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| Drug Information |
| Drug | Activase | | Generic Equivalent | alteplase | | Class | Anticoagulant | | Topic | Cardio | | |
| Program Contact Info / Application Submission |
| Program | Genentech Access to Care Foundation TNKase, Cathflo, Pulmozyme | | Company | GenentechAcc | | Address | 1 DNA Way, Mail Stop 210 South San Francisco, CA 94080 | | Phone | 800-530-3083 | | Fax | 650-225-1366 | | |
| Program Details |
| Details | The medication is sent to the doctor's office, hospital or pharmacy. | | |
| Program Requirements |
| Information | The hospital contact or doctor must fill out the application and verify the patient's financial situation. The patient must inform the doctor that s/he is in need.
| | Details | Proof of Income NOT required
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| Delivery of Medication |
| Delivery Options | Can NOT be delivered directly to the doctor
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| Application Process |
| App Process | Someone from the hospital must call for an application. The application will be faxed out. The completed application must be faxed back. | | |
| Eligibility |
| Eligibility | This program is based on guidelines that are not disclosed. This is a drug replacement program. If the patient is eligible for Part D but does not enroll then s/he still may be eligible for this program.
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| Other Medications |
Other
Medications
available in
this program | |
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