Tolmar Total Solutions Patient Assistance Program: Eligard

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The Tolmar Total Solutions Patient Assistance Program: Eligard provides crucial support for patients needing Eligard treatment. With the Tolmar Total Solutions Patient Assistance Program, U.S. residents who are commercially insured but lack coverage for Eligard can apply for assistance. This program ensures access to Eligard through a temporary 3-month aid, with potential for further support if Medicaid is denied, thus enhancing patient care with Tolmar's comprehensive assistance.

Insurance requirements: Commercially insured, Underinsured, Uninsured

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Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: No

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Application forms will be faxed to the doctor’s office following request from doctor's office; patients must apply together with their doctor

•Patients can initially apply for a 3month temporary assistance program; if patients are denied Medicaid subsequent to the temporary assistance, patients may then be eligible for yearlong assistance

•Patients must submit income proof (W2, Federal Tax Return) or a signed statement of financial need

•Medication will be shipped to the doctor's office

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