Program Details
HERON THERAPEUTICS, INC.
Heron Connect
Sustol
(granisetron injection; extended release)
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CONTACT
INFO |
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Address: |
, |
Phone: |
1-844-437-6611 |
Provider Phone: |
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Fax: |
1-844-504-8652 |
Website: |
Program Website |
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ELIGIBILITY
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Eligibility
Info: |
Contact program for details.
Program offers co-payment assistance, reimbursement support, and patient assistance programs for eligible patients. |
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Couple |
|
% FPL |
Income at or below: |
Not
Published |
Medical expenses
can be deducted from reported income: |
Not
Published |
Social security requested on form: |
Not
Published |
US citizenship/residency specified:
|
Yes |
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APPLICATION |
|
Attachments
Required: |
Not Published
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Physician
License #
Required: |
Not Published
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Prescriber
Signature
Allowed: |
Physician
|
Application
may be
faxed: |
Yes
|
Eligibility
determination
letter sent: |
Provider
|
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MEDICATION |
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Receives: |
Not Published
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Shipped To: |
Provider
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Quantity in
Shipment: |
Not Published
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Delivery Time: |
Not Published
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Re-application
Policy: |
New application every 12 months
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Refill Policy: |
Not Published
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Other Information: |
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|
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Last Updated: 11/08/2023
www.RxAssist.org
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