5347 Main Street Suite 100New Port Richey, FL 34652ph: 727-847-4448fax: 727-845-1572peimgmt@tampabay.rr.com
Anti-allergy
Pred Forte
Xibrom
Azopt
Acular
Trusopt
Cosopt
Xalatan
Travatan
Combigan
Dry Eye
Restasis
Patient Medication Assistance Programs
Print these forms and mail in to the indicated address for approval for assistance in paying for your medications.
Pharmecuetical Companys
**Note there are some restrictions. All patients may be eligible for assistance. Please check with the individual companies for guidelines.