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Help Providing Auvi-Q Auto-Injectors

Auvi-Q Logo

 

KALÉO CARES Patient Assistance Program

 

Kaleo, the manufacturer of Auvi-Q, offers FREE epinephrine auto-injector devices to families that are uninsured, or under insured. It is a very easy process and the company automatically mails new devices when the old ones are set to expire.

 

Go to this website: https://www.auvi-q.com/resources 

 

Scroll to the bottom of the page, and click on “Kaleo Cares Patient Assistant Program.” 

 

Download the enrollment form from the above website or open from the link below, fill out the form, and give to your child's doctor. *Faxes must be sent from the Prescriber's office, and must include the prescription.

 

Enrollment Form