| Pharmaceutical Company | Unimed Pharmaceuticals, Inc. |
| Program Address | Anadrol - 50 or Marinol Patient Assistance Program PO Box 6550 St. Louis MO 63166-6550 |
| Toll Free Phone Number | 800-256-8918 |
| Fax Number | 800-276-9901 |
| Guidelines and Notes | Providers can apply for the product on a one-time basis for new patient trial use, or for indigent patient use. Patients must meet program eligibility criteria which is set by Unimed. The application form is clearly marked with instructions. Phone staff is multi-lingual. |
| Initiating Enrollment | Provider calls between 8 am and 6 pm CST Monday through Friday for enrollment form. They will fax form that can be copied. Program will attempt to find other means of reimbursement for patient. |
| Health Provider's Role | Doctor completes and signs, and writes prescription, and faxes or mails. Different applications for each drug. |
| Patient's Role | Patient completes income and insurance information, proof of income may be requested later. Patient must list other medcations taken and allergies (for Anadrol). |
| How Dispensed | Both products are controlled substance. Program's pharmacy calls patient or doctor to be sure someone can signed for product before it is shipped to either patient or doctor. |
| Amount Dispensed | 30 day supply if reimbursement is being pursued; otherwise 90 day supply. |
| Refills | Company follows up with patient before current supply runs out. |
| Limit | Indefinite |