Actimmune (interferon gamma 1b)

Company: InterMune Pharmaceuticals

Program name: Actimune Patient Assistance Program

Program address: PO Box 4280 Gaithersburg, MD 20885

Phone number: 800-577-9112, ext 1

Fax number: 240-632-3873

Eligibility guidelines
and notes: This program is based on guidelines that are not disclosed.

Application process: The doctor, patient, social worker or patient advocate must call for a prescreening.

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: A 90-day supply is sent to the doctor's office, hospital or pharmacy.

Last updated: 5/5/2008

Order Patient Guides

Learn more about eobONE

eobONE Login