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Organogenesis is committed to providing access to Apligraf® for those most in need through The
Apligraf® Patient Assistance
Program. This program can assist patients with limited financial
resources who also have no public or private insurance coverage.
To be eligible for this Program, the patient must:
- Be a U.S. resident
- Supply proof of income (1040 Tax Form or SSI statement
along with application completed and signed)
- Have no public or private insurance coverage – this
program is not a co-payment assistance program
Please note that eligibility is determined on a case-by-case
basis. Please apply with the assistance of your health care
professional who is treating you.
Please print and have your
healthcare professional fill out the Apligraf® Patient
Assistance Program Application
and fax to: 1-866-212-2888.
References:
3. Falanga V, Sabolinski ML. A bilayered living skin
construct (Apligraf®) accelerates complete closure of
hard-to-heal venous ulcers. Wound Repair Regen.
1999;7:201-207.
4. Veves A, Falanga V, et al. Graftskin, a human skin
equivalent, is effective in management of non-infected neuropathic
diabetic foot ulcers. Diabetes Care.
2001;24:290-295
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