Protopic Patient Assistance Program (PAP)
Sponsor Organization
Astellas Pharma US Inc
Prescription Medication Assistance Organization Contact
Protopic Patient Assistance Program (PAP)
PO Box 221644
Chantilly, VA 20153-1644
Phone: (800) 477-6472
Medications sent to: Patient’s Doctor
Prescription Medications/Products Covered:
Protopic
Program Eligibility Requirements:
The Protopic Patient Assistance Program (PAP) is designed to assist patients who have no health insurance and limited financial resources. To be eligible for the program, patients must meet residency, diagnosis, income, and insurance criteria.
Please contact the Protopic Patient Assistance Program (PAP) for assistance in determining patient eligibility. If the patient meets the guidelines, hotline staff will send a pre-filled Application Form to the patient or physician.
Additional Information and/or Requirements (known):
If approved, the patient will receive two shipments during the enrollment period. If continued therapy is needed beyond 12 months, the patient must reapply to the program.
