Glenwood Compassionate Drug Program - Patient Assistance Programs

Summary

Glenwood was founded in 1974 as a private nonprofit organization. Glendwood Inc. focuses specifically on providing treatment and educational services to individuals with autism, mental illness, and emotional disorders in the United Stated.

Western Medical, Ltd. researches, developes, and markets medical textile dressing products. They are best known for their compression wound care, support bandages, tubular retention bandages, and protective dressings. Western Medical, Ltd. provides their products through OEM or contract basis.

Potaba is an antifibrotic launched by Glenwood & Western Medical. Potaba has been approved by the FDA for treatment of scleroderma and Peyronie's Disease. Potaba is administered in capsule, envule, and tablet form.

Eligibility

Glenwood Compassionate Drug Program, a patient assistance program provided by Glenwood & Western Medical offers Potaba at no cost for up to 90 days to those who are eligible for the program. Eligibility is based off of the following requirements:

- Decisions are made on a case by case basis.

- You must have your doctor send in your application.

This program is limited to 20 people total at any given time.

The medication must be sent to the physicians office.

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 Glenwood 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 Glenwood 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.