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COMPASSIONATE PROGRAM

Antipsychotics

Pharmaceutical Co. Representative Phone Medication Compassion Proram Availa!le"#es$No

Eli Lilly Amelia Rigby 1-800-268-4446

ext 9317 or cell799-7744

Olanzeine

!"yrexa#

$o %ormal rogram b&t can call Amelia %or

'amle'

(an''en Ort)o Le*erne +ayer 1-800-387-8781ext 3681

Ri'eri,altab

.)e %orm i' %ille, o&t by t)e )y'ician an,%axe, to t)e n&mber on t)e %orm/enerally a 90 ,ay '&ly i' aroe, an,'ent o&t/ .)e Ri'er,al tab i't)e only one aailable t)e reg&larRi'er,al )ic) e call comre''e,tablet' are no generic an, t)ere%ore not'&orte,/ orm Attac)e,/

en +an 5ae rennan 1-866-781-7274 Ri'eri,one +ontact 5ae an, )e ill getin%ormation %or yo&/ ig)t be a bitmore comlicate, t)an +lozaine/

A'tra "eneca +&'tomer Relation' 1-800-668-6000 ero&el )y'ician can contact c&'tomer

relation' an, t)ey ill %ax o&t t)e%orm/

Once it )a' been %axe, bac: t)e

alication ill be reiee, an, t)ecriteria i' met t)ey ill bene%it %romt)eir rogram

en +an 5ae rennan 1-866-781-7274 +lozaine +ontact 5ae ; )e ill a,i'e t)e)y'ician a' to )at in%ormation )enee,' in a letter %ormat/

Letter i' %axe, an, t)en re'ente, to

t)e committee )o ill eit)eraroe or not/

age 1 o% 3

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COMPASSIONATE PROGRAM

Antidepressants%

Pharmaceutical Co. Representative Phone Medication Compassion Proram Availa!le"#es$No

+iralex- &elpin &ands% '()**(+,-(+/*

or atient' on +iralex Eac) ,octor can )ae & to yet) Ayer't 5enni' arling 1-800-461-3962ext 2