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Drug Assistance Programs for the Uninsured
Amevive (alefacept)
Company:
Astellas
Program name:
Patient Assistance for Amevive
Program address:
10350 Ormsby Park Place Suite 500 Louisville, KY 40218
Phone number:
866-263-8483
Fax number:
866-250-2145
Forms:
patame1056.pdf
Eligibility guidelines
and notes:
The patient must have no insurance and
Application process:
The doctor or patient can call to request an application.
Application requirements:
The doctor must fill out a section and sign the application.
Program details:
Up to a 30-day supply is sent to the doctor's office.
Last updated:
8/12/2008
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