abbott logo
CONTACT PATHWAY
FOR SPECIFIC RESOURCES
AND SERVICES

1-800-558-7677
patient_assistance_header




PATIENT ASSISTANCE PROGRAM






CONTACT ABBOTT NUTRITION'S PATIENT ASSISTANCE PROGRAM FOR QUESTIONS




1-866-801-5657

Monday through Friday,

8:30 AM to 5 PM, EST

GO TO THE PATHWAY SERVICES REQUEST FORMS




PATIENT ASSISTANCE PROGRAM

Abbott Nutrition believes that access to doctor recommended products is important for all patients. If your patient does not have access to alternative sources of coverage or funding of Abbott Nutrition products, they may qualify for Abbott Nutrition’s Patient Assistance Program. The Abbott Nutrition Patient Assistance Program is designed to provide supplemental product at no cost to eligible patients experiencing financial difficulties.

Is your patient eligible for the Patient Assistance Program?

To qualify, patients must:



1-process
Reside in one of the 50 states or District of Columbia and have no healthcare insurance coverage for the requested product;


2-process
Have no access to alternative sources of coverage or funding;


3-process
Meet financial eligibility criteria; and


4-process
Require 100% of their caloric needs from the requested product.


All applications are reviewed on a case-by-case basis to support the Program’s purpose of providing products at no cost to individuals in need. Abbott Nutrition products available through the Program are those listed within this application and should be used under medical supervision.

What is the application process for Abbott Nutrition’s Patient Assistance Program?

1-process
Your patient should download, complete, and sign the Patient Information section of the Patient Assistance Program application (included on this page). The provider should complete the other sections of the application and sign where indicated.


2-process
Your patient must attach current proof of income (tax return, W2, pay stub) for all in household.


3-process
Patient’s signature/date is required on the application.


4-process
Prescriber’s signature/date is required on the application.


5-process

You or your patient should fax the completed application to 1-866-734-7353 or mail to the following address:

Abbott Nutrition Patient Assistance Program

P.O. Box 4280

Gaithersburg, MD 20885-4280



Upon receipt of a completed application, the patient and provider will be notified of program eligibility. The approved supply of product will be shipped to the patient’s home unless otherwise specified.