| Drug Information | ||||||||
| Drug | Cathflo Activase | |||||||
| Class | Anticoagulant | |||||||
| Topic | Cardio | |||||||
| Program Contact Info / Application Submission | ||||||||
| Program | Genentech Access to Care Foundation TNKase, Cathflo, Pulmozyme | |||||||
| Company | GenentechAcc | |||||||
| Form | Download PDF | |||||||
| 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 | |||||||
| Delivery of Medication | ||||||||
| Delivery Options | Can NOT be delivered directly to the doctor | |||||||
| 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. | |||||||
| Other Medications | ||||||||
| Other Medications available in this program |
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