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  • 1. Your Information 2. Where You Live - Amgen Safety Net Foundation

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PATIENT APPLICATION Amgen Safety Net Foundation is a nonprofit organization that helps qualifying patients access Amgen medicines at no cost. PATIENT INSTRUCTIONS To apply for support you must: 3.

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2-Apr-2022 • PO Box 18769, Louisville, KY 40261-7821 • Phone: 1-888-762-6436 • Fax: 1-866-549-7239 • amgensafetynetfoundation.com • Page 4 of 4 All communications will be sent to this fax number.

Approve for 1 year if the individual meets the following criteria (A, B, C, D, and E): A) Individual is ≥ 18 years of age; AND B) Individual has a left ventricular ejection fraction (LVEF) ≤ 35% currently or prior to initiation of Corlanor therapy; AND C) Individual is in normal sinus rhythm or sinus tachycardia with a ...

$579.50. Used for: Heart failure in adults and children. Atrial fibrillation (afib) in adults.

The Amgen Safety Net Foundation is a nonprofit patient assistance program sponsored by Amgen that helps qualifying patients access Amgen medicines at no cost. Visit .amgensafetynetfoundation.com or call 1-888-762-6436.

PATIENT ASSISTANCE PROGRAMS: For those patients who need support in accessing our marketed medicines, Amgen has patient assistance programs to help clinically and financially eligible patients obtain the medicines they need.

Corlanor dosing is based on heart rate reduction, targeting a heart rate of 50 to 60 beats per minute [see Dosage and Administration (2)].

Safety Net Foundation is designed to assist those patients who are uninsured and with limited or no financial resources. Eligibility is based on US residency, insurance status and income criteria.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232