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  • Bayer Us Patient Assistance Foundation Application

Get Bayer Us Patient Assistance Foundation Application

ARCH Bayer US Patient Assistance Foundation Application Form Page 1 of 2 Please return completed application and all required documentation to ARCH, PO Box 5670, Louisville, KY 40255 or Fax to 18772291421.

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If you are a new patient, you can start on KERENDIA at NO COST for the product by using the KERENDIA Free Trial Voucher. New patients are eligible for the (30-day) Free Trial Voucher,† regardless of insurance. It's easy for new patients to get or activate a KERENDIA Free Trial Voucher.

1-800-288-8374 *The NUBEQA Free Trial Program provides 1 month's supply of NUBEQA at no cost to patients who meet the program eligibility requirements and agree to the terms and conditions. For full terms and conditions, please call Access Services by Bayer at 1-800-288-8374.

BI Cares Patient Assistance Program The program provides Boehringer Ingelheim medicines free of charge to US patients who meet our program eligibility requirements.

To qualify for The Rx Advocates' patient assistance program the income guidelines are as followed: Individuals who earn up to $40,000 annually may qualify. Couples who earn up to $60,000 annually may qualify. Large families who earn up to $100,000 annually may qualify.

The Bausch Health Patient Assistance Program (Bausch Health PAP) helps patients who don't have health insurance coverage for certain Bausch Health prescription products.

If you can't afford the prescription drugs you need, you may be eligible for assistance programs. Manufacturer-sponsored patient assistance programs are nonprofit organizations where medications come directly from the manufacturer without billing you or your insurance company.

Drug Assistance Program. Many pharmaceutical companies, state programs and nonprofits have drug assistance programs (PAPs) that offer free or low-cost medicines if you don't have insurance or are underinsured and can't afford your medicine.

The Bayer US Patient Assistance Foundation is a charitable organization that helps eligible patients get their Bayer prescription medication at no cost. Bayer understands that sometimes people face financial challenges, and we are here to help.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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