Patient Assistance

  • Step 1 - Open web browser and enter www.rxassist.org
  • Step 2 - *As Seen Below* - Click Learn More which will be on the right hand side of your screen under the "Patients" section.
  • Step 3 - *As Seen Below* - Enter in drug name or company name and hit "Submit".
  • Step 4 - *As Seen Below* - Select "Dosage" if applicable.
  • Step 5 - *As Seen Below* - Read "Eligibility" information.
  • Step 6 - *As Seen Below* - Read "Instructions".
  • Step 7 - *As Seen Below* - Read/Print/Fill out "Form".
  • Step 8 - *As Seen Below* - Read "Application" details.
  • Step 9 - *As Seen Below* - Go to "Company Website" for more information.

Step 2

Step 3

Step 4

Steps 5 6 7 8 & 9