Prescription Drug Patient Assistance Programs

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Pharmaceutical companies or pharmacies that make brand name or generic prescription drugs available to patients who are uninsured or underinsured or, for other reasons, cannot afford to pay the market price. Also included are organizations that help qualifying patients complete and file paperwork for submission to drug manufacturers to request such medication or which maintain lists of these types of programs for referral purposes. (AIRS LH-6700.6300)

Address:
Eligibility: Low-income. Eligibility guidelines may vary by the drug manufacturer.
Services Provided: Provides low-income US residents with information and free or low cost prescriptions through their health care professionals. This is an online service only. Addresses and telephone numbers will vary depending upon the specific drug and manufacturer desired.

  • Prescription Drug Patient Assistance Programs
Source: Nationwide Suggest Providers Queue
Last Updated: 10/30/2020
225 North Canal Street, 25th Floor
Chicago, IL 60606
Phone: 312-466-5800
Address:
225 North Canal Street, 25th Floor
Chicago, IL 60606
Phone: 312-466-5800
Toll Free Phone: 800-BAB-Y123
Eligibility: Children requiring formula
Services Provided:

Mead Johnson develops and markets products that help meet the nutritional needs of infants and children.

Find a Product by need. Offers a variety of specialty and general nutrition feeding products.

Enfamil Family Center information for parents and families.

Patient Savings Programs: Various programs for different products, patient ages, and variety of need.

Source: MHP-Nationwide
Last Updated: 12/11/2020
20440 Century Blvd, Suite 250
PO Box 489, Buckeystown, MD 21717
Germantown, MD 20874
Phone: 800-675-8416
Address:
20440 Century Blvd, Suite 250
PO Box 489, Buckeystown, MD 21717
Germantown, MD 20874
Phone: 800-675-8416
Toll Free Phone: 800-675-8416
Fax: 800-282-7692
Email: portal@healthwellfoundation.org
Eligibility: Patients living with chronic and life-altering illnesses. Must meet income and diagnosis requirements. Call for specific information.
Services Provided:

Provides financial assistance to eligible individuals to cover coinsurance, copayments, health care premiums and deductibles for certain medications and therapies.

Source: Nationwide Suggest Providers Queue
Last Updated: 10/13/2020
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
Organization Name: Prescription Benefits, Inc.
(Show others in Organization)
Address:
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
Fax: 205-980-2354
Email: generalinfo@rxbenefits.com
Services Provided: Nationwide provider of discount pharmacy cards for individuals, families, and seniors.
Source: MHP-Nationwide
Last Updated: 4/8/2020
7349 N Via Paseo Del Sur, Unit # 453
Scottsdale, AZ 85258
Phone: 866-299-0857
Address:
7349 N Via Paseo Del Sur, Unit # 453
Scottsdale, AZ 85258
Phone: 866-299-0857
Toll Free Phone: 866-299-0857
Email: hello@prescriptioncare.com
Eligibility: Individuals who cannot afford their prescription medication. The average household income to qualify for the Prescription Care program: -Individuals earning around $30,000 per year. -Couples earning around $50,000 per year. -Increased income guidelines for additional members of the household.
Services Provided: Prescription Care is a full service medication access company that researches available sources of assistance, enrolls eligible individuals in patient available assistance programs, handles ongoing refill processing and maintains enrollment.

Prescription Care assists eligible individuals access FDA-approved prescription medications. Prescription Care is not an insurance plan or discount card. Prescription Care staff identify all available sources of assistance for the individual and handle the ordering, managing, tracking, on-time refilling and renewal of medications.

The cost for Prescription Care is $49.00 per month for each medication Prescription Care can assist. Final approval is determined by each assistance program and patients are not charged any fees if they are not approved.
Source: MHP-Nationwide
Last Updated: 5/28/2020
Address:
Phone: 800-605-0410
Toll Free Phone: 800-605-0410
Email: metacustomercare@nutricia.com
Services Provided:

Formula, low protein foods, and other medical diet foods.

Nutricia Navigator: help with navigating formula coverage. Online or call 800-365-7354 or email NutriciaNavigator@nutricia.com

Source: MHP-Nationwide
Last Updated: 8/17/2020
Address:
Email: info@rxassist.org
Eligibility: Low income families
Services Provided: RxAssist offers a comprehensive database of prescription assistance programs, as well as practical tools, news, and articles so that health care professionals and patients can find the information they need. Directory of patient assistance programs for free and low cost medicine for low income families. Site requires free registration.
Provider Profiles: Internet Resource

Sponsored by ASTRA-ZENECA.
Source: MHP-Nationwide
Last Updated: 1/6/2020
610 Crescent Executive Court, Suite 200
Lake Mary, FL 32746
Phone: 866-801-5657
Organization Name: Abbot Nutrition
(Show others in Organization)
Address:
610 Crescent Executive Court, Suite 200
Lake Mary, FL 32746
Phone: 866-801-5657
Toll Free Phone: 866-801-5657
Fax: 866-734-7353
Eligibility: Must meet eligibility criteria.
Services Provided:

Assists with costs for formulas, Ensure and PediaSure, Abbott Nutrition products.

Source: MHP-Nationwide
Last Updated: 8/11/2020
421 Butler Farm Road
Hampton, VA 23666
Phone: 866-512-3861
Organization Name: Patient Advocate Foundation (PAF)
(Show others in Organization)
Address:
421 Butler Farm Road
Hampton, VA 23666
Phone: 866-512-3861
Toll Free Phone: 800-532-5274
Fax: 757-952-0119
Eligibility: Currently insured and have coverage for medication seeking financial assistance. Have a confirmed diagnosis and treatment plan. Reside and receive treatment in the Unites states. Income at or below 300-400% of the Federal Poverty Guideline.
Services Provided:

PAF’s Co-Pay Relief (CPR) program provides direct financial assistance to qualified patients with co-payments, co- insurance or cost-sharing associated with prescription drugs through funds dedicated to specific disease states. In some instances, assistance with insurance premiums and/or ancillary services associated with the disease also may be available.

Process:

  • Complete the application for assistance, entering all of the required information
  • Once you have fully completed the application you will be notified immediately if you are eligible for financial assistance
  • If you are eligible for assistance, the application will be instantly approved, and you will be enrolled into the program.
  • You will have immediate access to your award and pharmacy card
Source: Nationwide Suggest Providers Queue
Last Updated: 10/13/2020
MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
Phone: 855-698-4223
Address:
MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
Phone: 855-698-4223
Toll Free Phone: 855-698-4223
Email: customerservice@uhccf.org
Eligibility: Parents of children receiving serious and financially-challenging health care treatment; children must be 16 or younger at the time of application, have a Social Security Number issued by the Social Security Administration (TIN numbers are not accepted), must be covered by commercial/private insurance, and under license medical professional.
Services Provided: Provides medical grants to help children gain access to health-related services not covered, or not fully covered, by their parents' commercial health insurance plan. Children must be 16 years old or younger while meeting other grant requirements.

  • Medical Care Expense Assistance
Provider Profiles:

See additional criteria and exclusions on website.

Source: Nationwide Suggest Providers Queue
Last Updated: 12/11/2020
Good Days View on Map
Address:
6900 N. Dallas Parkway, Suite 200
Plano, TX 75024
Phone: 877-968-7233
Fax: 214-570-3621
Email: info@mygooddays.org
Eligibility: Patients suffering from diagnosed, covered chronic medical conditions who have limited financial means, when program is accepting enrollment, looking for assistance with FDA approved medications, and income level at or below 500% of the Federal poverty level. Lists of covered conditions available online.
Services Provided: Helps patients suffering from chronic medical conditions who have limited financial means get access to the medications they need, pay insurance co-pays, transportation, premiums, and find the insurance coverage that's right for them.

  • Medical Care Expense Assistance
Provider Profiles:

Hours: 8:00 a.m. to 5:00 p.m. CST

Source: Nationwide Suggest Providers Queue
Last Updated: 11/13/2020
Address:
PO Box 5930
Midlothian, VA 23112
Phone: 800-366-7741
Toll Free Phone: 800-366-7741
Fax: 804-744-9388
Email: psiops@uneedpsi.org
Eligibility: Financial assistance for insured and uninsured patients with chronic illnesses.
Services Provided: Provides online disease and treatment information as well as financial assistance for patients with chronic illnesses who are struggling to keep up with expensive premiums and co-payments. Financial support and guidance available for qualified patients with specific, rare chronic diseases.

  • Medical Care Expense Assistance
  • Specialized Information and Referral
Provider Profiles:

Online resources

Source: MHP-Nationwide
Last Updated: 10/30/2020
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
Phone: 855-845-3663
Organization Name: TAF Cares
(Show others in Organization)
Address:
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
Phone: 855-845-3663
Eligibility: Eligibility variable, based on household size, annual income, insurance coverage and US residency.
Services Provided: Direct financial assistance for co-pays, health care expenses and insurance premium and incidentals for medical treatment. More than 60 funds, each of which covers the FDA-approved medications that treat a specific disease, covering a wide range of serious and chronic diseases.
Source: MHP-Nationwide
Last Updated: 9/12/2019
12 Vreeland Road, 2nd Floor
Florham Park, NJ 07932
Phone: 844-424-6727
Organization Name: Nestle HealthCare Nutrition, Inc.
(Show others in Organization)
Address:
12 Vreeland Road, 2nd Floor
Florham Park, NJ 07932
Phone: 844-424-6727
Toll Free Phone: 844-424-6727
Fax: 844-708-0036
Services Provided:

Vitaflo Medical Nutrition: Specialized medical foods for Metabolic Disorders, the Ketogenic Diet and other areas of disease specific nutrition.

Patient Assistance Program: Provides brand name medications at no or low cost. Funding for nutrition products available, including for people who require a tube feeding to meet 100% of daily nutritional requirements. Only patients whose sole or primary source of nutrition is the requested product are eligible for this program. Patients who use the products as supplements are not eligible.

Source: Nationwide Suggest Providers Queue
Last Updated: 8/18/2020
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
Address:
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
Services Provided:

A free-to-use search engine that focuses its searches on patient assistance resources available to eligible patients. Search for financial assistance resources available to them, their loved ones or patients.

Source: MHP-Nationwide
Last Updated: 10/13/2020
Address:
6645 West North Avenue
Oak Park, IL 60302
Phone: 708-383-0808
Toll Free Phone: 800-362-4423
Eligibility: Children with endocrine disorders.
Services Provided: The Magic Foundation provides information, resources, and an insurance and appeals assistance program, designed to assist members in the insurance appeals process as funding allows. Programs include: Pharmaceutical Company Patient Assistance Programs, Co-Pay Assistance Foundation, Insurance Appeals.
Provider Profiles: An organization of parents of children with endocrine disorders.
Source: Medical Home Portal
Last Updated: 8/1/2018
2661 Audubon Road
Audubon, PA 19403
Phone: 855-425-3646
Organization Name: Galen Pharma
(Show others in Organization)
Address:
2661 Audubon Road
Audubon, PA 19403
Phone: 855-425-3646
Toll Free Phone: 855-425-3646
Fax: 215-660-8501
Email: galenus@galen-pharma.com
Services Provided:

Galen Medical Nutrition: Galen offers a variety of innovative medical foods, for use in the dietary management of metabolic disorders. Formulas are available for disorders such as Phenylketonuria (PKU), Maple Syrup Urine Disease (MSUD), and Tyrosinemia (TYR) as well as Urea Cycle Disorder (UCD).

Galen US Access Program: Information for patients and clinicians located in the US.

Source: MHP-Nationwide
Last Updated: 8/17/2020
99 High Street, Suite 2800
Boston, MA 02129
Phone: 866-810-3784
Organization Name: FamilyWize Community Service Partnership
(Show others in Organization)
Address:
99 High Street, Suite 2800
Boston, MA 02129
Phone: 866-810-3784
Toll Free Phone: 800-222-2818
Email: info@familywize.org
Eligibility: No restrictions
Services Provided: Provides a free prescription drug discount card used in most pharmacies. Must show card to the pharmacy when purchasing prescription medications to receive the lowest price available to client: the negotiated FamilyWize discounted rate, pharmacy price, or insurance price (if client has a health plan). The FamilyWize card can also be used for pet medications.

  • Prescription Drug Discount Cards
Source: Nationwide Suggest Providers Queue
Last Updated: 10/30/2020
GoodRx.com View on Map
Address:
CA
Services Provided:

Online resource for finding lowest prices for prescription drugs. Offers a search function online or in its app to find drug prices at pharmacies near your location. Offers coupons, will send refill reminders and alerts when prices change. May offer prices lower than available with insurance.

Source: MHP-Nationwide
Last Updated: 8/31/2020
GSKForYou View on Map
PO Box 29038
Phoenix, AZ 85038-9038
Address:
PO Box 29038
Phoenix, AZ 85038-9038
Toll Free Phone: 866-728-4368
Eligibility: Differs based on program. US residents.
Services Provided: GSKForYou is GlaxoSmithKline's patient assistance program. Access to specific medications for those without insurance, with Medicare prescription drug coverage, or impacted by disasters. Also offers coupons and vaccine assistance.
Source: MHP-Nationwide
Last Updated: 1/6/2020
805 15th Street, NW Ste 500
Washington, DC 20005
Phone: 202-347-9272
Organization Name: PAN Foundation
(Show others in Organization)
Address:
805 15th Street, NW Ste 500
Washington, DC 20005
Phone: 202-347-9272
Toll Free Phone: 866-316-7262
Email: contact@panfoundation.org
Eligibility: Patient must be receiving treatment for the disease named in program which they are applying, patient's medication/product must be listed on PANS covered medications, patient must fall at or below 400/500% of Federal Poverty Level (depending on funding guidelines), patient must reside and receive treatment in the US or US territories; US citizenship is not required.
Services Provided: Offers help and hope to people with chronic or life-threatening illnesses for whom cost limits access to breakthrough medical treatments.

  • Medical Care Expense Assistance
Provider Profiles:

Call or visit website.

Source: Nationwide Suggest Providers Queue
Last Updated: 10/30/2020
P. O. Box 66536
St. Louis, MO 63166-6536
Phone: 888-796-1234
Address:
P. O. Box 66536
St. Louis, MO 63166-6536
Phone: 888-796-1234
Toll Free Phone: 800-769-3880
Fax: 800-875-6591
Email: questions@rxoutreach.org
Eligibility: Rx Outreach is available to individuals and families whose income is at or below 400% of the Federal Poverty Level.
Services Provided: Licensed non-profit mail order pharmacy. A medication list and enrollment instructions are available online.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/17/2020
SingleCare View on Map
99 High Street, Suite 2800
Boston, MA 02110
Phone: 844-234-3057
Address:
99 High Street, Suite 2800
Boston, MA 02110
Phone: 844-234-3057
Email: mcahilll@singlecare.com
Services Provided: Prescription savings program. Sign up online and search for savings.
Source: Nationwide Suggest Providers Queue
Last Updated: 4/1/2020
Levemir View on Map
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
Address:
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
Eligibility: Reimbursement for insulin program-contact company.
Services Provided:

Levemir is used to control high blood sugar in adults and children with diabetes.

Discount program: If eligible, you will pay no more than $25 for your Levemir® prescription and each refill for up to 2 yearsa with a Novo Nordisk Instant Savings Card. The savings card can be used like a coupon when you pick up your Levemir® prescription from the pharmacy.

Talk to your health care provider to see if Levemir® is right for you. Then, sign up for an Instant Savings Card.

Source: Nationwide Suggest Providers Queue
Last Updated: 10/29/2020
NeedyMeds View on Map
PO Box 219
Gloucester, MA 01931
Phone: 978-281-6666
Address:
PO Box 219
Gloucester, MA 01931
Phone: 978-281-6666
Toll Free Phone: 800-503-6897
Fax: 206-260-8850
Email: info@needymeds.org
Eligibility: There are no income, insurance, age, or residency requirements.
Services Provided: NeedyMeds is an online information resource of programs that provide assistance to people who are unable to afford their medications and health care costs. Does not provide medicine, supplies of financial assistance. Offers applications and information so that people can apply directly to drug manufacturers and other organizations that provide assistance. The application process is strictly between the applicant and the manufacturer. All of the information on the website is at no cost and is updated daily.

  • Prescription Drug Discount Cards
  • Prescription Drug Patient Assistance Programs
Provider Profiles:

90 day w refills. Turnaround 3-4 weeks; physician sends in prescription

Source: Nationwide Suggest Providers Queue
Last Updated: 10/15/2020
Organization Name: National Alliance for the Mentally Ill (NAMI)
(Show others in Organization)
Address:
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
Phone: 703-524-7600
Fax: 703-524-9094
Eligibility: Differs by specific pharmaceutical company.
Services Provided: Provides a list of pharmaceutical companies that offer medications through medication assistance programs to low-income individuals and families.
Provider Profiles: Internet-based resource
Source: Medical Home Portal
Last Updated: 8/20/2018
Address:
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Toll Free Phone: 800-999-6673
Fax: 203-263-9938
Languages Spoken: Spanish
Eligibility: Persons with a rare disease, financial need.
Services Provided: A patient advocacy organization for individuals with rare diseases and the organizations that serve them. NORD provides Patient Assistance Programs that provide financial assistance. In addition, NORD provides links to other financial assistance resources.
Patient Assistance Program, RareCare, provides medication, financial assistance with insurance premiums and co-pays, diagnostic testing assistance, and travel assistance for clinical trials or consultation with disease specialists.
Source: MHP-Nationwide
Last Updated: 9/12/2019
Rx Card View on Map
127 Main Street 2nd Floor
Black Hawk, CO 80422
Phone: 888-670-0039
Address:
127 Main Street 2nd Floor
Black Hawk, CO 80422
Phone: 888-670-0039
Fax: 720-287-6523
Eligibility: Open to the public.
Services Provided:

Helps consumers of prescription drugs save money at retail pharmacies, with discounts ranging from 10% to 85% depending on the type of drug chosen. Also offers valuable information on programs to help with free medication through the Patient Assistance Partners.

  • Prescription Drug Discount Cards
Source: Nationwide Suggest Providers Queue
Last Updated: 12/11/2020
Organization Name: Parapharma Tech
(Show others in Organization)
Address:
Eligibility: Infants with reflux, for low income families denied coverage by insurance. Medicaid patients automatically qualify when thickening is deemed medically necessary.
Services Provided: Offers financial assistance with a healthier alternative thickening option to cereals for infants with reflux. Gelmix is a USDA Organic thickener for pediatric use in the US. Purathick is a USDA Organic thickener for adults and children over 1 year old.
Patient/Parent application is on website.
Source: MHP-Nationwide
Last Updated: 1/15/2020