Eligibility for the Patient Assistance Programs from Nestlé Health Science is based upon information you and your licensed practitioner provide on the application form. If you are approved, you will receive a three-month supply of the product you require at no charge. Your medication will be shipped to your licensed practitioner's office for them to dispense to you.

DOWNLOAD APPLICATION FORM

FREQUENTLY ASKED QUESTIONS

Please contact us for more information:
Phone: 855-210-6228
Fax: 877-867-1831