Arbor

LINK: https://www.pparx.org/prescription_assistance_programs/arbor_pharmaceuticals_patient_assistance_program

You must not be covered by any private, public, or Medicare Part D health insurance and prescription
coverage programs.

You must be a citizen of the United States or its Territories.

You must be an outpatient currently under the care of a physician.

Your income must be less than or equal to 200% of the Federal Poverty Guideline (300% for BiDil) for the size of your household.

Income guidelines:

Household Size Income
1 $22,980
2 $31,020
3 $39,060
4 $47,100
Each additional Person $8,040

Medications covered by the Patient Assistance Program:

BiDil®

E.E.S. Granules

EryPed 200 Oral Suspension

EryPed 400 Oral Suspension

EryPed Chewable Tablet

Erythrocin Stearate Filmtab Tablet

Erythromycin Delayed-Release Capsules

Erythromycin Ethylsuccinate Oral Suspension

Fluor-a-day®

PCE Dispertab Tablets

pediaderm®

pediaderm® HC

pediaderm® TA

Rhinaris®

SaltAire®

Phone: (706) 208 9700   Mail: info@pcpmail.org