Blaine Patient Assistance Program (PAP)

Blaine Patient Assistance Program (PAP)

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Blaine Company

Blaine Patient Assistance Program (PAP)

Sponsor Organization
Blaine Company

Prescription Medication Assistance Organization Contact
1515 Production Drive
Burlington, KY 41005
Phone: (800) 633-9353
Fax: (606) 283-9460

Medications sent to:

Prescription Medications/Products Covered:
MAG-OX 400

Program Eligibility Requirements:
Patient must be under the prescribing care of a cardiologist, internist or a transplant clinic. No copayment is required by the patient.

Additional Information and/or Requirements (known):
A signature is not required; the products are over the counter.




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