Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Alcon Cares, Inc. before sending sensitive documents. FaxFlow is not affiliated with this organization.
Alcon Cares, Inc. fax number
(800) 554-2660
Patient Assistance Program
Used for: Submitting applications for the Alcon Cares patient assistance program via fax (to request free or discounted medications for eligible patients).
Fax destination details
- Department
- Patient Assistance Program
- Purpose
- Submitting applications for the Alcon Cares patient assistance program via fax (to request free or discounted medications for eligible patients).
- Form
- Alcon Cares patient assistance application
- Address
- 6201 South Freeway, Fort Worth, TX 76134-0450
- Voice phone
- 800-222-8103
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill out Section 1 (patient) and Section 2 (healthcare provider) of the Alcon Cares patient assistance form; fax the completed form to 800-554-2660 or mail to Alcon Cares, Inc. TB3-4, 6201 South Freeway, Fort Worth, TX 76134-0450.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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