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Clozaril® Patient Assistance Program

North Dakota

Contact Information
Clozaril ® Patient Assistance Program
P.O. Box 66531
St. Louis, MO 63166-6556
1-(800) 277-2254 (phone)
Physician requests should be directed to:
Clozaril ® Patient Assistance Program
P.O. Box 66531
St. Louis, MO 63166-6556
1-(800) 277-2254 (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to PPA.
  • Click here to visit the program's web site.
  • Eligibility:
    The Colorazil ® Patient Assistance Program provides assistance to patients experiencing financial hardship who have no third-party insurance coverage for their medicines. Patient must be a U.S. Resident. Patient must not have prescription drug coverage (public or private). Patient must meet income eligibility criteria. Income eligibility varies by household size and product.
    Other Information:
    Patient applications are evaluated on a case-by-case basis.
    Product(s) covered by program:
    • Clozaril®