8/6/2008