Gapitril Patient Assistance Program

Cephalon Cares Found

The CEPHALON CARES FOUNDATION Patient Assistance Program provides prescription medicines at no cost to patients who qualify. If you have no prescription drug coverage and meet certain income guidelines, you may qualify for this program.
Contact Information
Cepahlon Cares Foundation Patient Assistance Program
6900 College Boulevard
Suite 1000
Overland Park, KS 66211
1-(877) 237-4881 (phone)
1-(877) 438-4404 (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.
Eligibility:
Patients who do not have prescription drug coverage could be eligible for the GABITRIL Patient Assistance Program. The patient must not be eligible for public and private insurance reimbursement (including Medicare Part D), and must meet certain income restrictions and U.S. residency requirements.
Product(s) covered by program:
  • Gabitril®