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Form from www.needymeds.orgReset ButtonPATIENT ASSISTANCE PROGRAM Application Be Completed By Patient To apply for assistance, please mail or fax the following items: Complete Patient Page Complete

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How to fill out mypraluent patient assistance program

01

Step 1: Obtain the application form from the MyPraluent website or your healthcare provider.

02

Step 2: Provide all necessary personal and financial information as requested on the form.

03

Step 3: Include a prescription from your healthcare provider for Praluent.

04

Step 4: Submit the completed application form, along with any supporting documents, either online or by mail to the address provided.

05

Step 5: Await approval notification and instructions for receiving assistance.

Who needs mypraluent patient assistance program?

01

Individuals who have been prescribed Praluent but are unable to afford the medication.

02

Patients who do not have insurance coverage for Praluent.

03

People who meet the income eligibility criteria for the MyPraluent patient assistance program.

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What is mypraluent patient assistance program?

Mypraluent patient assistance program is a program designed to help eligible patients access Mypraluent medication at a reduced cost or for free.

Who is required to file mypraluent patient assistance program?

Patients who meet the eligibility criteria for the program are required to file the Mypraluent patient assistance program.

How to fill out mypraluent patient assistance program?

To fill out the Mypraluent patient assistance program, patients need to provide personal and financial information, as well as details about their prescription and healthcare provider.

What is the purpose of mypraluent patient assistance program?

The purpose of the Mypraluent patient assistance program is to make Mypraluent medication more accessible to patients who may otherwise struggle to afford it.

What information must be reported on Mypraluent patient assistance program?

Patients must report personal and financial information, prescription details, as well as information about their healthcare provider.

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