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FreeStyle Libre Compassionate Care Program fax number

(833) 875-6858

Program Administration (Bayshore Specialty Rx Ltd. on behalf of Abbott Diabetes Care)

Used for: Submitting enrolment form for the FreeStyle Libre Compassionate Care Program (Canada); enrollment may include financial assistance and shipment of FreeStyle Libre devices

Fax destination details

Department
Program Administration (Bayshore Specialty Rx Ltd. on behalf of Abbott Diabetes Care)
Purpose
Submitting enrolment form for the FreeStyle Libre Compassionate Care Program (Canada); enrollment may include financial assistance and shipment of FreeStyle Libre devices
Form
Enrolment Form — FreeStyle Libre Compassionate Care Program Enrolment Form
Address
Bayshore Specialty Rx Ltd., 233 Alden Road, Markham, ON, L3R 3W6, Canada
Voice phone
1-888-519-6890

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 patient and prescriber information, consent, and privacy sections; fax to 1-833-875-6858 to enroll in the program

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