Galderma Laboratories Patient Assistance Program

Summary

Galderma Laboratories was founded in 1961 as Owen Laboratories, but became Galderma Laboratories in 1981 as a joint venture between Nestle and L'Oreal. Galderma Laboratories is a worldwide pharmaceutical company that focuses on the development of prescription skin care products and other dermatology related products. Some of their products include treatments for fungal nail infections, seborrheic dermatitis, non-melanoma skin cancer and photodamage, and hyperpigmentation disorders. Galderma Laboratories is considered to be one of the worlds foremost dermatological authorities and as such have provided some of the most unique and useful treatments and therapies in the field.

Eligibility

Galderma Laboratories Patient Assistance Program, a patient assistance program provided by Galderma Laboratories, offers the medications listed to the right at no cost for up to 1 year to those who are eligible for the program. Eligibility is based off of the following requirements:

- You must not be eligible for or 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 Guideline for the size of your household (see chart below).

The patient is sent a pharmacy card good for one year.

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 Galderma Laboratories 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 Galderma Laboratories 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.