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To fill out the Keppra patient assistance program, follow these steps: 1. Obtain the application form: Visit the Keppra program's website or contact their customer service to request a copy of the application form.
Am I eligible for the Keppra XR patient assistance program? If you meet the eligibility criteria for the Keppra XR assistance program, you could receive your Keppra XR without paying the full retail price. We review each program application individually and in line with the criteria set out by the program. Most programs consider the following
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UCB Patient Assistance Program www.rxassist.org (866) Medications covered: Keppra, Keppra XR, Vimpat Valeant Patient Assistance Program www.rxassist.org (800) or (866) Medications covered: Diastat AcuDial and Mysoline VNS Therapy Access Program www.cyberonics.com (877) patient assistance programs and
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