Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with AbbVie Patient Assistance Foundation before sending sensitive documents. FaxFlow is not affiliated with this organization.
AbbVie Patient Assistance Foundation fax number
(866) 250-2803
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
Before you send
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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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