Daiichi Sankyo Open Care Program
Eligibility
The Daiichi Sankyo Open Care Program is available to qualified patients with demonstrated medical and financial need. The program assists patients who are prescribed Daiichi Sankyo products covered by the program and are uncertain of their insurance coverage in locating alternative payment sources. Free product is provided to uninsured patients who qualify and for whom no alternative source of reimbursement can be identified. Patients must reside in the United States and have a U.S. treating physician.
How to apply
The physician's office must apply on behalf of a patient. Applications are available from Daiichi Sankyo representatives or from the Daiichi Sankyo Open Care Program hotline (1 866 268 7327). Upon receipt and approval of a completed application, all patients deemed eligible for the program will receive a supply (the amount depends on the product) of medication, which will be shipped to the physician's office on the patient's behalf.
Physician requests and other inquiries should be directed to:
Daiichi Sankyo Open Care Program
P.O. Box 8409
Somerville, NJ 08876
Phone: 1-866-268-7327
Product(s) covered by program
Azor® Tablets
Benicar® Tablets
Benicar HCT®
Welchol® Tablets |
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