ViroPharma Patient Assistance Program - Patient Assistance Programs

Summary

ViroPharma is a pharmaceutical company which focuses on the development of products which treat viral diseases, such as Hepatitis C, as well as disorders affecting the digestive system, among myriad others. The company was found in 1994 by Claude H. Nash and has since grown to become a biotechnology company spanning several nations. Vancocin is currently the only antibiotic which has been approved by the FDA to treat lower digestive tract bacterial infections. ViroPharma currently has four other products in the pipeline at varying phases of clinical development.

Vancocin is an anti-bacterial launched by ViroPharma in 1992. Vancocin has been approved by the FDA to treat severe bacterial infections. Vancocin is administered orally via a capsule.

Eligibility

ViroPharma Patient Assistance Program, a patient assistance program provided by ViroPharma, offers a one time supply of Vancocin at no cost 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).

- You must be a citizen of the United States or its Territories.

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%

$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 ViroPharma 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 ViroPharma 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.