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Estimated patient savings $600,000,000.00
Retassist Retavase Patient Assistance Program

Summary

PDL BioPharma is a company that is geared towards the crafting and development of antibodies which would greatly increase the health of patients plagued with cancer or other immunological diseases. Through the diligent work of PDL BioPharma’s research and development teams, they are constantly creating new products which they effectively market to both patients and physicians which they hope will improve the quality of their lives. Currently collaborating with partners throughout the United States and Europe, they continue to focus on, and excel in the areas of acute cardiac care, autoimmune diseases, inflammatory conditions, and cancer.

Retavase is a thrombolytic agent launched by PDL BioPharma in 1996. Retavase has been approved by the FDA to dissolve blood clots. Retavase is administered intravenously via an injection.

Eligibility

Retassist Retavase Patient Assistance Program, a patient assistance program provided by PDL BioPharma, offers Retavase at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:

- 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 medication must be sent to the physicians office.

Those eligible for Medicare Part D but not enrolled may still be eligible.

SOURCE: 2008 Poverty Chart
Family Size
300%
250%
200%
150%
133%
100%
1
$32,490
$27,075
$21,660
$16,245
$14,404
$10,830
2
$43,710
$36,425
$29,140
$21,855
$19,378
$14,570
3
$54,930
$45,775
$36,620
$27,465
$24,352
$18,310
4
$66,150
$55,125
$44,100
$33,075
$29,327
$22,050
5
$77,370
$64,475
$51,580
$38,685
$34,301
$25,790
6
$88,590
$73,825
$59,060
$44,295
$39,275
$29,530
7
$99,810
$83,175
$66,540
$49,905
$44,249
$33,270
8
$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 PDL BioPharma 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 PDL BioPharma 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.

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