Salix patient assistance program 2025

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The Salix Patient Assistance Program is designed to provide temporary assistance and access to Salix patients who meet specific eligibility criteria.
To apply, complete each section of the application form, ensuring all blocks are filled. Incomplete applications will delay processing.
You need to provide patient and prescriber information, financial details, proof of income, and a prescription from your healthcare provider.
If a section does not apply, write 'N/A' in that space to indicate it is not applicable.
You can mail or fax your completed application form, financial documentation, and prescription to the Salix Patient Assistance Program at the provided address or fax number.
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People also ask

Copay assistance programs are different from patient assistance programs (PAPs), which typically provide financial assistance to those without insurance (or who are underinsured) who meet certain maximum income thresholds.
While Eli Lilly does not offer a patient assistance program for those without insurance, there is a Mounjaro Savings Card program for certain people with commercial insurance. The cost of the drug for eligible participants may be as low as $25 for a 1- or 3-month supply. (A 1-month supply is four pens per 28 days.
Our Patient Assistance Programs are intended for people that live in the United States, have limited or no health insurance coverage and demonstrate qualifying financial need. In 2023, we assisted more than 218,000 people. Applying to myAbbVie Assist is simple.
Eligibility Requirements 2024 Program Income Requirement For Specialty and Primary Medications Annual adjusted gross income must be at or below 300% of the Federal Poverty Level (FPL) For Rare Disease Medications (WAINUA) Annual adjusted gross income must be at or below 500% of the Federal Poverty Level (FPL)1 more row
The Kentucky Prescription Assistance Program (KPAP), helps the public access prescription drug programs offered by the drug manufacturers, discount drug programs and discount pharmacy programs. These programs offer prescription drugs free or at reduced costs for qualifying individuals and/or their families.

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