| AIDS Treatment Data Network
611 Broadway, Suite 613, New York, NY, 10012 • www.atdn.org • Tel: (212) 260-8868 • (NYS) 800-734-7104
Pharmacia
Products covered: |
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| Contact | 1-800-242-7014||
| Program Eligibility | The patient must meet the following criteria to qualify:
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| Enrollment Process | Patients and doctors can call to enroll over the phone. Once accepted into the program, a 30-day supply of drug will be available with the use of a clearance number. |
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| Re-Application | An application for another 5-month supply will be sent to the doctor or pharmacy to be filled out. At the end of this 6-month supply the doctor can option to renew based on necessity. |
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| Comments | Annual re-application is necessary. |
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