Once eligibility is determined, a monthly supply is sent to the physician's office. Enrollees must re-enroll every four months. Patients must be ineligible for any other third-party reimbursement or support program to apply for the Indigent Patient Assistance Program. The physician must request an Indigent Patient Assistance application from ALZA Pharmaceuticals. Eligibility For patients on dialysis only.
Eligibility is based on patient's insurance status and income level.
Other Program Information Providers apply on behalf of the patient. 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. Eligibility is based on patient's insurance status and income level.