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Who might qualify?
The patient must meet all of the following eligibility requirements:
- Patient does not have access to insurance coverage for Mirena®.
- Patient meets the Foundation's financial eligibility criteria for assistance. Financial criteria are based on the Federal Poverty Level (FPL) and, therefore, financial eligibility varies with household size and will be determined on a case-by-case basis by the case coordinator.
- Patient is a U.S. resident under outpatient treatment by a qualified, U.S.-licensed healthcare provider.
