Adacel (tetanus toxoid/reduced diptheria toxoid/acellular pertussis)

Company: Sanofi Pasteur, Inc.

Program name: Sanofi Pasteur Patient Assistance Program

Phone number: 866-801-5655

Fax number: 866-734-7371

Forms: sanofi0312.pdf

Eligibility guidelines
and notes: The patient cannot have prescription insurance, be ineligible for any federal or state programs and

Application process: Anyone can call to get an application faxed out.

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

Program details: The medication is sent to the doctor's office.

Last updated: 8/5/2008

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