Galderma Patient Assistance Program

Galderma Laboratories, Inc

The Galderma Patient Assistance Program provides Galderma products to patients with financial hardship who are not eligible or enrolled in private insurance or government plans.
Contact Information
Galderma Patient Assistance Program
6900 Dallas Parkway
Suite 200
Plano, TX 75024
1-(855) 431-3737 (phone)
1-(855) 431-3738 (fax)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to PPA.
Product(s) covered by program:
  • Clobex®
  • Differin
  • Epiduo
  • MetroGel®
  • Oracea®
  • Vectical®