Are you struggling to afford your Losartan-hctz medication? Our patient assistance program is here to help. Our team is dedicated to providing financial support to those in need. Take the first step towards managing your blood pressure with Losartan-hctz without worrying about the cost. Apply today to see if you qualify for our assistance program.

Eligibility Criteria

To be eligible for the Losartan-Hctz Patient Assistance Program, patients must meet certain criteria:

1. Financial Criteria:

Patients must demonstrate financial need and provide proof of income that falls below a certain threshold.

2. Medical Criteria:

Patients must have a valid prescription for Losartan-Hctz from a healthcare provider and must not have any alternative insurance coverage that covers the medication.

3. Program Participation:

Prior to enrollment, patients must agree to participate in the program and adhere to all program requirements, including providing regular updates on their health status and medication usage.

Eligibility Criteria	Details
Financial Need	Income below set threshold
Medical Requirement	Valid prescription for Losartan-Hctz
Program Compliance	Agree to adhere to program rules

Eligibility Criteria

To be eligible for the Losartan-Hctz Patient Assistance Program, patients must meet the following criteria:

Patient Criteria:

• Must be a resident of the United States
• Must be uninsured or underinsured
• Must have a valid prescription for Losartan-Hctz

Financial Criteria:

• Household income must fall below a certain threshold (specific income requirements will apply)
• Must provide proof of income (pay stubs, tax returns, etc.)

If you meet the eligibility criteria, you can proceed with the application process to enroll in the program and receive benefits for your Losartan-Hctz medication.

Application Process

To apply for the Losartan-Hctz Patient Assistance Program, follow these simple steps:

Step 1:	Download the application form from our website or request a form by calling our toll-free number.
Step 2:	Complete the application form with accurate information about your medical condition, income, insurance, and prescription medication.
Step 3:	Gather the required documents, including proof of income, insurance, and a prescription from your healthcare provider.
Step 4:	Mail or fax the completed application form and supporting documents to the address or fax number provided on the form.
Step 5:	Wait for the program administrators to review your application and notify you of the status of your enrollment.

Benefits of Participation

Participating in the Losartan-hctz patient assistance program offers a range of benefits to eligible individuals. Here are some of the key advantages:

1. Financial Assistance

Qualified participants may receive financial assistance to help cover the cost of their Losartan-hctz medication. This can alleviate the financial burden of managing a chronic condition.

2. Access to Medication

By participating in the program, individuals can ensure consistent access to their prescribed Losartan-hctz medication. This can help maintain treatment adherence and overall health outcomes.

Don’t miss out on these valuable benefits. Explore the Losartan-hctz patient assistance program today to see if you qualify!