Estimated patient savings $600,000,000.00. Patient Assistance Program. KLONOPIN Coupons. CLONAZEPAM - ORAL. A List Of Drug Company Patient Assistance Programs. Hoffmann-La Roche, Inc. Clonazepam, Klonopin: Roche: 1-800-285-4484.

4 Programs Sponsored By Transplant Medical Needs Program 14042 B Riverport Dr Maryland Heights, MO 63043 Phone: (800) 772-5790 Fax: Eligibility >Eligibility is based on income and lack of insurance Who Can Apply >Physician's office Required >Original application and prescription are required. Sanford Antibiotic Guide Pdf. Supply >Ship To >Physician's office and Patients home Note >Roche Oncoline Patient Assistance Program P.O. Box 18647 Louisville, KY 40261 Phone: (888)249-4918 Fax: (888)249-4919 Eligibility >The patient must have no prescription coverage, have reached his/her cap or cannot afford the co-payments and meet income guidelines that are not disclosed. Who Can Apply >The doctor, patient, social worker or patient advocate must call for a prescreening. Required >The doctor must fill out a section, sign the application and attach a prescription for 90 days.The patient must fill out a section, sign the application and attach proof of income. Supply >Up to a 90-day supply is sent to the doctor's office or the patient's home. Ship To >Either Doctor's office or Patient's home Note >The doctor, patient, social worker or patient advocate must call for a prescreening.

Includes Support for This Drug NOTE: Linked drugs are available for Prescribers to Apply Online now. Click drug logo or drug name to start online application. Kytril Injection Kytril Oral Solution Kytril Tablets Roferon A Injection Roferon-A Injection Vesanoid Tablets Xeloda Tablets Roche Reimbursement and PAP for HCV, HIV and Transplants PO Box 66763 St. Louis, MO Phone: 866-247-5084 Fax: 800-305-1830 Eligibility >The patient must meet insurance guidelines that are not disclosed and have an income at or below 300% of the Federal Poverty Level. The patient must also be a US resident. Who Can Apply >The patient or doctor needs to call for a prescreening. Required >The doctor must fill out a section, sign the application and attach a prescription.The patient must fill out a section, sign the application and attach proof of income.