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PBIS
Drug Assistance Programs for the Uninsured
Alimta (pemetrexed)
Company:
Eli Lilly & Company
Program name:
PatientOne
Program address:
Address not needed; all information is exchanged with program via fax.
Phone number:
866-472-8663
Fax number:
877-366-0585
Forms:
lilonc0187.pdf
Eligibility guidelines
and notes:
The patient must have no insurance and
Application process:
The doctor/doctor's office 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 the doctor's office.
Last updated:
6/24/2008
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