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Angiomax Patient Financial Assistance Program

Summary

The Medicines Company is a leading developer of pharmaceutical products used to improve hospital care. Formed in 1996, The Medicines Company has grown to over 250 employees and produced three products: Angiomax, Clevidipine, and Cangrelor.

Angiomax is an anitcoagulant launched by The Medicines Company in 2002. Angiomax has been approved by the FDA for use in patients undergoing coronary angioplasty procedures. Angiomax is administered as an injection.

Eligibility

Angiomax Patient Financial Assistance Program , a patient assistance program provided by The Medicine Companys, offers Angiomax at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:

  • You must not be covered by private or public health insurance.
  • You must be a citizen of the United States or its Territories.
  • You must have already received the medication, as this is a hospital replacement program.
  • You must meet an undisclosed income guideline.

  • The medication must be sent to the physicians office or hospital.


    SOURCE: 2008 HHS Poverty Guidelines
    Persons in Family or Household 48 Contigous States and D.C. Alaska hawaii
    1 $10,400 $13,000 $11,960
    2 $14,000 $17,500 $16,100
    3 $17,600 $22,000 $20,240
    4 $21,200 $26,500 $24,380
    5 $24,800 $31,000 $28,520
    6 $28,400 $35,500 $32,660
    7 $32,000 $40,000 $36,800
    8 $35,600 $44,500 $40,940
    For each addtional person, add $3,600 $4,500 $4,140

    What’s Next?

    Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call The Medicine Company program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.

    Other Tips

  • If you have any questions please call the The Medicine Company program directly
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
  • Do not write messy on your forms as this will delay any response
  • Call and write thank you notes to The Medicine Company program. Without their help millions of people will be without medication.



  • PAP Links:
    Create Account to View

    Company Website:
    Create Account to View

    Company Phone: Create Account to View
    Company Fax: Create Account to View
    Company Address:
    Create Account to View

    List of Medications:
    Angiomax Injection 250mg/vial (bivalirudin)

    Forms and other information are Copyright © Angiomax Patient Financial Assistance Program