Forest Pharmaceuticals Patient Assistance Program

Forest Parmaceutical

Contact Information
Forest Pharmaceuticals Patient Assistance Program
13600 Shoreline Dr
St Louis, MO 63045
1-(800) 851-0758 (phone)
1-(314) 493-7452 (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.
  • Click here to visit the program's web site.
  • Eligibility:
    Income guidelines apply. The patient must not be able to afford the medication and qualify under guidelines that the company does not release. It is important that the address on the prescription matches the mailing address on the application. If this is not the case please attach letterhead or buisness card to verify the delivery address.
    Other Information:
    A new application is required every three months. Anyone can call to get an application, it will be faxed or mailed out. The application is also available on the web: The blank application can also be copied. The completed application must be mailed back to the company.
    Product(s) covered by program:
    • AeroBid®
    • Aerochamber Plus®
    • Armour Thyroid
    • Celexa
    • Kay Ciel
    • Levothroid
    • Lexapro®
    • Thyrolar
    • Tiazac®