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THE MEDICINES COMPANY PATIENT FINANCIAL ASSISTANCE PROGRAM October 1, 2011, Dear Healthcare Provider; Thank you for your interest in THE MEDICINES COMPANY (MDC) HOSPITAL/PATIENT ASSISTANCE PROGRAM
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What is patient assistance program form?
The patient assistance program form is a document used by pharmaceutical companies to provide financial assistance to eligible patients who cannot afford their medications.
Who is required to file patient assistance program form?
Pharmaceutical companies are required to file the patient assistance program form.
How to fill out patient assistance program form?
To fill out the patient assistance program form, you need to provide information about the patient, their prescribed medications, financial situation, and any relevant supporting documents.
What is the purpose of patient assistance program form?
The purpose of the patient assistance program form is to help eligible patients who cannot afford their medications by providing them with financial assistance from pharmaceutical companies.
What information must be reported on patient assistance program form?
The patient assistance program form must include information such as the patient's name, address, prescribed medications, financial information, and any supporting documentation as required by the pharmaceutical company.
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