| Program Contact Info / Application Submission | ||||
| Program | Aricept Patient Assistance Program | |||
| Company | EISAIAri | |||
| Form | Download PDF | |||
| Address | PO Box 679 Somerville, NJ 08876 | |||
| Phone | 800-226-2072 | |||
| Fax | 800-226-2059 | |||
| Website | http://www.aricept.com/ | |||
| Program Requirements | ||||
| Details | Proof of Income required | |||
| Delivery of Medication | ||||
| Ship Time | 10 business days | |||
| Delivery Options | Can be delivered directly to the doctor | |||
| Other Medications | ||||
| Other Medications available in this program |
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