Lovenox Reimbursement Services & Patient Assistance Program

Aventis Pharmaceutic

Contact Information
Lovenox Reimbursement Services and Patient Assistance Program
PO 8256
Sommerville, NJ 08876
1-(888) 632-8607 (phone)
1-(888) 875-9951 (fax)
Physician requests should be directed to:
PO Box 8256
Sommerville, NJ 08876
1-(888) 632-8607 (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.
  • Click here to visit the program's web site.
  • Eligibility:
    This program is designed to identify if the patient is eligible for Lovenox through private insurance coverage, individual medication programs, and or government-funded sources. Aventis will provide Lovenox free of charge under the following qualifications. Participants must be U.S. residents, their annual household income must fall below the Aventis Poverty Guidelines, and they must have no insurance coverage for Lovenox. This program is available for outpatients only.
    Other Information:
    Enrollment forms can be obtained by accessing the website or by calling (888) 632-8607. Participants seeking Lovenox free of charge are required to complete a Patient Assistance Application. Signature from both the prescribing physician and patient are required. Additionally, a prescription for no more than a 3-month supply must accompany every application. Once approved, product will be shipped to either the physician's ofice or a hospital outpatient pharmacy for dispensing. If Lovenox is requested for more than 3 months a new prescription is required for each reorder. Proof of income is required for initial enrollment and annually thereafter.