Multaq Hotline and Coverage Support


Contact Information
PO BOx 481
Somerville, NJ 09976
1-(888) 968-5827 (phone)
1-(866) 910-9024 (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.
Product(s) covered by program:
  • Multaq®