| Program Contact Info / Application Submission | |
| Program | Wyeth Oncology Reimbursement Program |
| Company | Wyeth |
| Address | Lash Group PO Box 1285 San Bruno, CA 94066 |
| Phone | 888-638-6342 |
| Fax | 866-836-0819 |
| Website | http://www.wyeth.com/contact/cont |
| Program Requirements | |
| Details | Insurance card required Drivers license required Copy of most recent tax return such as 1040, 1099 required as proof of income Letter from Doctor stating zero income required as proof of income |
| Delivery of Medication | |
| Ship Time | 48 hours |
| Delivery Options | Can NOT be delivered directly to the patient Can be delivered directly to the doctor Shipped as a voucher card |
| Application Process | |
| New Applications | New applications NOT accepted Patients can NOT apply directly to the program Doctors can NOT apply directly to the program Advocates can NOT apply directly to the program Can apply for a new application via phone Can apply for a new application via fax Can NOT apply for a new application via mail |
| Refills | Refills NOT accepted Patients can NOT apply for refills Doctors can NOT apply for refills Advocates can NOT apply for refills Can NOT apply for refills via phone Can apply for refills via fax Can apply for refills via mail |
| Re-Applications | Re-Applications NOT accepted Patients can NOT apply for Re-Applications Doctors can NOT apply for Re-Applications Advocates can NOT apply for Re-Applications Can Re-Apply via phone Can Re-Apply via fax Can NOT Re-Apply via mail |


