| 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 | |



