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Abbott Patient Assistance Program
SOURCE: 2008 Poverty Chart
| Family Size | 100% | 133% | 150% | 200% | 250% | 300% |
| 1 | $10,830 | $14,404 | $16,245 | $21,660 | $27,075 | $32,490 |
| 2 | $14,570 | $19,378 | $21,855 | $29,140 | $36,425 | $43,710 |
| 3 | $18,310 | $24,352 | $27,465 | $36,620 | $45,775 | $54,930 |
| 4 | $22,050 | $29,327 | $33,075 | $44,100 | $55,125 | $66,150 |
| 5 | $25,790 | $34,301 | $38,685 | $51,580 | $64,475 | $77,370 |
| 6 | $29,530 | $39,275 | $44,295 | $59,060 | $73,825 | $88,590 |
| 7 | $33,270 | $44,249 | $49,905 | $66,540 | $83,175 | $99,810 |
| 8 | $37,010 | $49,223 | $55,515 | $74,020 | $92,525 | $111,030 |
| For each additional family member | $3,740 | $4,974 | $5,610 | $7,480 | $9,350 | $11,220 |
What´s Next?
Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Abbott program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.
Other Tips
- If you have any questions please call the Abbott program directly
- Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
- Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
- Do not write messy on your forms as this will delay any response
- Call and write thank you notes to Abbott program. Without their help millions of people will be without medication.
- PAP Links:
- Website:
- Address:
- Phone:
- Fax:
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List of Medications
Advicor ER Tablets 20/100mg, 20/500mg (lovastatin/niacin), Azmacort Inhaler (triamcinolone Inhaled), Cardizem LA Tablets 120mg, 180mg, 240mg, 300mg, 360mg, 420mg (diltiazem), Depakene Liquid 250mg/5ml (valproic Acid), Depakene Tablets 250mg (valproic Acid), Depakote Sprinkle Capsules 125mg (divalproex Sodium), Depakote Tablets 125mg, 250mg, 500mg (divalproex Sodium), Depakote ER Tablets 250mg, 500mg (divalproex Sodium), Gengraf Capsules 25mg, 100mg (cyclosporine), Gengraf Oral Solution 100mg/ml (cyclosporine Injectable), Niaspan ER Tablets 500mg, 750mg, 1000mg (niacin), Simcor Tablet 500/20mg, 750/20mg, 1000/20mg (simvastatin/niacin Extended Release), Synthroid Tablets 25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg, 300mcg (levothyroxine), Tarka Tablets 1mg/240mg, 2mg/180mg, 2mg/240mg, 4mg/240mg (trandolapril And Verapamil), Teveten Tablets 400mg, 600mg (eprosartan), Teveten HCT Tablets 12.5mg, 25mg (eprosartan), Tricor Tablets 48mg, 145mg (fenofibrate)
Forms and other information are Copyright © Abbott Patient Assistance Program
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