| Pharmaceutical Company | Proctor and Gamble Pharmaceuticals |
| Program Address | Procter and Gamble Pt. Assistance c/o Express Scripts PO Box 66553 St. Louis MO 63166 |
| Toll Free Phone Number | 800-830-9049 |
| Alternate Phone Number | n/a |
| Fax Number | 866-277-9329 |
| Guidelines and Notes | To qualify, patient should have no Rx coverage from any third party and fall below the Federal Poverty level after subtracting medical, dental and prescription expenses. |
| Initiating Enrollment | Anyone can call them, but they will fax the form to the physician. |
| Health Provider's Role | Doctor completes, signs, writes RX for 90 days and faxes to program. Program will let physician's office know about eligibility within 14 days. |
| Patient's Role | Income and insurance information needed, patient must sign the form. |
| How Dispensed | They utilize Express Scripts. Medications Fedexed either to patient, physician, place of employment etc. as long as someone can sign upon delivery. |
| Amount Dispensed | Sends 3 month medication |
| Refills | Patient sends mailer with another 90 day prescription 4 weeks before running out of medication.. |
| Limit | Indefinite --patient must reapply annually, |