Program Details
FRESENIUS KABI
KabiCare
Octreotide Acetate
(Octreotide Acetate)
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| CONTACT
INFO |
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| Address: |
, |
| Phone: |
1-833-KABICARE |
Provider Phone: |
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| Fax: |
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Website: |
Program Website |
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| ELIGIBILITY
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| Eligibility
Info: |
This program offers co-pay assistance, which can lower out-of-pocket costs to as little as $0 a month for eligible patients.
Patients with private health insurance that covers the needed medication, are eligible for the co-pay program.
Uninsured and cash paying patients may be eligible for other types of support not part of the Copay Assistance Program. Contact program for details.
Note: Patients are not eligible for commercial copay assistance if the prescription is eligible to be reimbursed, in whole or in part, by any state or federal healthcare program.
Enroll online at: KabiCare |
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Couple |
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% 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:
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Not
Published |
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APPLICATION |
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| Attachments
Required: |
Not Published
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Physician
License #
Required: |
Not Published
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Prescriber
Signature
Allowed: |
Not Published
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Application
may be
faxed: |
Not Published
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Eligibility
determination
letter sent: |
Not Published
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| MEDICATION |
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| Receives: |
Not Published
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| Shipped To: |
Not Published
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| Quantity in
Shipment: |
Not Published
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| Delivery Time: |
Not Published
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| Re-application
Policy: |
Not Published |
| Refill Policy: |
Not Published
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| Other Information: |
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Last Updated: 02/15/2024
www.RxAssist.org
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