ReFacto® Trial Prescription Program; One Month Free; Manufacturer Offer
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`Name Of Offer: ReFacto® Trial Prescription Program Description: Doctor Enabled Free Trial Program Offer: One Month ReFacto® therapy FREE Miscellaneous: One-time free offer
Explanation: This is a generous value-added program offered by Wyeth®, the drug company that makes ReFacto®. This offer is appropriate for patients with hemophilia A who are not currently on ReFacto®.
Here's how to take advantage of this program:
Step 1 You and your doctor agree that ReFacto is appropriate therapy. Step 2 Your doctor obtains enrollment and authorization forms by calling 1-800-710-1379 Monday through Friday 9:00 AM - 5:00PM Eastern Time. Step 3 Your doctor fills out the forms and sends them (along with a prescription) to the company fulfilling the program. CLICK HERE for more information
You need to know that: - No patient or third party will be charged in any way for the complimentary medicine you receive if you participate in this program. - The ReFacto must not be used by anybody other than the patient designated on the enrollment form. - You are not obligated to buy anything at the end of the trial program.
Please Note:
In most cases, you can use the coupon to pay for your copay. Prescription drug coupons and/or rebates are prohibited in certain states such as Massachusetts. Check with your local pharmacy to make sure that this offer is valid in your state.
Drug coupons are not valid for prescriptions for which payment may be made in full or in part under a federal or state healthcare program such as Medicaid or Medicare.
The amount of the rebate or prescription can not exceed the patient's actual out-of-pocket expenses.
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