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AbbVie Patient Assistance Foundation fax number
(866) 250-2803
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Patient Assistance Program
Used for: Submitting HUMIRA patient assistance applications (for HUMIRA adalimumab).
Fax destination details
- Department
- Patient Assistance Program
- Purpose
- Submitting HUMIRA patient assistance applications (for HUMIRA adalimumab).
- Form
- H-APP1-16C-1 — Patient Assistance Application for HUMIRA® (adalimumab)
- Address
- AbbVie Patient Assistance Foundation, D-617927, AP5 NE, 1 N. WAUKEGAN RD, North Chicago, IL 60064
- Voice phone
- 1-800-222-6885
- Website
- Visit organization website
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Complete Patient Information, Prescriber Information, and Shipping/Insurance sections; sign the Patient Certification and Authorization for Disclosure; fax to 1-866-250-2803 or mail to AbbVie Patient Assistance Foundation, D-617927, AP5 NE, 1 N. Waukegan Rd., North Chicago, IL 60064.
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