Arbor is pleased to offer prescription assistance for patients who qualify through Arbor Pharmaceuticals Patient Assistance Program (PAP). Patients who meet the eligibility requirements and wish to be considered for participation must complete and submit a Patient Assistance Program Application. It is important that applications are fully completed and signed. Incomplete applications will delay the application process.

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 PPA.

Product(s) Covered by Program

  • B

    • BiDil®
  • E

    • E.E.S. Granules
    • Edarbi tablet
    • Edarbyclor tablet
    • EryPed 200 Oral Suspension
    • EryPed 400 Oral Suspension
    • EryPed Chewable Tablet
    • Erythromycin Delayed-Release Capsules
    • Erythromycin Ethylsuccinate Oral Suspension
  • F

    • Fluor-a-day®
  • P

    • PCE Dispertab Tablets
    • pediaderm®
    • pediaderm® HC
    • pediaderm® TA
  • R

    • Rhinaris®
  • S

    • SaltAire®
    • Sotylize Oral Solution