Prescription Assistance


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Matulane Patient Assistance Program-Sigma-Tau Pharmaceuticals

PO Box 1968
Danbury, CT - 06813
1-(800) 999-667

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Program Elegibility

All applicants must be medically eligible for Matulane by having a diagnosis of Stage III or IV Hodgkin's disease documented by the treating physician, or any other lymphomas where a physician feels a response is possible. All applicants must be a U.S. citizen or a permanent U.S. resident. All applicants must sign waivers and release of liability forms. The patient is responsible for shipping and handling costs incurred. Applicants must prove financial need above and beyond the availability of federal and state funds, private insurance or family resources.

Details

One application will cover the duration of the therapy regimen that is prescribed by the treating physician. This therapy is used in conjunction with other anticancer drugs for the treatment of Stage III and IV Hodgkin's disease.

Drugs Covered

,Matulane