•Eligible patients may be able to receive medication at no cost for up to 12 months
•Medicare patients cannot have Part D
•Application may be completed online at https://www.tevacaresportal.org/ or downloaded and faxed/mailed to: Teva Cares Foundation, Patient Assistance Program, PO Box 501827, San Diego, CA 92150, Fax: 18774384404
•For information or assistance, call 8772374881, MondayFriday from 9:00am to 8:00pm Eastern Time (excluding holidays)