Drug:

 
Program Contact Info / Application Submission
Program Mallinckrodt Patient Assistance Program
Company Mallinck
Form Download PDF
Address Max Care PO Box 18204 Oklahoma City, OK 73154
Phone 800-259-7765 opt 2
Fax 405-525-7523
Website http://pharmaceuticals.covidien.com/Pharmaceuticals/pagebuilder.aspx?page=Home:Home&topicID=154849
 
Program Requirements
Other Requirements Pharmacy Card
 
Delivery of Medication
Ship Time 3 business days
 
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 apply for a new application via fax
Can apply for a new application via mail
 
Other Medications
Other
 Medications
 available in
 this program
Tofranil Tablet 10mg - tricyclic antidepressants Neuro/Mental Health (Generic: imipramine hcl)
Anafranil Capsule 25mg - tricyclic antidepressant Neuro/Mental Health (Generic: clomipramine)
Pamelor Capsule 10mg - tricyclic antidepressant Neuro/Mental Health (Generic: Nortriptyline HCL Capsule 10mg)
Pamelor Solution 10mg-5ml - tricyclic antidepressant Neuro/Mental Health (Generic: nortriptyline)
Restoril Capsule 7.5mg - benzodiazepines Insomnia (Generic: Temazepam Capsule 15mg)
Tofranil-PM Capsule 75mg - tricyclic antidepressants Neuro/Mental Health (Generic: imipramine pamolate)
Anafranil Capsule 50mg - (Generic: )
Anafranil Capsule 75mg - (Generic: )
Pamelor Capsule 25mg - (Generic: )
Pamelor Capsule 50mg - (Generic: )
Pamelor Capsule 75mg - (Generic: )
Restoril Capsule 15mg - (Generic: )
Restoril Capsule 22.5mg - (Generic: )
Restoril Capsule 30mg - (Generic: )
Tofranil Tablet 50mg - (Generic: )
Tofranil Tablet 25mg - (Generic: )
Tofranil-PM Capsule 100mg - (Generic: )
Tofranil-PM Capsule 125mg - (Generic: )
Tofranil-PM Capsule 150mg - (Generic: )
Exalgo Tablets 8mg - (Generic: )
Exalgo Tablets 12mg - (Generic: )
Exalgo Tablets 16mg - (Generic: )
Pennsaid Topical Solution 1.5% - (Generic: )