About us | FAQ | In The News | Contact us | Member Login
Estimated Patient Savings $2,940,300
Program Details
important
Have a Question or Suggestion? Please Signup Today.

Valeant Pharmaceuticals International Patient Assistance Program


Summary

Valeant Pharmaceuticals International was founded in 1960 as International Chemical and Nuclear Corporation (ICN) Pharmaceuticals, Inc.. ICN Pharmaceuticals, ICN Biomedicals, SPI Pharmaceuticals, and Viratek, Inc. merged together to become ICN Pharmaceuticals, Inc. and then became Valeant Pharmaceuticals International in 2003. Valeant Pharmaceuticals International focuses specifically on the fields of neurology, dermatology, and infectious disease. As a worldwide leader in the treatment and prevention of disease, Valeant Pharmaceuticals International prides themselves at their wide reach and ability to better global human healthcare. In the almost 50 years that Valeant Pharmaceuticals International has been in existence, they have continually increased their dedication to filling the unmet healthcare needs with their research and development strategies.

Eligibility

Valeant Pharmaceuticals International Patient Assistance Program, a patient assistance program provided by Valeant Pharmaceuticals International, offers the medications listed to the right at no cost for up to 90 days to those who are eligible for the program. Eligibility is based off of the following requirements:

- You must be a citizen of the United States or its Territories.

- You must provide a Federal low-income subsidy denial letter from Social Security.

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

- Your income must be less than or equal to 200% of the Federal Poverty

The medication must be sent to the physicians office.

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 Valeant Pharmaceuticals International 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 Valeant Pharmaceuticals International 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 Valeant Pharmaceuticals International program. Without their help millions of people will be without medication.




  • PAP Links:
  • Website:
  • Address:
  • Phone:
  • Fax:
Create Account to View
Create Account to View

List of Medications
8-MOP Capsules 10mg (methoxsalen), Ancoban Capsules 500mg (flucytosine), Cesamet Capsules 1mg (nabilone), Diastat AcuDial Rectal Gel 10mg, 20mg (diazepam Rectal Gel), Mestinon Syrup 60mg (pyridostigmine), Mestinon Timespan Tablets 180mg (pyridostigmine), Migranal Nasal Spray 4mg (dihydroergotamine Nasal Spray), Oxsoralen Lotion 1oz (methoxsalen Topical), Oxsoralen-Ultra Capsules 10mg (methoxsalen), Prostigmin Tablets 15mg (neostigmine), Tasmar Tablets 100mg, 200mg (tolcapone), Zelapar Orally Disingrating Tablets (selegiline)

Forms and other information are Copyright © Valeant Pharmaceuticals International Patient Assistance Program

While you are waiting to qualify for your free medication please try a Free Discount Drug Card > Click Here

Have a Question or Suggestion? Click Here to Visit Our Forum