Program Contact Info / Application Submission
Program	Adderall XR Patient Assistance Program
Company	ShireAdd
Form	Download PDF
Address	PO Box 897 Somerville, NJ 08876
Phone	1-866-325-8229
Application Process
New Applications	Can NOT apply for a new application via fax
Refills	Can NOT apply for refills via fax
Eligibility
Limitations	Patients are NOT eligible with existing prescription coverage