Care First for CF Program - Patient Assistance Programs

Summary

Axcan Pharma is a pharmaceutical company founded in 1982 by LÃ©on 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.

Ultrase is a porcine pancreatic enzyme concentrate launched by Axcan Pharma. Ultrase has been approved by the FDA for treatment of partial or complete exocrine pancreatic insufficiency caused by cystic fibrosis, chronic pancreatitis, pancreatectomy, and Shwachman's Syndrome. Ultrase is administered in capsule form.

Eligibility

Care First for CF Program, a patient assistance program provided by Axcan Pharma, offers Ultrase at no cost 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 are age 2 or younger.

- You must be diagnosed with Cystic Fibrosis or Shwachman-Diamond Syndrome.

- You may be enrolled in Medicare or Medicaid.

The patient will be sent a pharmacy card that may be used once a month.

SOURCE: 2008 Poverty Chart

Family Size

300%

250%

200%

150%

133%

100%

$32,490

$27,075

$21,660

$16,245

$14,404

$10,830

$43,710

$36,425

$29,140

$21,855

$19,378

$14,570

$54,930

$45,775

$36,620

$27,465

$24,352

$18,310

$66,150

$55,125

$44,100

$33,075

$29,327

$22,050

$77,370

$64,475

$51,580

$38,685

$34,301

$25,790

$88,590

$73,825

$59,060

$44,295

$39,275

$29,530

$99,810

$83,175

$66,540

$49,905

$44,249

$33,270

$111,030

$92,525

$74,020

$55,515

$49,223

$37,010

Each Additional Family Member

$11,220

$9,350

$7,480

$5,610

$4,974

$3,740

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 AAI Pharma Inc. program. Without their help millions of people will be without medication.