Pharmaceutical Industries Limited
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What is Teva Cares Foundation?

The Teva Cares Foundation is a nonprofit organization dedicated to ensuring that cost is not a barrier to receiving treatment. Through the Teva Cares Foundation Patient Assistance Programs, we provide Teva medications at no cost to patients who meet certain insurance and income criteria.

What drugs are available through your Patient Assistance Programs?

The following medications are currently available through the Teva Cares Foundation Patient Assistance Programs:

You may qualify for the Teva Cares® Foundation Bendeka Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Bendeka.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Granix® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Granix®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation HERZUMA® (trastuzumab-pkrb) for Injection Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed HERZUMA® (trastuzumab-pkrb) for Injection.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation SYNRIBO® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed SYNRIBO® .
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Treanda® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Treanda®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation TRISENOX® (arsenic trioxide) Injection Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed TRISENOX® (arsenic trioxide) Injection.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation TRUXIMA® (rituximab-abbs) Injection Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed TRUXIMA® (rituximab-abbs) Injection.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Clozapine Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Clozapine.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Cyclosporine® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Cyclosporine®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Cyclosporine Oral® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Cyclosporine Oral®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Gabitril® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Gabitril®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation GALZIN® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed GALZIN®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Nuvigil® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Nuvigil®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Orap® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Orap®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation ProAir Respiclick® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed ProAir Respiclick®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation ProAir® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed ProAir®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Proglycem® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Proglycem®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Qnasl® Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Qnasl®.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.

You may qualify for the Teva Cares® Foundation Qvar® RediHaler Patient Assistance Program if you answer “YES” to the following questions:

  1. You have been prescribed Qvar® RediHaler.
  2. You do not have prescription drug coverage.
  3. Your yearly household income does not exceed the following:

Click here to download an application and instructions, or call 877-237-4881 to receive an application by mail or fax. We are staffed to assist you Monday through Friday, from 9:00 AM – 8:00 PM Eastern time. Applications must be completed and signed by the patient and the physician.