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Teva Cares Foundation fax number

(877) 438-4404

Patient Assistance Program

Used for: Submit patient assistance program applications for Teva medicines; forms can be faxed to 877-438-4404 or submitted online per program instructions.

Fax destination details

Department
Patient Assistance Program
Purpose
Submit patient assistance program applications for Teva medicines; forms can be faxed to 877-438-4404 or submitted online per program instructions.
Form
Teva Cares Foundation Patient Assistance Program application — Teva Cares Foundation Patient Assistance Program Application
Address
Teva Cares Foundation, P.O. Box 501827, San Diego, CA 92150
Voice phone
877-237-4881

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.

Complete the application (and physician endorsement if required) and submit it via fax to 877-438-4404 or through the online portal per the program’s instructions.

Review official form instructions

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