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| Helping you receive the medication you need without the hassle or expense |
| Our program comes with a 100% Money back guarantee |
| No long term contracts. You may cancel at any time, with a 30 day written notice |
| If you have questions or need help with our site please |
| Please fill out the following application, so we can determine if you qualify for assistance. Within 24 hours our Customer Care department will review your application and mail you a personalized information packet. Once you receive your packet, please sign all enclosed documents and return in the provided envelope. After we receive your signed documents, your Customer Care representative will complete any necessary pharmaceutical applications needed for assistance. All drug assistance applications are computer generated and only require signatures. Patient Medication Assistance makes the entire process easy, by completing all applications, tracking and renewing medications, and working with your doctor's office to help ensure accurate and quick shipments of medications. Over 98% of the applications we accept are approved for drug assistance. If we approve your application, and you do not receive assistance, we will gladly refund your service fee. Please click here to apply for assistance. If you would like to print an application, to mail in later, please click here. |
| Request for information packet |
| IF YOU HAVE QUESTIONS, PLEASE CALL OUR CUSTOMER CARE DEPARTMENT AT 1-866-353-9377. |