Abelcet
| Pharmaceutical Company |
Liposome Company,
Inc. , The |
| Program Address |
Financial Assistance Program for Abelcet The Liposome
Company, Inc. One Research Way Princeton, NJ 08540-6619 |
| Toll Free Phone Number |
800-345-2252 |
| Alternate Phone Number |
800-335-5476 |
| Fax Number |
800-236-4507 |
| Guidelines and Notes |
The first toll free number reaches the company
that handles program inquiries. The alternate number reaches the company,
which is where applications are mailed. Patient must have minimal resources
and no insurance coverage for Abelcet, and be unable to afford the drug.
Company encourages physicians to administer the drug and then file with
them for reimbursement rather than wait for approval, given the critical
indications for use of the drug. Eligibility is determined based on medical
and financial factors. Patient must be getting Abelcet from hospital,
physician or home health care company for a medically appropriate application.
|
| Initiating Enrollment |
Anyone can call for information packet. Applications
can also be obtained through Liposome Area Sales Managers. |
| Health Provider's Role |
Outpatient physicians complete , sign, then mail
or fax the form. If a hospital is treating the patient then the hospital
submits a consent form. Proof of patient diagnosis must be attached to
application. |
| Patient's Role |
Household income and insurance information needed. |
| How Dispensed |
The drug is sent directly to the dispensing pharmacy
approximately three weeks after approval. |
| Amount Dispensed |
Once approved for program, drug is provided as
much as needed. |
| Refills |
Provider documents that more product is needed.. |
| Limit |
Indefinitely |