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Financial Support
Drug Assistance Programs for the Uninsured
Adalat CC (nifedapine)
Company:
Express Scripts Specialty Distribution Services
Program name:
Rx Outreach Medications
Program address:
PO Box 66536 St Louis, MO 63166-6536
Phone number:
800-769-3880
Fax number:
Not Applicable
Forms:
rxoutr0367.pdf
Application process:
Anyone requesting assistance can call to request a faxed application or download it from the website.
Application requirements:
The doctor needs to provide a prescription to the patient.
Program details:
Up to a 90-day supply is sent to the doctor's office or the patient's home.
Last updated:
6/27/2008
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