The Bayer HealthCare Patient Assistance Program provides medication for those in need, who have no prescription drug coverage and limited financial resources.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to the PPA.

Product(s) Covered by Program

  • A

    • Adalat®cc
    • Angeliq®Tablets
  • B

    • Biltricide®
  • C

    • Cipro
    • Cipro HC Otic
    • Cipro I.V.
    • Cipro® Oral Suspension
    • Cipro® XR
    • Climara Pro®
    • Climara®
  • D

    • Desonate®
  • F

    • Finacea®
  • M

    • Menostar®
  • P

    • Precose®