Pharmaceutical Assistance Program Drug Details
Some Pharmaceutical Companies offer assistance programs for the drugs they manufacture. To see if any programs are available for the drugs you are taking, please select the letter in the list below to see if your drug is on the list. If your drug is on the list, click on the link labeled "details" for detailed information about the program.
| Drug Name | Abelcet |
| Drug Company | Enzon Pharmaceuticals
|
| Drug Program | Enzon - Patient Assistance and Access Program |
| Eligibility Criteria | Patient cannot have or qualify for any prescription coverage for Abelcet, DepoCyt or Oncaspar, including all federal, state, and local programs (such as Medicare, Medicaid, TriCare etc).
Part D enrollees generally not accepted but may request exception, with eligibility determined based on insurance and income eligibility criteria.
Must be ineligible for other medical insurance or lack coverage for the covered product.
Must be a legal resident of the U.S. and territories
Patient's total annual household income must be at or below the Enzon Poverty Level (Proof of Income is required - Federal Income Tax Return). See chart below.
Household Size
|
Total Annual
Household Income
|
Total Monthly
Household Income
|
1
|
$20,420
|
$1,702
|
2
|
$27,380
|
$2,282
|
3
|
$34,340
|
$2,862
|
4
|
$41,300
|
$3,442
|
5
|
$48,260
|
$4,022
|
6+
|
$55,220
|
$4,602
|
|
| Benefits/Assistance | Up to a maximum 3-month supply. |
| Website/Contact Information |
Address:
P. O. Box 08876
Centreville
, VA 20120
Phone:
1-800-345-2252
Website: www.enzon.com
|
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