Biovail Patient Assistance Program (PAP)

Biovail Patient Assistance Program (PAP)

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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: Patientís 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.

 

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