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Several Pharmaceutical Companies
Offer Patient Assistance for their Medications.
- If you don't know the company who manufactures your medication, you can look it up on the internet.
- If an application is available online, please print it and have it filled out before you come to the Health Center.
- Please bring any required documentation, e.g. last years tax return or 2 months of pay stubs.
To download an application for medications by Lilly.
For medications by Glaxco Smith Kline,
For a list of medications by Forest and a link to their application,
For assistance with: