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Drug Assistance Programs for the Uninsured
Actimmune (interferon gamma 1b)
Company:
InterMune Pharmaceuticals
Program name:
Actimune Patient Assistance Program
Program address:
PO Box 4280 Gaithersburg, MD 20885
Phone number:
800-577-9112, ext 1
Fax number:
240-632-3873
Eligibility guidelines
and notes:
This program is based on guidelines that are not disclosed.
Application process:
The doctor, patient, social worker or patient advocate must call for a prescreening.
Application requirements:
The doctor must fill out a section, sign the application and attach a copy of the DEA or State License number.
Program details:
A 90-day supply is sent to the doctor's office, hospital or pharmacy.
Last updated:
5/5/2008
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