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ARBOR ASSISTANCE PROGRAMTelephone: (877)4389759 Fax: (866) 4481960 Email: reimbursement@arborpharma.com Hours: Monday Friday 8:00 AM 5:00 PM CSTGLIADEL WAFER PATIENT ASSISTANCE PROGRAM Effective Date

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How to fill out arbor patient assistance program

01

Visit the Arbor website or call their customer service to request an application form.

02

Fill out the application form with accurate and detailed information about your medical condition, insurance coverage, and financial situation.

03

Gather supporting documents such as proof of income, insurance statements, and medical records.

04

Submit the completed application form and supporting documents to Arbor either online, by mail, or fax.

05

Follow up with Arbor to ensure that your application is being processed and to provide any additional information if necessary.

Who needs arbor patient assistance program?

01

Patients who are uninsured or underinsured and are unable to afford their medications.

02

Patients who have a chronic medical condition requiring expensive treatments.

03

Patients who are experiencing financial hardship and cannot afford their prescribed medications.

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What is arbor patient assistance program?

Arbor Patient Assistance Program provides financial assistance to eligible patients who are in need of help to cover the cost of their medications.

Who is required to file arbor patient assistance program?

Patients who are seeking financial assistance for their medications are required to file the Arbor Patient Assistance Program.

How to fill out arbor patient assistance program?

To fill out the Arbor Patient Assistance Program, patients need to provide personal and financial information, along with details of the medications they need assistance with.

What is the purpose of arbor patient assistance program?

The purpose of Arbor Patient Assistance Program is to help patients who are struggling to afford the cost of their medications.

What information must be reported on arbor patient assistance program?

Patients must report personal information, financial details, and information about the medications they need assistance with on the Arbor Patient Assistance Program.

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