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Drug Assistance Programs for the Uninsured
Alinia (nitazoxanide)
Company:
Romark Laboratories
Program name:
Romark Laboratories Patient Assistance Program for Alinia
Program address:
3000 Bayport Drive, Suite 200 Tampa, FL 33607
Phone number:
813-282-8544
Fax number:
813-282-1162
Forms:
romali0273.pdf
Eligibility guidelines
and notes:
The patient must have no prescription coverage for the requested medication and
Application process:
With the patient's permission, anyone concerned can call for an application.
Application requirements:
The doctor must fill out a section, sign the application and attach a copy of the DEA or State License number.
Program details:
The medication is sent to the doctor's office.
Last updated:
4/16/2008
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