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ucb patient assistance program application form keppra

by Rebeka Effertz Published 1 year ago Updated 1 year ago

What is Keppra used to treat?

Keppra has been approved by the FDA to treat partial-onset seizures in adults. Keppra is administered orally via a tablet, or solution. Keppra Patient Assistance Program, a patient assistance program provided by UCB Pharma, offers a six month supply of Keppra at no cost to those who are eligible for the program.

How do I apply to ucbcares UCB Pharma?

- UCBCares UCB PHARMA, INC. Patient must be uninsured or insured medically but with no prescription coverage. Patients with certain Medicare Part D plans may be eligible and can apply to determine eligibility. Online application available on Program Website. Upon approval, quantity will be determined by the prescription accompanying request.

What is the Keppra copay assistance card program?

Additional Information. KEPPRA Copay Assistance Card Program: Savings of up to $30 toward each prescription (after paying the first $25) for up to 12 prescriptions per year for eligible patients. www.keppraxr.com. Contact program for Spanish application.

What is UCB Keppra?

Keppra is an anti-epilleptic launched by UCB Pharma in 2006. Keppra has been approved by the FDA to treat partial-onset seizures in adults. Keppra is administered orally via a tablet, or solution.

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How to enroll in UCB Pharma?

Fill out the program enrollment form located to your right. If you don't see an enrollment form available please call UCB Pharma 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.

What is UCB Pharma?

UCB Pharma is currently a world leader in antibody research, with over thirty major research and development partners. Their operations span over forty countries, and netted over $3 billion in 2007 alone.

What is Keppra used for?

Keppra is an anti-epilleptic launched by UCB Pharma in 2006. Keppra has been approved by the FDA to treat partial-onset seizures in adults. Keppra is administered orally via a tablet, or solution.

How long is Keppra available?

Keppra Patient Assistance Program, a patient assistance program provided by UCB Pharma, offers a six month supply of Keppra at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:

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