Drug:

 
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
Aricept 23mg - Alzheimers (Generic: donepezil)