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Estimated patient savings $600,000,000.00
Shire GI Patient Assistance Program

Summary

Shire Pharmaceuticals is a UK-based bio-pharmaceutical company founded in 1986 to meet several medical needs that had gone unmet. Shire Pharmaceuticals employees some of the most talented in the industry as they are one of the largest pharmaceutical companies world wide. They have created a division labeled Specialty Pharmaceuticals which focuses on treatment of Attention Deficit Hyperactivity Disorder, along with their Human Genetic Therapies division which focuses on treatment of single mutation genetic diseases such as Hunter syndrome and Fabry disease.

Eligibility

Shire GI Patient Assistance Program, a patient assistance program provided by Shire Pharmaceuticals, 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 not be covered by any private, public, or Medicare Part D prescription coverage programs.
  • Your income must be less than or equal to 250% of the Federal Poverty Guideline for the size of your household (see chart below).
  • The medication must be sent to the physicians office.

    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 Shire Pharmaceuticals 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 Shire Pharmaceuticals 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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