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Amgen Safety Net Foundation fax number
(833) 959-1409
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Patient Assistance / Prescription Assistance
Used for: Submitting prescription assistance applications and prescriptions by fax to the foundation (for approval/assistance with Amgen medicines).
Fax destination details
- Department
- Patient Assistance / Prescription Assistance
- Purpose
- Submitting prescription assistance applications and prescriptions by fax to the foundation (for approval/assistance with Amgen medicines).
- Form
- Amgen Safety Net Foundation Patient Instructions and Application Form
- Address
- PO Box 19149, Lenexa, KS 66285
- Voice phone
- 1-800-932-3060
- 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 patient information (including income/insurance details as required), attach prescription, and fax the completed application and prescription to 1-833-959-1409.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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