Aventis
Lovenox Reimbursement Services & Patient Assistance Program (PAP)
Sponsor Organization
Aventis Pharmaceuticals Inc
Prescription Medication Assistance Organization Contact
Lovenox Patient Assistance Program (PAP)
PO 8256
Sommerville, NJ 08876
Phone: (888) 632-8607
Fax: (888) 875-9951
Medications sent to: Patient’s Doctor
Prescription Medications/Products Covered:
Lovenox
Program Eligibility Requirements:
This program is designed to identify if the patient is eligible for Lovenox through private insurance coverage, individual medication programs, and or government-funded sources. Aventis will provide Lovenox free of charge under the following qualifications.
Participants must be U.S. residents, their annual household income must fall below the Aventis Poverty Guidelines, and they must have no insurance coverage for Lovenox. This program is available for outpatients only.
Additional Information and/or Requirements (known):
Enrollment forms can be obtained by accessing the website or by calling (888) 632-8607. Participants seeking Lovenox free of charge are required to complete a Patient Assistance Application Form.
Signature from both the prescribing physician and patient are required. Additionally, a prescription for no more than a 3-month supply must accompany every Application Form.
Once approved, product will be shipped to either the physician's ofice or a hospital outpatient pharmacy for dispensing.
If Lovenox is requested for more than 3 months a new prescription is required for each reorder. Proof of income is required for initial enrollment and annually thereafter.
Link: Prescription Medication Program Website