| AIDS Treatment Data Network
611 Broadway, Suite 613, New York, NY, 10012 • www.atdn.org • Tel: (212) 260-8868 • (NYS) 800-734-7104
Ortho Biotech
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| Contact | 1-800-553-3851||
| Program Eligibility | The patient must meet the following criteria to qualify:
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| Enrollment Process | To receive an application the doctor or patient must call. An application form will be faxed. Application forms can also be obtained from their website at www.procritline.com |
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| Re-Application | Application must be renewed every 6-months. |
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| Comments | The approval process takes 24-48-hours after the receipt of the enrollee's information. Within 3-5 business days a card will arrive in the mail. On the card will be a number that is good for 1-months supply of the drug from a certified pharmacy. Once this number is used the drugs for the remaining 5-months will become available. |
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