|
Spectrum Therapy Access Resources (STAR) Program
|
PO Box 220551
PO Box 220684 Charlotte, NC 28222
Phone
:
(888)537-8277
Fax:
|
Eligibility
|
> |
Patients must be uninsured or underinsured, meet income requirements that have not been disclosed and be a US citizen or permanent resident. The medication must be used for outpatient use only. |
Who Can Apply
|
> |
Patients or healthcare providers can call to have an application faxed or mailed. It can also be downloaded. |
Required
|
> |
Doctors must complete a section and sign. Patients must complete a section, sign and attach insurance information. |
Supply
|
> |
Varies |
Ship To
|
> |
Doctor's office |
Note
|
> |
Insurance benefits, claims assistance,/or other reimbursement help is offered. |
|
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. |
Zevalin injectable; iv (yttrium-90 ) |
|
Printable Application Forms Applications that patients can fill out and bring to their doctor. |
Download printable Form |
Download printable Form |
Download printable Form |
Download printable Form |
Download printable Form |
(Requires Acrobat Reader)
|
|
|