Drug Information
Drug	Acthar
Generic Equivalent	corticotropin ACTH
Topic	Antiviral
Program Contact Info / Application Submission
Program	Acthar Gel Patient Assistance Program
Company	NORD
Address	C/O NORD PO Box 1968 Danbury, CT 06813-1968
Phone	800-459-7599
Fax	203-798-2964
Website	http://www.rarediseases.org/programs/medication
Eligibility
Eligibility	The patient must have no insurance and be financially unable to afford the medication. The patient is given assistance from 25%-100% for one year. A negative decision can be appealed. The patient must also be a US citizen being treated by a US doctor.
Other Medications
Other  Medications  available in  this program	Acthar - Antiviral (Generic: corticotropin ACTH)