You can get more information and start the enrollment by calling or submitting an application online. How do I apply?Go to the program website and find out if you are eligible. Program Name:Good Days Patient Assistance Program Keep in mindPediatric assistance is also availible. Keep in mindPediatric assistance is also available. You will need a valid prescription and proof of household income. What are the restrictions?To qualify, you must have insurance to cover your prescription. What are the benefits?Contact the program to see how they can financially help you out. Or your doctor may register you online on the program website. How do I apply?You can find the form on the program website and can be submitted online.

The following program is available for this drug. You’ll need to apply through each program, either online, over the phone, or with your doctor's help.

Eligibility is often based on income, insurance or Medicare status, and other factors. Many programs are available from federal and state governments, non-profits, manufacturers, and other organizations to help you get the drugs you need at a reduced cost.

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