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Drug Assistance Programs for the Uninsured
Combivent (albuterol/ipratropium)
Company:
Boehringer Ingelheim Pharmaceuticals, Inc.
Program name:
Boehringer Ingelheim CARES Foundation Patient Assistance Program For Medicare Beneficiaries
Program address:
c/o Health Bridge Inc. (An Express-Scripts Inc. Company) PO Box 66745 St. Louis, MO 63166-6745
Phone number:
800-556-8317
Fax number:
866-727-5891
Forms:
boehpd1155.pdf
Eligibility guidelines
and notes:
Patients must be eligible for Medicare but may not have other prescription drug coverage (Medicaid.)
Application process:
Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website.
Application requirements:
The doctor must fill out a section and sign the application.
Last updated:
7/24/2008
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