Please ensure JavaScript is enabled for purposes of website accessibility Order WBC Collection Kits For Cystinosis Patients

All
ABOUT

WHITE BLOOD
CELL (WBC)

CYSTINE LEVEL
COLLECTION KITS

Request a WBC Cystine Level Collection Kit

To monitor an individual's cystine levels and the effectiveness of their cystine-depleting therapy (CDT), Amgen can provide a white blood cell (WBC) cystine level collection kit for providers to give to their patients at no cost.

Enter your information below to receive a WBC cystine level collection kit for your patient. An Amgen representative will follow up with you upon receipt of your request.

If you are a patient interested in receiving a kit, please reach out to your doctor.

All fields are required.

For privacy and compliance reasons, we ask that patient information not be submitted through this form. Kindly enter only healthcare provider details.

You can expedite the sign-up process by looking up your National Provider Identification number.

NPI number required.
First name required.
Last name required.
Please enter valid email
Email required.
Confirm email required.
Emails must match.
Specialty required.

Shipping address for your practice 

Do not ship kits directly to your patient(s).

Practice name required.
Address required.
City required.
State required.
ZIP code required.
Please enter valid address
Alternate address found. Please select one
Entered Address:
Suggested Address:
Practice phone number required.
Please enter valid phone number

Specimen Collection Kits – Terms & Conditions of Acceptance

These Terms & Conditions of Acceptance shall apply in the event you (as a licensed prescriber) accept receipt of one or more Specimen Collection Kits from or on behalf of Amgen. Your acceptance of one or more such kits shall indicate that you will adhere to all of the following terms and conditions:

1. The Specimen Collection Kits will be used for patients prescribed an Amgen medicine and only upon the order of a licensed prescriber.

2. The Specimen Collection Kits will be used at no cost to patients. To be clear, neither you nor anyone else will sell or otherwise charge for the products or services associated with the Specimen Collection Kits.

3. Neither you nor anyone else will seek reimbursement from any third-party payor for the contents of the Specimen Collection Kit, or for the services rendered when using the Specimen Collection Kit. To be clear, neither private payors nor federal or state healthcare programs will be billed for any products or services associated with the Specimen Collection Kit.

You must agree to the Terms & Conditions.