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Axcan Rx Complete Patient Support Program

Summary:

Axcan Pharma is a pharmaceutical company founded in 1982 by Léon F. Gosselin. Axcan Pharma specifically focuses their research and development in the field of gastroentrology, allowing them to provide the best therapies and treatments for major gastrointestinal diseases and disorders. As a worldwide leader and authority on problems like inflammatory bowel disease, cholestatic liver diseases, irritable bowel syndrome, and pancreatic related issues, they're able to leverage their knowledge and ability to grow and expand the company further without sacrificing their mission.

Eligibility:

Axcan Rx Complete Patient Support Program, a patient assistance program provided by Axcan-Scandipharm, Inc, offers the medications listed to the right at a cost of $2 per prescription to those who are eligible for the program. Eligibility is based off of the following requirements:

- You must not be covered by any private, public, or Medicare Part D prescription coverage programs.

- You must meet an undisclosed income guideline.

The patient will be sent a pharmacy card that may be used once a month.
SOURCE: 2008 HHS Poverty Guidelines
Persons in Family or Household 48 Contigous States and D.C. Alaska hawaii
1 $10,400 $13,000 $11,960
2 $14,000 $17,500 $16,100
3 $17,600 $22,000 $20,240
4 $21,200 $26,500 $24,380
5 $24,800 $31,000 $28,520
6 $28,400 $35,500 $32,660
7 $32,000 $40,000 $36,800
8 $35,600 $44,500 $40,940
For each addtional person, add $3,600 $4,500 $4,140

What’s Next?

Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Axcan-Scandipharm, Inc 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 Axcan-Scandipharm, Inc 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 Axcan-Scandipharm, Inc program. Without their help millions of people will be without medication.



  • PAP Links:
    Create Account to View

    Company Website:
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    Company Phone: Create Account to View
    Company Fax: Create Account to View
    Company Address:
    Create Account to View

    List of Medications:
    Canasa suppository 1000mg (mesalamine), Carafate Oral Suspension  (sucralfate), Carafate Tablets 1mg (sucralfate), Ultrase MT 18 Capsules 18 Capsules 58, 500 Units/12, 000 Units/58, 500 Units (amylase/lipase/protease), Ultrase MT 20 Capsules 20 Capsules 65, 000 Units/20, 000 Units/65, 000 Units (amylase/lipase/protease), UrsoForte Tablets 500mg (ursodiol)

    Forms and other information are Copyright © Axcan Rx Complete Patient Support Program