Enemeez® Patient Assistance Program

For states that do not cover Enemeez® , we’ve developed a Patient Assistance Program. Our commitment to our customers is to make sure that all patients shall not be denied Enemeez® as an option for bowel care because of cost. Please contact us for additional information Toll Free at 888-273-9734.

Click on the link below to download the application. Completed applications with required documentation can be mailed or faxed to:

Alliance Labs
1406 West Victory Lane
Phoenix, Arizona 85027

Fax: 602-276-3733

Patient Assistance Application