4 Easy Ways to Get Your Patient Started
Fax the script to 1-888-839-0055
Download Prescription form here (fillable pdf)
Call 1-888-839-0049 8 AM to 8 PM ET
eScribe ASPN in Florham Park, NJ
* Eligibility Terms:
- Eligibility. This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs. This offer is not valid in Massachusetts or Minnesota or where otherwise prohibited, taxed or otherwise restricted. Patients whose private indemnity or HMO insurance plans reimburse for the entire cost of their prescription drugs also are not eligible. Patients must be at least 18 years old and a resident of the United States or Puerto Rico to participate in the Program.
- Benefit or reimbursement support may be limited and/or require eligible patients to affirmatively enroll through our business partner(s).