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
URO-MAG
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.
