HOME HOW IT WORKS DOWNLOAD ORDER FORM CONTACT US
How the Program Works
Enroll Now
Request Info Mailed
Refer A Friend
Frequently Asked Questions
Patients’ Comments
What Others Are Saying-
  Media News Coverage
Request Flyers
Our Mission
Privacy Policy
Contact Us
Generic Medicine Program
P.O. Box 125
Doniphan, MO. 63935-0125

Visit Us at:
www.GenericMedicineProgram.com

Toll-Free:
1-800-939-7894 M-F 8-5 CST

Fax Order Toll-Free:
24 hours 7 days a week To:

1-888-812-5170
Contact Us

To download a free Order Enrollment Form for Prescription Assistance.

We encourage social workers, medical professionals, and advocate groups to contact us for a free supply of enrollment forms.

Here's how to get in touch with us:

By mail: Generic Medicine Program
P. O. Box 125
Doniphan, Mo. 63935-0125

To access the Generic Medicine Program Patient Assistance Program helpdesk by phone, you can call toll-free, 1-800-939-7894.

Fax Enrollment Order Form Toll-Free 24 hours 7 days a week to: 1-888-812-5170.

 
Request Enrollment Order Forms or Flyers by completing the form below:
Name  
   
Company Name
   
Address #1
   
Address #2
   
City/State/Zip       
   
Phone No. /Ext.:  
   
Fax No.
   
E-Mail Address:
   
Fax Number:
   
Type of User:
   
   
Comments:
   
 
   
 
To download a free Order Enrollment Form for Prescription Assistance.

If you have a story about how Generic Medicine Program Patient Assistance Program has helped you or someone you know, you can e-mail it to us (include a picture if you have one) to share it in our Testimonials area.

Thank you for visiting our web site!