Do I Qualify?
The CephalonCares Foundation Patient Assistance Programs provide Cephalon, Inc.
medications at no cost to patients in the United States who meet certain insurance
and income criteria.
To determine eligibility, please click on the Cephalon product which you have been
prescribed:
You may qualify for the CephalonCares® Foundation
Fentora®
Patient Assistance Program if you answer “YES” to the following questions:
-
You have been prescribed
Fentora®.
-
You do not have prescription drug coverage.
-
Your yearly household income does not exceed the following:
Click here to download an application
and instructions, or call 877-CEPH881 (877-237-4881) to receive an application by
mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM
– 8:00 PM Eastern time. Applications must be completed and signed
by the patient and the physician.
You may qualify for the CephalonCares® Foundation
Gabitril®
Patient Assistance Program if you answer “YES” to the following questions:
-
You have been prescribed
Gabitril®.
-
You do not have prescription drug coverage.
-
Your yearly household income does not exceed the following:
Click here to download an application
and instructions, or call 877-CEPH881 (877-237-4881) to receive an application by
mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM
– 8:00 PM Eastern time. Applications must be completed and signed
by the patient and the physician.
You may qualify for the CephalonCares® Foundation
Nuvigil®
Patient Assistance Program if you answer “YES” to the following questions:
-
You have been prescribed
Nuvigil®.
-
You do not have prescription drug coverage.
-
Your yearly household income does not exceed the following:
Click here to download an application
and instructions, or call 877-CEPH881 (877-237-4881) to receive an application by
mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM
– 8:00 PM Eastern time. Applications must be completed and signed
by the patient and the physician.
You may qualify for the CephalonCares® Foundation
Tev-Tropin®
Patient Assistance Program if you answer “YES” to the following questions:
-
You have been prescribed
Tev-Tropin®.
-
You do not have prescription drug coverage.
-
Your yearly household income does not exceed the following:
Click here to download an application
and instructions, or call 877-CEPH881 (877-237-4881) to receive an application by
mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM
– 8:00 PM Eastern time. Applications must be completed and signed
by the patient and the physician.
You may qualify for the CephalonCares® Foundation
Treanda®
Patient Assistance Program if you answer “YES” to the following questions:
-
You have been prescribed
Treanda®.
-
You do not have prescription drug coverage.
-
Your yearly household income does not exceed the following:
Click here to download an application
and instructions, or call 877-CEPH881 (877-237-4881) to receive an application by
mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM
– 8:00 PM Eastern time. Applications must be completed and signed
by the patient and the physician.
You may qualify for the CephalonCares® Foundation
Trisenox®
Patient Assistance Program if you answer “YES” to the following questions:
-
You have been prescribed
Trisenox®.
-
You do not have prescription drug coverage.
-
Your yearly household income does not exceed the following:
Click here to download an application
and instructions, or call 877-CEPH881 (877-237-4881) to receive an application by
mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM
– 8:00 PM Eastern time. Applications must be completed and signed
by the patient and the physician.