| AIDS Treatment Data Network
611 Broadway, Suite 613, New York, NY, 10012 • www.atdn.org • Tel: (212) 260-8868 • (NYS) 800-734-7104
Bayer
Products covered: |
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| Contact | 1-800-998-9180 (9:00a-5:00p EST)||
| Program Eligibility | Health care provider must contact the program directly. To expedite the process, the patient's income, insurance status, and medical information should be on hand. | |
| Enrollment Process | Enrollment is done entirely over the phone by the health care provider. After the enrollment has been completed and approved, a card is mailed to the doctor. The patient can use the card for a 30-day supply of the drug. Once the number on the card has been activated a 5-month supply of the drug is sent to the doctor's office. |
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| Re-Application | An application is sent to the doctor's office. Another 6-month supply is sent to the doctor's office when the application is returned. Each application process is good for 12 months. |
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| Comments | It will take 7-10 days for the drug to arrive. In the case of an emergency, special arrangements can be made over the phone for immediate access to a 30-day supply of the prescription. |
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