| Program Contact Info / Application Submission | ||||
| Program | Genentech Access To Care Foundation Raptiva | |||
| Company | GenentechRap | |||
| Phone | 800-280-8938 | |||
| Fax | 800-240-5487 | |||
| Program Requirements | ||||
| Details | Proof of Income required | |||
| Other Requirements | Zero income- Letter fom pt signed stating their fi | |||
| Delivery of Medication | ||||
| Ship Time | Unkown | |||
| Delivery Options | Can be delivered directly to the patient Can be delivered directly to the doctor | |||
| Application Process | ||||
| New Applications | New applications accepted Doctors can apply directly to the program | |||
| Refills | Doctors can apply for refills | |||
| Other Medications | ||||
| Other Medications available in this program |
| |||



