Biovail Pharmaceuticals, Inc
Biovail Patient Assistance Program (PAP)
Sponsor Organization
Biovail Pharmaceuticals, Inc
Prescription Medication Assistance Organization Contact
PO Box 836
Somerville, NJ 08876
Phone: (866) 268-7325
Medications sent to: Patient’s Doctor
Prescription Medications/Products Covered:
Teveten
Zovirax
Program Eligibility Requirements:
Patient must have already been enrolled and receiving Cardizem from the Patient Assistance Program (PAP) that was previously available through Aventis; no new Application Forms will be accepted for any form of Cardizem. New patients can apply for Teveten and Zovirax.
The patient must be a legal resident of the US. The patient cannot have any third party coverage for prescriptions from public or private sources. Patient's household income must be less 200% of the federal poverty level. If you have questions, call between 9-5 pm EST
Additional Information and/or Requirements (known):
Call for form; they will automatically fax it. Completed Application Form must be mailed back.
