| Drug Information | ||||||||||
| Drug | Activase 50mg Vial | |||||||||
| Generic Equivalent | alteplase | |||||||||
| Class | Anticoagulant | |||||||||
| Topic | Cardio | |||||||||
| Program Contact Info / Application Submission | ||||||||||
| Program | Genentech Access to Care Foundation TNKase, Cathflo, Activase | |||||||||
| Company | GenentechAcc | |||||||||
| Form | Download PDF | |||||||||
| Address | 1 DNA Way, MS #858A South San Francisco, CA 94080 | |||||||||
| Phone | 800-530-3023 | |||||||||
| Fax | 650-225-1366 | |||||||||
| Website | http://www.lyticportfolio.com/index.jsp | |||||||||
| Program Requirements | ||||||||||
| Details | Proof of Income required | |||||||||
| Delivery of Medication | ||||||||||
| Ship Time | 3 - 5 business days | |||||||||
| Delivery Options | Can be delivered directly to the doctor | |||||||||
| Other Medications | ||||||||||
| Other Medications available in this program |
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