Medicine Pills

Salix Patient Assistance Program

The program provides certain Salix Pharmaceuticals medications no cost to you. This is a temporary assistance program that looks at your financial and medical needs. You will not need to pay any co-pays or enrollment fees to get help from this program. Once enrolled, you will receive a supply of the medication in the amount needed for your treatment or as determined by the program. In addition, the program will work with you and/or your physician to determine where your medication will be shipped.

How do I apply?

To apply for this program, print and fill out the application form. Please return the completed application to the program as instructed on the form.

Frequently Asked Questions

Am I eligible?

You can get help from this program if you have limited income and are a citizen or resident of the United States. You cannot have health insurance that can cover the cost of your treatment.

Can I get help from this program if I have Medicare?

Depending on the drug you are taking, if you have Medicare Prescription Drug Coverage, you cannot get help from this program. However, the Salix Patient Assistance Program may accept applications for people who have trouble paying for their medications even with Medicare Prescription Drug Coverage, so it is important to apply.

What will I need?
Who should I contact?

Salix Patient Assistance Program
P.O. Box 66520
St. Louis, MO 63166
Toll-Free: (866) 282-6563
Fax: (877) 738-3694

Did You Know?
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This is for fillable forms.