Teva Cares Patient Assistance Program

Proair HFA

Phone: 1-877-237-4881
Fax: 1-877-438-4404

Download application (PDF)


Requirements for uninsured applicants

  • Applicant must be at or below 300% federal poverty level to qualify
  • Medications are shipped to the applicants home
  • Applications are good for 1 year from the date approved by the program

Requirement for Medicare Part D applicants

  • Medicare Part D enrollees are not eligible for this program