EPASS™ Exjade Patient Assistance and Support Services Program
North Dakota
Contact Information
1-(888) 903-7277 (phone)
1-(888) 891-4924 (fax)
1-(888) 903-7277 (phone)
1-(888) 891-4924 (fax)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Eligibility:
The EPASS™ Exjade Patient Assistance and Support Services Program provides assistance to patients experiencing financial hardship who have no third-party insurance coverage for their medicines. Patient must be a U.S. Resident. Patient must not have prescription drug coverage (public or private). Patient must meet income guidelines.
The EPASS™ Exjade Patient Assistance and Support Services Program provides assistance to patients experiencing financial hardship who have no third-party insurance coverage for their medicines. Patient must be a U.S. Resident. Patient must not have prescription drug coverage (public or private). Patient must meet income guidelines.
Other Information:
Patient applications are evaulated on a case-by-case basis
Patient applications are evaulated on a case-by-case basis
Product(s) covered by program:
- Exjade®