COR Patient Assistance Program (PAP)

COR Patient Assistance Program (PAP)

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Dermik Laboratories

Dermik Patient Assistance Program (PAP)

Sponsor Organization
Dermik Laboratories

Prescription Medication Assistance Organization Contact
Patient Assistance Program (PAP)
PO Box 759
Somerville, NJ 08876
Phone: (866) 268-7326

Medications sent to: Patientís Doctor

Prescription Medications/Products Covered:
BENZACLIN Topical Gel
Benzagel
Benzamycin
Carac
Hytone
Klaron
Noritate
Penlac
Psorcon Cream
Psorcon Ointment
Sulfacet lotion
Vytone Cream

Program Eligibility Requirements:
Patient must have no prescription coverage and meet Dermik's income guidelines.

Additional Information and/or Requirements (known):
A new Application Form is required for all refills.

 

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