Bayer Patient Assistance Program - Angeliq

Bayer HealthCare Pha

Contact Information
Bayer Patient Assistance Program
6 West Belt, W66
Wayne, NJ 07470-6806
1-(866) 575-5002 (phone)
1-(866) 575-6568 (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.
Patient meets the company's financial eligibility criteria for assistance. Financial criteria are based on the Federal Poverty Level (FPL) and, therefore, eligibility varies with household size and will be determined on a case-by-case basis.
Other Information:
To apply the healthcare provider's office should call the Bayer toll-free number 1-866-575-5002 between 9 am and 5 pm ET. If the patient calls, they should have the healthcare provider's fax and phone number, as well as the contact name at the office before calling the Patient Assistance Program at 1-866-575-5002. Healthcare providers and patients need to complete application forms. Both patient and healthcare provider's information must be returned to the Bayer Patient Assistance Program. Completed applications will be reviewed and approved by the Bayer Patient Assistance Program. The healthcare provider's office will receive notification in writing of the eligibility determination. If eligible a three-month supply of medication will be received at the healthcare provider's office usually within a week to 10 days. For further information, please call the Bayer Patient Assistance Program.
Product(s) covered by program:
  • Angeliq Tablets®
  • Betapace AF®
  • Betapace®
  • Climara Pro™
  • Climara®