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Chemo Mouthpiece Patient Assistance Program

Phone number and white text on a dark blue background. Call to enroll in the Chemo Mouthpiece patient assistance program.

With the Chemo Mouthpiece Patient Assistance Program, qualifying patients may receive a kit at no cost.
Eligibility required. Call now to enroll (888) 499-2122.

 

Text image with details of the Chemo Mouthpiece Patient Assistance Program. Three blue chemo mouthpiece devices and company logo. Program Details

  • The Chemo Mouthpiece® Patient Assistance Program
    provides devices at no cost to eligible patients.
  • The program is completely free to enroll.
  • An authorized healthcare provider must prescribe
    the device on the patient’s behalf.
  • Approval depends on product availability and
    verification of eligibility.
  • Devices may be free for the patient and healthcare
    provider.
  • There is no purchase requirement.
  • The product may not be resold or billed to insurance
    or any third party.
  • Patients will be provided a patient reference
    number upon enrolling.

 

Six blue Chemo Mouthpiece devices in front of a pink and a grey cooler.

Enroll Today:

For more information and to enroll, contact us:
Monday–Friday, 8 am–5 pm ET
Phone: (888) 499-2122
Email: PatientAssistance@chemomouthpiece.com