Drug: Carbatrol

 
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)