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INOtherapy Assistance Program
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INOtherapy Assistance Program
PO Box 1968 Danbury, CT 06813-1968
Phone
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(877) 566-9466
Fax:
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Eligibility
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Eligibility is based on income and lack of precription coverage. Each application is reviewed individually to determine eligibility. |
Who Can Apply
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Anyone may call to initiate application process. |
Required
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A completed application, verification of diagnosis and patient's proof of income are required. |
Supply
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Amount used. |
Ship To
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Medication is credited to hospital's account. |
Note
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This is a product replacement program. Negative decisions may be appealed. |
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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. |
INOmax (nitric oxide) |
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