Drug Information
Drug	Diastat Acudial 10mg
Class	anticonvulsant
Topic	Neuro/ Mental Health
Program Contact Info / Application Submission
Program	RX Hope
Company	Valeant Pharmaceuticals International
Form	Download PDF
Address	P.O. Box 4008 Clinton, NJ 08809
Phone	800-511-2120
Fax	732-507-7610
Program Requirements
Details	Insurance card NOT required Drivers license NOT required
Delivery of Medication
Ship Time	7-10 Business
Delivery Options	Can NOT be delivered directly to the patient Can be delivered directly to the doctor
Application Process
New Applications	New applications accepted Patients can apply directly to the program Doctors can apply directly to the program Advocates can apply directly to the program Can NOT 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 accepted Patients can apply for refills Doctors can apply for refills Advocates can apply for refills Can NOT apply for refills via phone Can apply for refills via fax Can NOT apply for refills via mail
Re-Applications	Re-Applications accepted Patients can apply for Re-Applications Doctors can apply for Re-Applications Advocates can apply for Re-Applications Can NOT Re-Apply via phone Can Re-Apply via fax Can NOT Re-Apply via mail
Other Medications
Other  Medications  available in  this program	Diastat Acudial 10mg - anticonvulsant Neuro/ Mental Health (Generic: ) Migranal Nasal Spray - Migraine (Generic: dihydroergotamine mesylate+ caffeine) Acudial - (Generic: ) Diastat Gel 2.5mg - antianxiety Neuro/ Mental Health (Generic: ) 8-MOP - Dermatological Pigment (Generic: ) Ancobon Capsules 500mg - Antifungal Combo Anti-infective (Generic: ) Mestinon 60mg/Syrup - Myasthenia Gravis Neuromuscular (Generic: ) Mestinon Timespan Tablets, 180 mg - Myasthenia Gravis Neuro/ Mental Health (Generic: ) Tasmar Tablets 200mg - Parkinson's Disease Neuro/ Mental Health (Generic: ) Oxsoralen Lotion - Dermatalogic Skin (Generic: ) Oxsoralen Lotion - (Generic: ) Oxsoralen Ultra-Capsules - Skin (Generic: ) Prostigmin Tablets, 15mg - Myasthenia Gravis Pigment (Generic: ) Zelapar - Parkinson's Neuro/ Mental Health (Generic: ) Diastat Acudial 20mg - (Generic: ) Tasmar Tablets 100mg - (Generic: )