Dermik Patient Assistance Program

Dermik Laboratories

Contact Information
Patient Assistance Program
PO Box 759
Somerville, NJ 08876
1-(866) 268-7326 (phone)
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 must have no prescription coverage and meet Dermik's income guidelines.
Other Information:
A new application is required for all refills.
Product(s) covered by program:
  • BENZACLIN Topical Gel
  • Benzagel
  • Benzamycin
  • Carac
  • Hytone
  • Klaron
  • Noritate
  • Penlac
  • Psorcon Cream
  • Psorcon Ointment
  • Sulfacet lotion
  • Vytone Cream