Program Contact Info / Application Submission
Program	Rilutek Patient Assistance Program
Company	SanofiAventis
Form	Download PDF
Address	P.O. Box 373 Somerville, NJ 08876
Phone	800-745-8835
Fax	866-217-7178
Website	https://patientassistanceprogram.sanofi-aventis.us/brand/sanofiaventis_pap.aspx
Delivery of Medication
Ship Time	24 - 48 hrs then forwarded to NORD