ARCH Foundation Patient Assistance Program For Mirena, a patient assistance program provided by The ARCH Foundation, offers Mirena at no cost to those who are eligible for the program. Eligibility is based off of the following requirements: You must be a citizen of the United States or its Territories.
Full Answer
How to enroll in Arch Foundation?
Is Mirena an estrogen free pill?
ARCH Patient Assistance Program Application Form... - Public Health ...
ARCH Patient Assistance Program Application Form Page 1 of 2 Please return completed application and all required documentation to ARCH, PO Box 29061, Phoenix, AZ 85038 or Fax to 1-877-229-1421 PROVIDER.
MIRENA Patient Assistance Program
There are over 100 million Americans that either can‚t afford their medication or are struggling to afford their medication. We aim to help each and every American in that situation.
ARCH FOUNDATION PATIENT ASSISTANCE PROGRAM FOR MIRENA - RxHope
ARCH FOUNDATION PATIENT ASSISTANCE PROGRAM FOR MIRENA® ARCH Foundation, P.O. Box 220908, Charlotte, NC 28222-0908 Telephone: (877) 393-9071 Fax: (877) 229-1421
Application - Bayer
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IUD Financial Assistance
There are several financial assistance programs to help uninsured, low-income earners who need access to birth control. On this page, we'll outline available programs so you can find one that fits your needs.
How long does Mirena last?from mirena-us.com
Mirena ® (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 6 years. Mirena also treats heavy periods for up to 5 years in women who choose intrauterine contraception.
What is Bayer's commitment to women?from mirena-us.com
Bayer is committed to the reproductive health of women , and we work hard to ensure that every woman can feel empowered and confident when it comes to her reproductive decisions and health. This means supporting every woman’s access to effective contraception.
Is the ARCH Foundation a non profit?from patientassistance.com
The ARCH Foundation is a not-for-profit foundation who specifically provides the patient assistance program for the Mirena contraceptive. Mirena is an estrogen-free intrauterine contraceptive ...
Can you get Mirena by prescription?from mirena-us.com
Only you and your HCP can decide if Mirena is right for you. Mirena is available by prescription only.
Does Mirena protect against HIV?from mirena-us.com
Mirena does not protect against HIV or STIs. Only you and your HCP can decide if Mirena is right for you. Mirena is available by prescription only. For important risk and use information about Mirena, please see Full Prescribing Information.
Does ARCH Foundation provide Mirena?from patientassistance.com
ARCH Foundation Patient Assistance Program For Mirena, a patient assistance program provided by The ARCH Foundation , offers Mirena at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:
Can you use Mirena if you have a cancer?from mirena-us.com
If you have an untreated genital infection, get infections easily, or have certain cancers, don't use Mirena. Less than 1% of users get a serious pelvic infection called pelvic inflammatory disease (PID).
How to enroll in Arch Foundation?from patientassistance.com
Fill out the program enrollment form located to your right. If you don't see an enrollment form available please call Arch Foundation 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.
Is Mirena an estrogen free pill?from patientassistance.com
Mirena is an estrogen-free intrauterine contraceptive launched by Berlex Laboratories Inc. in 2003. Mirena has been approved by the FDA as an alternate form of contraception. Mirena is placed into the uterus by your physician.
How to enroll in Arch Foundation?from patientassistance.com
Fill out the program enrollment form located to your right. If you don't see an enrollment form available please call Arch Foundation 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 Bayer US Patient Assistance Foundation?from patientassistance.bayer.us
The Bayer US Patient Assistance Foundation is a charitable organization that helps eligible patients get their Bayer prescription medicine at no cost.
How to fill out and sign Applicant online?from uslegalforms.com
Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:
Is the ARCH Foundation a non profit?from patientassistance.com
The ARCH Foundation is a not-for-profit foundation who specifically provides the patient assistance program for the Mirena contraceptive. Mirena is an estrogen-free intrauterine contraceptive ...
Is Mirena an estrogen free pill?from patientassistance.com
Mirena is an estrogen-free intrauterine contraceptive launched by Berlex Laboratories Inc. in 2003. Mirena has been approved by the FDA as an alternate form of contraception. Mirena is placed into the uterus by your physician.
How to enroll in Arch Foundation?from patientassistance.com
Fill out the program enrollment form located to your right. If you don't see an enrollment form available please call Arch Foundation 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.
Is Mirena an estrogen free pill?from patientassistance.com
Mirena is an estrogen-free intrauterine contraceptive launched by Berlex Laboratories Inc. in 2003. Mirena has been approved by the FDA as an alternate form of contraception. Mirena is placed into the uterus by your physician.
What is Mirena offer?from drugs.com
Mirena offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.
How long does Mirena last?from mirena-us.com
Mirena ® (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 6 years. Mirena also treats heavy periods for up to 5 years in women who choose intrauterine contraception.
What is Bayer US Patient Assistance Foundation?from bayer.com
The Bayer US Patient Assistance Foundation is a charitable organization that helps eligible patients get their Bayer prescription medication at no cost.
Is Mirena a generic?from drugs.com
Mirena is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Mirena av ailability . This Mirena price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
Can you get Mirena by prescription?from mirena-us.com
Only you and your HCP can decide if Mirena is right for you. Mirena is available by prescription only.
Can you use Mirena if you have a cancer?from mirena-us.com
If you have an untreated genital infection, get infections easily, or have certain cancers, don't use Mirena. Less than 1% of users get a serious pelvic infection called pelvic inflammatory disease (PID).
Does Medicaid cover Mirena IUD?from mirena-us.com
All Medicaid programs are required to cover family planning services without cost-sharing. State coverage decisions and patient out-of-pocket costs can vary. Most Medicaid patients have no out-of-pocket expense for the Mirena IUD.
What is Mirena used for?
Mirena (levonorgestrel) is a member of the contraceptives drug class and is commonly used for Abnormal Uterine Bleeding, and Birth Control.
Is Mirena a generic?
Mirena is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Mirena av ailability . This Mirena price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
How to enroll in Arch Foundation?
Fill out the program enrollment form located to your right. If you don't see an enrollment form available please call Arch Foundation 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.
Is Mirena an estrogen free pill?
Mirena is an estrogen-free intrauterine contraceptive launched by Berlex Laboratories Inc. in 2003. Mirena has been approved by the FDA as an alternate form of contraception. Mirena is placed into the uterus by your physician.
Important Note
- The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. LEVONORGESTREL-RELEAS...
Uses
- This product is a small, flexible device that is placed in the uterus and is used to prevent pregnancy. The device works by slowly releasing a hormone (levonorgestrel) and is used in women who desire long-term (up to 5 years) and reversible birth control. This product is only intended for use in women who have previously given birth, have only one sexual partner (are m…
How to Use
- This product is inserted into your uterus by a properly trained health care professional usually once every 5 years, or as determined by your doctor. The medication in the device is slowly released into the body over a 5-year period. If birth control is still desired after 5 years, the device may be replaced with a new one. If birth control is no longer desired at any time, the device may …
Side Effects
- Irregular vaginal bleeding (e.g., spotting), cramps, headache, nausea, breast pain, acne, rash, hair loss, or weight gain may occur. If any of these effects persist or worsen, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: lack of menstrual period, fever, chills, stomach pain, trouble breathing, mental/mood changes, decreased interest in sex, vaginal …
Precautions
- This medication is not recommended for use if you have any of the following medical conditions: pregnancy or suspect you are pregnant, uterine problems (e.g., cancer, endometriosis, fibroids, pelvic inflammatory disease or PID), vaginal problems (e.g., infection), liver disease or tumors, disease affecting your immune system (e.g., AIDS, leukemia), breast cancer, previous ectopic pr…
Drug Interactions
- Tell your doctor of all prescription and nonprescription medication you may use, especially: "blood thinners" (e.g., warfarin), oral contraceptives. Do not start or stop any medicine without doctor or pharmacist approval.
Overdose
- Overdose with this medication is not generally suspected because of the way the drug is released from this device. Consult your doctor or pharmacist.
Notes
- Laboratory and/or medical tests (e.g., pregnancy tests, physical exams) may be performed to monitor your progress.
Storage
- Prior to use, store at room temperature between 36 and 86 degrees F (15 to 30 degrees C) away from light and moisture.