Eligibility Physicians must send a completed application form and prescription to Knoll Pharmaceutical. Applications can be submitted through the mail, via fax or through the RxHope website. Applications can be tracked through the RxHope website.
Prescription is required for every request.
Maximum of three-month supply on any one request. Eligibility Patients must be U.S. residents. Inpatients and those who can obtain drug reimbursement from any source are not eligible. Requests for replacement drugs cannot be honored. Medications are provided directly to the physician for dispensing to the patient.