RxAssist Home
RxAssist Home Home  |  About Us  |  Contact RxAssist          
      Patient Assistance Program Center

Program Details

RabAvert Patient Assistance Program

Rabavert (rabies vaccine)
Address: PO Box 42886
Cincinnati, OH 45242
Phone: 1-800-589-0837 Provider Phone:
Fax: 1-513-618-0056 Website: Program Website
Eligibility Info:
  • The patient must have no insurance and demonstrate financial need.
  • Patient with Medicare Part D may be eligible if medication is not covered.
  • Income at or below: Not Published
    Medical expenses can be deducted from reported income: Not Published
    Social security requested on form: Yes
    US citizenship/residency specified: Yes
    Attachments Required: Financial
    Copy of insurance or pharmacy card (front and back), if applicable.
    Physician License #
    Both DEA and State
    Prescriber Signature
    Application may be
    Eligibility determination
    letter sent:
    Not Published
    Receives: Medication
    Shipped To: Provider
    Quantity in Shipment: As requested by physician.
    Delivery Time: 0-1 week
    Re-application Policy: Not Published
    Refill Policy: Physician must contact program to initiate refills.
    Other Information:
  • An initial screening is required, call phone number above befor applying.
  • Physician may also log onto http://www.rxhope.com to apply online.
  • Last Updated: 06/08/2015




    Application Forms
    & Instructions

    The following documents are provided in interactive PDF format, allowing you to type information directly into the form.

    DocumentForm (English)


    Print-friendly version

    This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. Neither RxAssist nor RxVantage is offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. Neither RxVantage nor RxAssist provide any warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment. Third party logos, trademarks, brand names and images contained on rxassist.org or rxvantage.com are for demonstration purposes only and are owned by their respective rights holders, who are not affiliated with this Site.

    Copyright © 2012, RxVantage, all rights reserved.