Arch Foundation (Bayer)

Bayer HealthCare Pha

Contact Information
P.O. Box 220908
Charlotte, NC 28222-0908
1-(877) 393-9071 (phone)
1-(877) 229-1421 (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.
This is a program for patients who have no insurance for birth control (Mirena is an IUS). The patient must be a US resident who is being treated by a US licensed health care provider. The company does have financial guidelines but they are not disclosed. While the company will pay for the IUD, it does not pay for insertion services or removal services
Other Information:
Anyone can call for an application The blank application can be copied. The completed application can be mailed or faxed back to the company
Product(s) covered by program:
  • Mirena®