Drug:

 
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