Description

Provides co-payment assistance to individuals who cannot afford insurance co-payments to cover the cost of medications for treating various forms of cancer. Applicants should have ready at time of telephone application: 1) Patient name, address, telephone number, social security number and date of birth 2) Patient Insurance Information, 3) Patient Income Information (total household income and number of people in household, including patient), 4) Doctor's Prescribing Information (name, address, telephone number and name of contact person), 5) Medication or drug name

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