Abelcet (amphotericin B lipid complex)

Company: Enzon

Program name: Enzon Patient Assistance Program

Program address: PO Box 8013 Somerville, NJ 08876

Phone number: 800-345-2252, opt 3

Fax number: 888-625-6587

Forms: enzonp0370.pdf

Eligibility guidelines
and notes: The patient must have no prescription coverage for the requested medication and

Application process: The patient or doctor should call for an application.

Application requirements: The doctor must fill out a section and sign the application.

Program details: The medication is sent to either the doctor's office, or a specific site (clinic, hospital, infusion site etc.)

Last updated: 7/23/2008

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