Co-Pay Program

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Formative Pharma Inc. is pleased to provide eligible patients with immediate financial support of up to 20% for the medications listed below. Co-Pay assistance is accessible throughout Canada, excluding Quebec where prohibited by law, and may be applied independently or alongside private or commercial insurance coverage.

By clicking "Access Co-Pay Card", I confirm that I have obtained the patient's consent to share their information with Auxilium Health for the purposes of administering the financial aid program.

Patients can inquire about Auxilium Health's privacy practices by calling 1-800-385-7404 or emailing info@auxiliumhealth.ca
Product Name Strength Drug Identification Number (DIN) Product Co-Pay Card
Fulvestrant Injection 50 mg / mL 02536293 Access Co-Pay Card  


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