Welcome to the Eisai Patient Assistance Program (PAP) prescreening tool for healthcare professionals. The Eisai PAP provides Eisai medicines at no cost to financially needy patients who meet program eligibility criteria.This prescreening tool is intended to assist healthcare professionals in:
The prescreening process is an initial step to determine if a patient may be eligible. A final enrollment determination will be made once a complete and signed enrollment form and prescription are submitted via fax.
For medical inquires or to report an adverse event, call Medical Services at 1-888-274-2378.
For patient assistance information about Aricept®, Banzel® and Zonegran® 1-800-226-2072.