To qualify for a financial assistance program, you (or the patient you’re applying for) must:
- Be getting treatment for the disease named in the assistance program, and
- Be taking a medication that’s covered by your health insurance and listed in the assistance program, and
- Have an income that’s at or below the Federal Poverty Level listed by the assistance program, and
- Live and receive treatment in the United States or U.S. territories. You don’t have to be a U.S. citizen.
Full Answer
What is a patient assistance program (PAP)?
Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. These programs are managed by pharmaceutical companies, nonprofits, and government agencies. PAPs may cover the full cost of medications or provide a discount.
What are the costs associated with patient assistance programs?
In most cases, there is no cost associated with patient assistance programs. If there are any costs for the program, it will be displayed in the profile for the pharmaceutical company whose medication you are inquiring about. Many PAP's provide their medication completely free or at a significant discount off the uninsured cost.
What is the difference between co-pay and Patient Assistance Program?
Co-Pay Program will offer $5,000/year toward insurance co-pays for Vemlidy for eligible insured patients. Patient Assistance Program provides free Vemlidy or Hepsera for eligible uninsured patients. Patient assistance for individuals without medical insurance who meet income requirements.
What assistance programs are available for Vemlidy?
Below is a list of the companies, the medications that are covered by their assistance programs, and their contact information. Co-Pay Program will offer $5,000/year toward insurance co-pays for Vemlidy for eligible insured patients. Patient Assistance Program provides free Vemlidy or Hepsera for eligible uninsured patients.
Where do patient assistance programs come from?
How to sign up for a med program?
Does GlaxoSmithKline offer assistance?
Can a patient assistance card help you?
Do you have to pay for prescription drugs out of pocket?
See 2 more
About this website
What Are Patient Assistance Programs?
Commonly referred to as PAPs, Patient Assistance Programs are services offered by pharmaceutical companies for those who cannot afford their medica...
Are There General Eligibility Requirements?
After properly identifying the pharmaceutical company who offers the medicine you would like assistance with, you can begin the the enrollment proc...
What Steps Do You Need to take?
Yes. Although eligibility differs from program to program, they all have three specific criteria in common. Income:To qualify for any patient assis...
What Other Material Will I Need to Provide Besides The Enrollment form?
Many pharmaceutical companies will require additional material to be submitted along with your completed enrollment form. As stated before, there a...
What Is Required of My Physician During The Enrollment Process?
While they're are some enrollment processes that do not require interaction from your physician; many request that they provide answers to question...
Is There Any Cost Associated With Patient Assistance Programs?
In most cases, there is no cost associated with patient assistance programs. If there are any costs for the program, it will be displayed in the pr...
When Should I Expect to Receive My medication?
After your enrollment application has been accepted to the patient assistance program, it may take up to 6 weeks before you start receiving your me...
Does Having Health Insurance Disqualify Me from Eligibility?
While belonging to a prescription coverage program renders you ineligible for any patient assistance program, it is not universal as to whether hav...
Am I Still Eligible If I Have Used All of My Current Prescription Coverage?
Once you have used all of your prescription coverage, you are no longer considered covered as it provides you no use. It is recommended that you wa...
Will Having Medicare Part D Disqualify Me?
Most patient assistance programs disqualify all those eligible for the full low income subsidy through Medicare Part D. If you do not qualify for t...
Patient Assistance Programs - Frequently Asked Questions
What steps do you need to take? Yes. Although eligibility differs from program to program, they all have three specific criteria in common. Income: To qualify for any patient assistance program, your total household income must be less than 200% of the Federal Poverty Level. Prescription Coverage: Prescription assistance programs require that you do not currently subscribe to private or public ...
Patient Assistance Programs and Types of Assistance - AssistRx
Using the e-support services available in iAssist—the most comprehensive therapy initiation platform—healthcare providers can quickly enroll patients into patient assistance programs with real-time PAP screening and approval.. Using iAssist, your office can electronically and proactively capture required information, screen and receive approval for eligible patients and even generate a PAP ...
Patient Assistance Programs & Prescription Assistance Programs
Discussion. There are several types of PAPs. There are ones that are designed for patients that do not have insurance, others for individuals whose insurance co-payment amounts are prohibitively expensive, and still other programs to assist with specific types of insurance, such as Medicare Part D.
Pharmaceutical Manufacturer Patient Assistance Program Information | CMS
Pharmaceutical manufacturers may sponsor patient assistance programs (PAPs) that provide financial assistance or drug free product (through in-kind product donations) to low income individuals to augment any existing prescription drug coverage.
What are Patient Assistance Programs?
Commonly referred to as PAPs, Patient Assistance Programs are services offered by pharmaceutical companies for those who cannot afford their medication. Patient assistance programs are available to low-income individuals or families who are under-insured or uninsured and are provided to those who meet the eligibility guidelines. Assistance may range from reduced cost of drugs to free medicine. Each drug that a company offers will have its own unique program and may even have a different eligibility requirement than the other drugs they offer. As there is no unified standard of designation for these programs, you may also see them referred to as medication assistance programs, indigent drug programs, and charitable drug programs.
How to obtain a patient enrollment form?
Some enrollment forms can only be acquired by having the physician contact the pharmaceutical company directly. By making contact with your physician, the company can determine eligibility before the form has been submitted. Please see the profile for the patient assistance program you're inquiring about for further details on what is required from your physician.
What steps do you need to take?
Yes. Although eligibility differs from program to program, they all have three specific criteria in common.
What other material will I need to provide besides the enrollment form?
Many pharmaceutical companies will require additional material to be submitted along with your completed enrollment form. As stated before, there are no unified guidelines for what each company requests, but you can expect that many of them will require similar information. Below you will find a list of the information most commonly requested by patient assistance programs.
What is required of my physician during the enrollment process?
While they're are some enrollment processes that do not require interaction from your physician; many request that they provide answers to question on the form or directly sign it. Each patient assistance program enrollment will detail what information they will need from your physician. As stated before, there are no unified guidelines for what each company requests, however you can expect that many will require similar information. Below you will find a list of the information most commonly requested from your physician.
When is a diagnosis required?
Patient Diagnosis: Required in the same manor as an insurance company requests when authorizing medication for a patient. The diagnosis is used to determine if the specific medicine in question is the best option for the patient.
Is patient assistance mandated?
Patient Assistance Programs are not mandated or managed by the federal government and are offered as a free service by the pharmaceutical industry.
What is patient assistance?
Patient assistance programs provide medications for free or at a reduced cost for individuals who are uninsured or underinsured and can’t afford their medication.
How do discount cards help patients?
Patients can then receive lower cost prescriptions by showing their discount card at participating pharmacies.
Does Medicare cover prescriptions?
While employer health insurance and government programs like Medicare offer prescription coverage for many Americans, there are still a large number of people who fall through the coverage gap.
Manufacturer-sponsored Patient Assistance Programs
Most major pharmaceutical companies offer assistance programs to help individuals afford their medicines. Eligibility requirements vary by company, and the available funding can be depleted before the end of a year. But it is worth checking these medication assistance programs if you need help.
Co-Pay Assistance Programs
The following programs offer financial assistance for eligible individuals with prescription insurance who are not able to afford their prescription co-pays.
Online Discount Pharmacy
This online discount mail-order pharmacy is a nonprofit offering two first-line hepatitis B medications at an affordable price for eligible individuals regardless of their prescription coverage.
Discount Prescription Cards
Prescription drug discount cards allow cardholders to save money on all types of prescription medications. Cards are available online, at no cost, and can be used with or without insurance.
Additional tips for affording your medications
If you can not afford your brand-name medication, talk to your doctor about whether a generic version is available. Generic medications contain the same active ingredients as the brand name version, often at a much lower cost.
What is financial assistance?
Financial assistance covers loss of wages during the hospital stay and/or recovery due to organ donation; essential living expenses such as rent, electric, automobile, and phone bills.
Where do patients have to reside?
Patients must reside in the United States; legal status is not questioned.
What is the American Transplant Foundation?
The American Transplant Foundation is proud to be able to provide real help to real families when they need it the most. We go beyond awareness by providing emotional and financial support to patients and their families.
What are eligible candidates for a medicaid copayment?
Eligible candidates include those with delinquent insurance premiums to prevent loss of insurance coverage, those needing help with medication co-payments during insurance gap periods and/or changes in insurance provider.
Who can submit a transplant application?
Applications may only be submitted by transplant program social worker or transplant coordinator. Patients seeking assistance should contact their assigned transplant program social worker or transplant program coordinator for details.
Do you need to do a social worker orientation for an emergency fund?
PLEASE NOTE: Social Worker’s orientation call for Emergency Fund is not required at this time; however, before the application is funded, the transplant center’s administrator need to reach out to [email protected] to schedule a call with the American Transplant Foundation’s team for a brief 10 minute orientation – this will allow us to speed up orientations. If your transplant center is planning to utilize Emergency Fund, we encourage your Transplant Administrators to reach out as soon as possible.
Is immunosuppressant available nationwide?
immunosuppressant medications. This program is available nationwide and is focused on the most financially vulnerable
What insurance do you need to get medical assistance?
Patient must be insured by Medicare, Medicaid or military benefits, and insurance must cover the medicine for which patient seeks assistance
What is a senior program?
Programs are for seniors and/or people with certain chronic conditions; The programs assist low-income seniors and adults with disabilities in paying for their prescription drugs
What is the purpose of the asthma coupons?
They compile coupons and prescription assistance information to help patients and families find free or reduced-cost asthma medicines.
How to contact Social Security for extra help?
Extra Help (Social Security Administration) 800-772-1213. (TTY 800-325-0778) Check with organization for more details. Yes, for eligible individuals. To qualify you must receive Medicare, have limited resources and income, and live in one of the 50 states or the District of Columbia.
Can you combine Kroger RX savings with Medicaid?
Yes – Individuals = $36/year; Families up to 6 members = $72/year. Yes, but the Kroger Rx Savings Club cannot be combined with any federal or state-funded programs such as Medicare or Medicaid. Washington State residents are not eligible.
Is AZandMe a copay?
800-AZandMe (292-6363) Yes, for eligible individuals. A copay program and an assistance program are available depending on eligibility. Genentech and Novartis (Xolair) 888-941-3331. Yes, for eligible individuals. A copay program and an assistance program are available depending on eligibility.
Does Medicare cover Dupixent?
Yes, if you do not have prescription insurance coverage through Medicaid, Medicare Part D or other insurance. Ayuda disponible en español. Sanofi (DUPIXENT®) 844‑387‑4936 (option 1) Only if your insurance does not cover DUPIXENT. A copay assistance program depending on eligibility.
Where do patient assistance programs come from?from goodrx.com
PAPs are most often sponsored by pharmaceutical companies. There are also state programs and nonprofit-sponsored programs.
What insurance do you need to get medical assistance?from aafa.org
Patient must be insured by Medicare, Medicaid or military benefits, and insurance must cover the medicine for which patient seeks assistance
What is a senior program?from aafa.org
Programs are for seniors and/or people with certain chronic conditions; The programs assist low-income seniors and adults with disabilities in paying for their prescription drugs
What is the purpose of the asthma coupons?from aafa.org
They compile coupons and prescription assistance information to help patients and families find free or reduced-cost asthma medicines.
How to sign up for a med program?from goodrx.com
To sign up, you will either call the program or sign up online. You will need to submit forms like your taxes and residence status to prove your eligibility. Most programs also require your health provider to fill out a form. Once you apply and enroll, there may be limits on how much medication you can get or how long the program lasts.
Who sponsors drug assistance programs?from assistrx.com
Drug assistance programs are usually sponsored by life sciences organizations (manufacturer- sponsored), non-profit or charitable foundation-sponsored, or a combination of the two. Usually, they also fall into these categories:
Can a patient assistance card help you?from goodrx.com
Like manufacturer copay cards, patient assistance programs have received some criticism. But, they can and do help you if you are struggling to afford your medications. Keep reading to find out more about PAPs.
What is a RX card?
Together Rx Access is one of the newest prescription savings programs for eligible individuals and families. The Together Rx Access Card was created by 10 pharmaceutical companies to help patients gain access to needed medicines. The card is accepted at most pharmacies and gives patients savings at the pharmacy counter.
Do pharmaceutical companies offer PAPs?
Most pharmaceutical companies voluntarily offer PAPs. It is important for health care providers, patients and caregivers to research and understand the eligibility criteria and application process for specific PAPs as they differ considerably from one program to the next.
What is the extra help program?from praluent.com
It's called the Extra Help Program and it offers: Reduced Medicare Part D premiums. No cost share in the coverage gap or "donut hole". Lower drug copays.
How long does it take for a patient to get reimbursement for a copay?from praluenthcp.com
Patients can submit for reimbursement if they paid their copay in full within 90 days. || Eligible patients with commercial insurance not funded through a government healthcare. program such as Medicare, Medicaid, or TRICARE are subject to program terms and restrictions.
What to do if your insurance denied your request?from praluent.com
If you or your doctor receives a denial from your insurance company, you can: Discuss with your doctor why the request was denied and ask if you have the ability to appeal the decision. Your doctor can submit a letter of appeal to your health plan to seek approval.
What is step therapy override?from praluent.com
Some states have laws called “step therapy override legislation” that may help certain people get access to specialty medications like PRALUENT. Not sure about the drug coverage in your state? You can find your state’s National Association of Insurance Commissioners contact information here.
What to know before submitting documentation to health plan?from praluenthcp.com
Before submitting any documentation to the health plan, be sure that it’s accurate and up to date to avoid unnecessary denials.
Do you have to have income to get a copay card?from praluent.com
Please note: There are no income requirements to be eligible for the Copay Card.
Can you get PRALUENT at no cost?from praluent.com
You may qualify to receive PRALUENT at no cost through the PAP Program.
Where do patient assistance programs come from?
PAPs are most often sponsored by pharmaceutical companies. There are also state programs and nonprofit-sponsored programs.
How to sign up for a med program?
To sign up, you will either call the program or sign up online. You will need to submit forms like your taxes and residence status to prove your eligibility. Most programs also require your health provider to fill out a form. Once you apply and enroll, there may be limits on how much medication you can get or how long the program lasts.
Does GlaxoSmithKline offer assistance?
For example, GlaxoSmithKline offers an assistance program for its medications Benlysta and Nucala. Here, under their qualification section, they show what your maximum monthly gross income must be under, depending on your household size and where you live.
Can a patient assistance card help you?
Like manufacturer copay cards, patient assistance programs have received some criticism. But, they can and do help you if you are struggling to afford your medications. Keep reading to find out more about PAPs.
Do you have to pay for prescription drugs out of pocket?
And those without health insurance or adequate prescription drug coverage must pay for their medications out of pocket.