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2007-01-13, 11:42 AM | #1 | |
Shut up brain, or I'll stab you with a Q-tip!
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Here is the information for Plavix (from RxAssist.org): Program Details BRISTOL-MYERS SQUIBB Bristol-Myers Squibb Patient Assistance Foundation Inc. (Plavix ) CONTACT INFO Address: PO Box 1058 Somerville, NJ 08876 Phone: 1-800-736-0003 Provider Phone: Fax: 1-800-736-1611 Website: Bristol-Myers Squibb Assistance Foundation Website ELIGIBILITY Eligibility Info: The patient must not have any private or public insurance and meet program income guidelines which are not disclosed. Income at or below: Not Published Medical expenses can be deducted from reported income: Not Published Social security # requested on form: Yes US citizenship/residency specified: Yes APPLICATION Attachments Required: None Physician License # Required: Either DEA or State Send copy of State License if DEA # not available. Prescriber Signature Allowed: Physician Application may be faxed: Yes Eligibility determination letter sent: Both Provider and Patient MEDICATION Receives: Medication Shipped To: Provider Quantity in Shipment: 90 days Delivery Time: 0-2 weeks Re-application Policy: New application every 12 months Refill Policy: The patient or doctor must contact the company for refills. Other Information: Last Updated: 11/01/2006 |
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2007-01-13, 11:46 AM | #2 | |
What can I do - I was born this way LOL
Join Date: Oct 2003
Location: ohio
Posts: 3,086
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