SynacthenSwoosh

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This program is intended for patients taking Synacthen® Depot

Knowledgeable Benefit Access Coordinators will assist you in accessing your private insurance or public health benefits that you or your dependents are entitled to.

The program will help you with;
• Reimbursement access assistance with all payer options.

• Payer support advocacy for all provincial formulary programs or private health insurance options to which you may be entitled.

• Co-pay funding assistance when you need help funding any co-payment requirements associated to your private drug plan.

• Provincial deductible funding assistance if associated with your public health plan.

This program is free to all enrolled patients that qualify and is fully confidential.

Complete the program enrollment form provided by your attending physician or print a blank enrollment form below and fax to 1-877-787-3376 (toll free)

Enrollment Form Synacthen Info Sheet

Or mail to;
The Synacthen Depot Patient Support Program
c/o MEDICUM
472F Main Road,
Hudson, Quebec
J0P 1H0

2015 Medicum Patient Assistance Program. All rights reserved.
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Click here to contact us. This site intended for use by Canadian residents only.
Last update: August 2015

The Synacthen® patient support program is supported by Valeo Pharma Inc and administered by Medicum.
Synacthen® is a registered trademark of Novartis AG and is used under licence by Questcor Operations Ltd.
Valeo Pharma Inc. reserves the right to modify or terminate this program at any time.