Patient Assistance Program


If you are thinking about Suboxone but wonder where the money will come from,you are not alone. It is possible if you meet the qualifications required to obtain some  financial help.   Reckitt Benckiser has a "Prescription Assistance Program.  What are you waiting on?  They are waiting on you to apply.  Best Wishes to all of you.


RECKITT BENCKISER
Patient Assistance Program

http://www.rxassist.org/pap-info/company_detail.cfm?CmpId=173


Please click on the link above. It will take you to Patient Assistance Program. You must fill out the application online. I recommend you take the time read the criteria carefully before filling out the application.    


Program Details
RECKITT BENCKISER
Suboxone Patient Assistance Program 

CONTACT INFORMATION
Address:
RB Processing Center
PO Box 1113
Wayne, NJ 07474-1113
Phone: 1-866-512-2216


ELIGIBILITY
# Eligibility Information: Patient must not have public or private prescription insurance.
# Patient must be at least 16 years old.

# Physician can only have 1 patient on the program at a time.



Income: 
$19,000 or less ( Single)
                  $21,000 (Household of Two)
                  $32,000 (Household of Three)  
     O
ther Financial Requirements: Medical expenses can be deducted from reported income. 
Social Security Number
United States Citizenship

APPLICATION
Attachments Required
Physician License #
Required: 
Prescriber Signature
Allowed: Physician
Application may not be faxed.

Eligibility Determination Letter Sent: Provider
 

MEDICATION
Receives: Medication
Shipped To: Provider
Quantity in Shipment: 30 days
Delivery Time: 

Re-application Policy: New application every 3 months.
Refill Policy: Physician's office must contact the program to arrange refills. 

If you need any assistance... please give us a call.  We are always available twenty-fours daily. We can be reached at 770.527-9119.

Suboxone Assisted Treatment
501 (c) (3) Non-Profit Organization
368 Johnston Pkwy N.W.
Kennesaw, Georgia 30152-4445

Deborah Shrira, Editor Copyright July 2008