Drug Information
Drug	Carbatrol
Generic Equivalent	carbamazepine
Class	anticonvulsant
Topic	Neuro/ Mental Health
Program Contact Info / Application Submission
Program	Carbatrol Shire US Patient Assistance Program
Company	ShireCarb
Form	Download PDF
Program Requirements
Details	Insurance card required Drivers license required Proof of Income required Copy of most recent tax return such as 1040, 1099 required as proof of income Benefits statement for Social Security, Unemployment, Veterans Benefits, Pension/Retirement required as proof of income
Delivery of Medication
Delivery Options	Can 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 Can apply for a new application via phone Can apply for a new application via fax 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 Can apply for refills via phone Can apply for refills via fax Can NOT apply for refills via mail
Re-Applications	Re-Applications NOT accepted Patients can NOT apply for Re-Applications Doctors can NOT apply for Re-Applications Can Re-Apply via phone Can Re-Apply via fax Can NOT Re-Apply via mail
Other Medications
Other  Medications  available in  this program	Carbatrol - anticonvulsant Neuro/ Mental Health (Generic: carbamazepine)