Centocor
Centocor Remicade Patient Assistance Program (PAP)
Sponsor Organization
Centocor
Prescription Medication Assistance Organization Contact
Remicade Patient Assistance Program (PAP)
PO Box 221709
Charlotte, NC 28222
Phone: (866) 489-5957
Fax: (866) 489-5958
Medications sent to: Patient’s Doctor
Prescription Medications/Products Covered:
Remicade
Program Information And Resources:
Remicade Patient Assistance Program (PAP)
Program Information And Resources:
Remicade Patient Assistance Application Form
Program Information And Resources:
Remicade Instructions Brochure
Program Information And Resources:
Program Eligibility Requirements:
The Remicade Patient Assistance Program (PAP) is a servcie to provide the product to low-income patients legally residing in the United States when patients meet certain financial need qualifications. When patients qualify, they may be provided with up to six months of the product at a time.
Additional Information and/or Requirements (known):
Health care providers, patients, patients' guardians, and social workers may submit Application Forms for the product. All Application Forms, including HIPAA documentation, will require the signature of the patient or guardian as well as the health care provider.
The program only provides the product for eligible patients. If the patient meets the eligibility criteria, the product is shipped directly to the provider's office or to the site of care.