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Patient Assistance Information
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5 Programs Sponsored By Serono Laboratories, Inc (External Link)
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Novantrone Patient Assistance Program
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1 Technology Place
Rockland, MA 02370
Phone
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877-447-3243
Fax:
866-227-3243
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Eligibility
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The patient must not have any private nor public insurance and meet income guidelines that are not disclosed. The patient must also be a US resident. |
| Who Can Apply
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The doctor/doctor's office should call for an application. |
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Required
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The doctor must fill out a section and sign the application.The patient must fill out a section, sign the application and attach proof of income. |
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Supply
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Ship To
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Note
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The doctor/doctor's office should call for an application. |
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Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
| | Novantrone (mitoxantrone HCI) |
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Serono Compassionate Care Program for Infertility
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Phone
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866-538-7879
Fax:
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Eligibility
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The patient must have no insurance and meet income guidelines that are not disclosed. The patient must be a US citizen or legal resident. |
| Who Can Apply
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The patient must call for a prescreening. |
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Required
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The patient must fill out a section, sign the application and attach proof of income and any insurance information. |
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Supply
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Ship To
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Doctor's office |
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Note
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The patient must call for a prescreening. |
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Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
| | Cetrotide (cetrorelix acetate) | | Gonal-F (follitropin alfa) | | Ovidrel (Chorionic Gonadotropin) |
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Saizen Patient Assistance Program
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Saizen Patient Assistance Program
One Technology Place
Rockland, MA 02370
Phone
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(800) 283-8088
Ext 2235
Fax:
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Eligibility
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Available to pediatric patients with growth hormone deficiency. Patient must have no reimbursement alternative such as insurance, state aid, etc. |
| Who Can Apply
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Anyone may call to initiate application process. |
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Required
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Physician must fax all requested clinical data to Serono Labs. |
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Supply
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Ship To
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Physician's office. |
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Note
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Representative will help patient try to find means to pay for medications. Once all alternatives are exhausted, medication will be sent to the physician's office. |
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Serono Laboratories Compassionate Care Program
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Serono Laboratories Compassionate Care Program
One Technology Place
Rockland, MA 02370
Phone
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(888) 275-7376
Fax:
(781) 681-2940
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Eligibility
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Each case is reviewed individually considering patient's income and insurance staus. |
| Who Can Apply
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Anyone may call to initiate application process. |
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Required
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Supply
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Ship To
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Physician's office. |
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Note
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Patients and physicians are requested to contact the program at the toll-free number provided for specific details concerning this program. |
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Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
| | Cetrotide (cetrorelix acetate) | | Crinone (progesterone) | | Gonal-F (follitropin alfa) | | Ovidrel (Chorionic Gonadotropin) | | Pergonal (menotropins) |
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MS LifeLines Patient Assistance Program
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Phone
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877-447-3243
Fax:
866-227-3243
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Eligibility
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The patient must have no prescription coverage, have reached his/her cap or cannot afford the co-payments and meet income guidelines that are not disclosed. |
| Who Can Apply
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The patient must call for a prescreening. |
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Required
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The doctor/doctor's office must fax a prescription to the company.The patient must fill out a section, sign the application and attach proof of income. |
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Supply
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Ship To
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Patient's home |
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Note
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The patient must call for a prescreening. |
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Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
| | Rebif |
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