Contact info
- Phone
- 1-973-845-7600
Eligibility
- For grades K through 12 licensed as an educational facility under all applicable laws. See Free Certification Form for additional information.
- Visit EPIPENS4 School Program
- Income limit, single
- Not published
- Income limit, couple
- Not published
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- Not published
- US citizenship or residency required
- Not published
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Not published
- Prescriber license number
- Not published
- Who can sign
- Not published
- Application can be faxed
- Yes
- Decision letter sent to
- Not published
Getting the medication
- Patient receives
- Medication
- Shipped to
- School Nurse
- Supply per shipment
- 2 free pens
- Time to first delivery
- Not published
- Refills
- Replenishment form must be completed.
- Staying enrolled
- Contact program for details.
Medications covered
- EpiPen (epinephrine)
- EpiPen Jr (epinephrine)