Applications are mailed to the physician's office. Enrollees must re-enroll every four months. Eligibility is determined by ALZA Pharmaceuticals and is based on patient's insurance status and income level. Patients must be ineligible for any other third-party reimbursement or support program to apply for the Indigent Patient Assistance Program. For patients on dialysis only.
Eligibility is based on patient's insurance status and income level.
Any dialysis center, physician, hospital or home dialysis supplier may sponsor a patient by applying to the program on his or her behalf. The program is based on a 12-month patient year rather than on a calendar year. Phone-in or written applications are acceptable for program enrollment. For patients with chronic hepatitis C only. Eligibility is based on patient's insurance status and income level.