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Patient Assistance Program:

For states that do not cover Enemeez® , we’ve developed a Patient Assistance Program. Our commitment to our customers is to make sure that all patients shall not be denied Enemeez® as an option for bowel care because of cost. Please contact us for additional information at 888-273-9734.

Click on the link below to download the application. Completed applications with required documentation can be mailed or faxed to:

Alliance Laboratories
2515 E. Rose Garden Lane
Suite #1Phoenix, Arizona 85050
Fax: 602-276-3733

Please click document below to open, or click link below to download your copy in a PDF.

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