Commitment Abbott, formerly Solvay Pharmaceuticals, Inc. We are committed to providing access to our company's medications for those patients experiencing financial hardship and having no source of pharmaceutical drug coverage (including Medicare Part D). The Solvay Pharmaceuticals' Patient Assistance Program provides assistance to hundreds of patients each year. Participation You or your physician may apply by submitting a completed application form. Application may be obtained by calling (800) 256-8918, or forms can be downloaded in a PDF format below for completion. Ongoing patient participation is available based on continued medical and financial need. Eligibility Patients must meet certain eligibility requirements that are as follows: Must be a legal U.S. resident Cannot be covered under any prescription drug plan including Medicare Part D Household income must fit within certain financial criteria. This is determined by comparing the patient's annual household income to an equation based upon poverty guidelines established by the federal government. Must have a valid prescription for an available product of Solvay Pharmaceuticals, Inc. or its wholly owned subsidiary, Unimed Pharmaceuticals, Inc. Products Covered (subject to change) AndroGel® (testosterone gel) 1% CIII   (This is a Unimed Pharmaceuticals product) CREON® (pancrelipase) Delayed-Release Capsules 6,000 units Lipase, 12,000 units Lipase, and 24,000 units Lipase PROMETRIUM® (progesterone, USP) 100 mg and 200 mg Capsules Application Form Click here to view and print the Patient Assistance Program enrollment application form. This form must be signed by your physician and a valid prescription must accompany this form.. Questions should be directed to the Patient hotline: 1-800-256-8918 Physician Requests Physician requests relating to the Solvay Pharmaceuticals Inc. Patient Assistance Program should be sent to the administrator of the program at the address below:      Solvay Pharmaceuticals, Inc. Patient Assistance Program      P.O. Box 66550      St. Louis, MO 63166-6650      Fax 1-800-276-9901 (physicians only) TRICOR® or SIMOR® or TRILIPIX® Assistance for TRICOR® (fenofibrate), SIMCOR® (Simvastatin Niacin Extended Release) and TRILIPIX® (fenofibric acid) are available for patients who qualify through the Abbott Patient Assistance Program: Abbott Patient Assistance Foundation P. O. Box 270 Somerset, NJ 08876 Phone: 1-800-222-6885 Please note: Program rules and guidelines at Abbott Laboratories may differ from those in place for the Solvay Pharmaceuticals, Inc. Patient Assistance Program.