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Patient Assistance

Several Pharmaceutical Companies

Offer Patient Assistance for their Medications.

  • If you don't know the company who manufactures your medication, you can look it up on the internet.
  • If an application is available online, please print it and have it filled out before you come to the Health Center.
  • Please bring any required documentation, e.g. last years tax return or 2 months of pay stubs.

To download an application for medications by Lilly.

For medications by Glaxco Smith Kline,

for enrollment eligibility

For a list of medications by Forest and a link to their application,

For assistance with:

Pfizer medications

Merck medications

NovoNoro Disk