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Program Details
AMGEN, INC.
Amgen SupportPlus Co-Pay Program
Neupogen
(filgrastim)
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| CONTACT
INFO |
|
| Address: |
, |
| Phone: |
1-866-264-2778 |
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: |
Patient must have private insurance and is not participating in any federal, state or government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, Medicaid, etc.
Applicant must call for prescreening. |
| 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 |
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| Attachments
Required: |
Not Published
|
Physician
License #
Required: |
Not Required
|
Prescriber
Signature
Allowed: |
Not Published
|
Application
may be
faxed: |
Not Published
|
Eligibility
determination
letter sent: |
Not Published
|
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| MEDICATION |
|
| Receives: |
Pharmacy Card
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| Shipped To: |
Either Provider and Patient
|
| Quantity in
Shipment: |
Not Published
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| Delivery Time: |
|
| Re-application
Policy: |
Card is good for Patients entire course of treatment.
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| Refill Policy: |
Not Published
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| Other Information: |
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Last Updated: 03/27/2025
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Application Forms
& Instructions
The following documents
are provided in interactive PDF format, allowing you to type information
directly into the form.
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