Patient must be indigent and not eligible for any third party prescription coverage. Eastern Time, M-F. Physician or patient can follow up on status of request once the request has been made.
Program covers products that are for chronic use.
See separate entries for Diflucan and Zithromax and for Aricept. No application form, per se. Patient's Role Minimal information required, would be on-file already. Physician is sent a letter eligibility status of patient. Refills Doctor sends note on letterhead saying patient is still medically indigent along with another prescription. .