Program Details
NAPO PHARMACEUTICALS, INC.
NapoCares Patient Assistance Program
Mytesi tablet; delayed-release
(crofelemer)
|
CONTACT
INFO |
|
Address: |
P.O. BOX 7613
Overland Park, KS 66207 |
Phone: |
1-888-527-6276 |
Provider Phone: |
|
Fax: |
|
Website: |
Program Website |
|
ELIGIBILITY
|
|
Eligibility
Info: |
Patient must be unable to afford the medication, be uninsured or have no other insurance options.
Patient must meet program income guidelines which are not disclosed.
Program provides co-payment assistance, patient support, and patient assistance programs for eligible patients. |
|
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 |
|
APPLICATION |
|
Attachments
Required: |
Financial
|
Physician
License #
Required: |
NPI
|
Prescriber
Signature
Allowed: |
Physician
|
Application
may be
faxed: |
Yes
|
Eligibility
determination
letter sent: |
Not Published
|
|
MEDICATION |
|
Receives: |
Medication
|
Shipped To: |
Varies
|
Quantity in
Shipment: |
Not Published
|
Delivery Time: |
Not Published
|
Re-application
Policy: |
Not Published |
Refill Policy: |
Not Published
|
Other Information: |
|
|
|
Last Updated: 02/20/2024
www.RxAssist.org
|