Mylan Specialty EpiPen Auto-Injectors School Discount Program Certification Form 2013-2025 free printable template
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CERTIFICATION FORM: Auto-Injectors School Discount Program The school and/or school district identified below (the School) hereby acknowledges and agrees that the (epinephrine) Auto-Injectors School
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How to fill out Mylan Specialty EpiPen Auto-Injectors School Discount
How to fill out Mylan Specialty EpiPen Auto-Injectors School Discount Program
01
Obtain the Mylan Specialty EpiPen Auto-Injectors School Discount Program application form from the Mylan Specialty website or your school nurse.
02
Fill out the application form with accurate information, including the student’s name, school name, and contact information.
03
Provide proof of eligibility, such as a prescription for EpiPen or a letter from a healthcare provider confirming the need for EpiPen.
04
Sign and date the application form.
05
Submit the completed application form and any required documentation to Mylan Specialty, either by mail or electronically as instructed.
Who needs Mylan Specialty EpiPen Auto-Injectors School Discount Program?
01
Students diagnosed with severe allergies that require the use of an EpiPen for anaphylaxis treatment.
02
Parents or guardians of children who require EpiPen auto-injectors for school and want to access discounted pricing.
03
Schools looking to obtain EpiPen auto-injectors for their students who are at risk of anaphylaxis.
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People Also Ask about
Are EpiPens funded?
From 1 February 2023, people at risk of anaphylaxis who meet certain eligibility criteria will have access to funded adrenaline auto-injectors (EpiPen & EpiPen Jr).
Do schools have to pay for EpiPens?
Pharmacies are not required to provide AAIs free of charge to schools: if the school decides to purchase “spare” AAI, then the school must pay for them as a retail item.
Can you get EpiPens for free?
Pharmaceutical Company Assistance Programs. Mylan Specialty L.P., the manufacturer of EpiPen, and Kaleo, Inc., which makes Auvi-Q, each offer prescription assistance programs to provide epinephrine to consumers who can't otherwise afford them. 3 In some cases, the manufacturers can get you epinephrine for free.
What allergy class needs an EpiPen?
What allergies require an EpiPen? Any severe allergic reaction, also known as anaphylaxis, can be treated with an EpiPen. This can include food allergies like a peanut allergy, allergic reactions to insect stings and bites, and allergies to medications.
How do people get EpiPens?
How Do You Get an EpiPen? You can't just go to a pharmacy and ask for an EpiPen. You need to have a prescription for one, and you should fill that prescription long before you have an allergic reaction serious enough to use the EpiPen. You should have the pen available for when you have an allergic reaction.
Do EpiPens cost money?
The average price of brand-name EpiPens is $690 at pharmacies. Still, the generic versions (commonly called epinephrine auto-injectors) cost about half. Epinephrine is an expensive drug used for the emergency treatment of severe allergic reactions.
How to get free EpiPens?
Pharmaceutical Company Assistance Programs 3 In some cases, the manufacturers can get you epinephrine for free. To participate in these programs, you'll need to email or call the manufacturers and request help in paying for your prescription, which will usually be delivered to a healthcare provider of your choosing.
Are students allowed to carry their EpiPens with them during school?
Some students can safely carry their Epipens with them during the school day. This requires a note from their medical provider stating the student is capable and responsible to safely keep the medication with them. For some students, the school nurse's office may be the best place to store their emergency medication.
How do you get EpiPens for school?
As a participant in the EPIPEN4SCHOOLS program, your school will receive four free EPIPEN or EPIPEN JR Auto-Injectors. If you work in a kindergarten, elementary, middle or high school in the U.S. in states with appropriate stock epinephrine laws and have a valid prescription, your school may be eligible to participate.
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What is Mylan Specialty EpiPen Auto-Injectors School Discount Program?
The Mylan Specialty EpiPen Auto-Injectors School Discount Program is an initiative designed to provide schools with discounts on EpiPen auto-injectors, which are used for the emergency treatment of severe allergic reactions.
Who is required to file Mylan Specialty EpiPen Auto-Injectors School Discount Program?
Schools that wish to participate in the program and obtain discounted EpiPen auto-injectors are required to file for the Mylan Specialty EpiPen Auto-Injectors School Discount Program.
How to fill out Mylan Specialty EpiPen Auto-Injectors School Discount Program?
To fill out the Mylan Specialty EpiPen Auto-Injectors School Discount Program, schools must complete the application form provided by Mylan Specialty, ensuring all required information and documentation are accurately submitted.
What is the purpose of Mylan Specialty EpiPen Auto-Injectors School Discount Program?
The purpose of the Mylan Specialty EpiPen Auto-Injectors School Discount Program is to ensure that schools can access affordable EpiPen auto-injectors to help manage the health needs of students with severe allergies.
What information must be reported on Mylan Specialty EpiPen Auto-Injectors School Discount Program?
The information that must be reported includes school details, the number of EpiPen auto-injectors needed, and any relevant documentation that supports the request for the discount.
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