Program Details
CATALYST PHARMACEUTICALS, INC.
Catalyst Pathways: Agamree
Agamree
(vamorolone)
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CONTACT
INFO |
|
Address: |
, |
Phone: |
1-833-422-8259 |
Provider Phone: |
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Fax: |
1-888-981-9881 |
Website: |
Program Website |
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ELIGIBILITY
|
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Eligibility
Info: |
Catalyst Pathways has different types of financial assistance programs, such as co-pay assistance and financial assistance, to help you with out-of-pocket costs.
Patient who do not have insurance or are denied coverage may be eligible for the patient assistance program. |
|
Couple |
|
% FPL |
Income at or below: |
Not
Published |
Medical expenses
can be deducted from reported income: |
Not
Published |
Social security requested on form: |
No |
US citizenship/residency specified:
|
Yes |
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APPLICATION |
|
Attachments
Required: |
|
Physician
License #
Required: |
Both DEA and State
NPI
|
Prescriber
Signature
Allowed: |
Physician
|
Application
may be
faxed: |
Yes
|
Eligibility
determination
letter sent: |
Both Provider and Patient
|
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MEDICATION |
|
Receives: |
Medication
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Shipped To: |
Patient
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Quantity in
Shipment: |
Not Published
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Delivery Time: |
Not Published
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Re-application
Policy: |
Must re-enroll at end of calendar year.
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Refill Policy: |
Not Published
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Other Information: |
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Last Updated: 05/14/2024
www.RxAssist.org
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