Buphenyl Patient Assistance Program - Patient Assistance Programs

Summary

Ucyclyd Pharma, Inc. was founded in Maryland in 1995 to distribute and market Buphenyl powder and tablets. in 1999, Medicis Pharmaceutical Corporation acquired Ucyclyd Pharma, Inc. and relocated the company to Scottsdale, Arizona.

Medicis Pharmaceutical Corporation was founded in 1988 in Arizona as an independent specialty pharmaceutical company. Medicis Pharmaceutical Corporation focuses specifically on the treatment of dermatological and podiatric conditions and aesthetics medicine. They are currently one of the leading developers of prescription products for acne, fungal infections, psoriasis, rosacea, seborrheic, dermatitis, and skin related infections. Medicis Pharmaceutical Corporation products are known worldwide for being of high quality and effect.

Buphenyl is a sodium phenylbutyrate formula launched by Ucyclyd Pharma, Inc. in 1995. Buphenyl has been approved by the FDA for the treatment of hyperammonemia in patients with urea cycle disorders. Buphenyl is administered orally.

Eligibility

Buphenyl Patient Assistance Program, a patient assistance program provided by Ucyclyd Pharma, Inc., offers Buphenyl 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 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 OR you must have reached your coverage cap.

- You must be financially unable to pay for

- You must meet an undisclosed income guideline.

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 Ucyclyd Pharma, 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 Ucyclyd Pharma, 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.