rxhelp360.org
| Drug Information | ||||
| Drug | Boniva | |||
| Generic Equivalent | ibandronate sodium | |||
| Topic | Osteoporosis | |||
| Program Contact Info / Application Submission | ||||
| Program | Boniva Patient Assistance Program | |||
| Company | Roche | |||
| Form | Download PDF | |||
| Program Requirements | ||||
| Details | Proof of Income NOT required Copy of most recent tax return such as 1040, 1099 NOT required as proof of income Form 4506T (If taxes were not filed) NOT required as proof of income | |||
| Delivery of Medication | ||||
| Delivery Options | Can NOT be delivered directly to the patient Can NOT be delivered directly to the doctor | |||
| Application Process | ||||
| New Applications | New applications NOT accepted Patients can NOT apply directly to the program Doctors can NOT apply directly to the program Advocates can NOT apply directly to the program Can NOT apply for a new application via mail | |||
| Refills | Refills NOT accepted Patients can NOT apply for refills Doctors can NOT apply for refills Advocates can NOT apply for refills Can NOT apply for refills via phone | |||
| Re-Applications | Re-Applications NOT accepted Patients can NOT apply for Re-Applications Doctors can NOT apply for Re-Applications Advocates can NOT apply for Re-Applications Can NOT Re-Apply via mail | |||
| Other Medications | ||||
| Other Medications available in this program |
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