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MEDICATION ASSISTANCE AUTHORIZATION Student Name:___SIS#:___D. O.B.___ Address: ___ School:___Grade:___ Teacher:___ Parent/Guardian Phone: Home:___ Work:___Cell:___Emergency:___IMPORTANT INFORMATION
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01
Visit the MyAbbVie Assist website or call the customer support helpline.
02
Create an account or log in if you already have one.
03
Fill out the necessary patient information such as name, contact details, medical history, insurance details, and prescription information.
04
Submit any required documents or forms requested by MyAbbVie Assist.
05
Wait for approval and confirmation of enrollment in the program.

Who needs myabbvie assist - patients?

01
Patients who are prescribed AbbVie medications and require financial assistance.
02
Patients who may struggle with the costs of their medications and need support in navigating insurance coverage.
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MyAbbVie Assist - Patients is a patient assistance program provided by AbbVie to help patients access their prescribed medications.
Patients who meet the eligibility criteria set by AbbVie may file for assistance through the MyAbbVie Assist - Patients program.
Patients can fill out the MyAbbVie Assist - Patients application either online or by contacting AbbVie directly for assistance.
The purpose of MyAbbVie Assist - Patients is to provide financial assistance to eligible patients who need help accessing AbbVie medications.
Patients may need to provide personal and medical information, as well as details about their insurance coverage and financial situation.
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