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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)

WellOne- North Kingstown, WellOne Primary Medical and Dental Care View on Map
308 Callahan Road
North Kingstown, RI 02852
 Phone: 401-295-9706
Service Categories:
Organization Name: WellOne Primary Medical and Dental Care
(Show others in Organization)
Address:
308 Callahan Road
North Kingstown, RI 02852
Phone: 401-295-9706
Fax: 401-295-0920
Service Categories:
Community Clinics
Dental Care Expense Assistance
Family Medicine
General Dentistry
Mental Health, Other Services
Pediatric Dentistry
Prescription Drug Patient Assistance Programs
Social Workers
Substance Use Disorder Outpatient Treatment
URL: http://welloneri.org/
Eligibility: WellOne accepts most major insurance. We also accept major credit cards and offer special programs for patients with limited or no health insurance.
Services Provided:

Services include:

  • Medical Primary Care
  • Dental Care
  • Women's Health
  • Behavioral Health and Substance Use Disorder
  • Lab
  • Reduced pharmacy costs if no insurance at certain CVS pharmacy's
  • Financial Assistance Programs

Patient Centered Medical Home Brochure 
Provider Profiles:

WellOne Primary Medical and Dental Care is a Federally Qualified Health Center dedicated to providing high quality healthcare to individuals and families in the communities we serve. Our team of medical, dental and behavioral health professionals has the experience and knowledge to help manage a range of healthcare needs at any age.

Locations in Pascoag, Foster, Scituate and North Kingstown.

ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Please call 401-568-7661.

ATENCION: si habla espanol, tiene a su disposicion servicios gratuitos de asistencia linguistica. Por favor, pongase en contacto con su oficina medico o llame al 401-568-7661.
Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 2/19/2021
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WellOne-Foster, WellOne Primary Medical and Dental Care View on Map
142A Danielson Pike
Foster, RI 02825
 Phone: 401-647-3702
Service Categories:
Organization Name: WellOne Primary Medical and Dental Care
(Show others in Organization)
Address:
142A Danielson Pike
Foster, RI 02825
Phone: 401-647-3702
Fax: 401-647-5380
Service Categories:
Community Clinics
Dental Care Expense Assistance
Family Medicine
Mental Health, Other Services
Pediatric Dentistry
Prescription Drug Patient Assistance Programs
Substance Use Disorder Outpatient Treatment
URL: http://welloneri.org/
Eligibility: WellOne accepts most major insurances including Rhode Island Medical Assistance as well as major credit cards and has special programs for patients with limited or no health insurance.
Services Provided:

Services include:

  • Medical Primary Care
  • Dental Care
  • Women's Health
  • Behavioral Health and Substance Use Disorder
  • Lab
  • Reduced pharmacy costs if no insurance at certain CVS pharmacy's
  • Financial Assistance Programs

Patient Centered Medical Home Brochure 
Provider Profiles:

WellOne Primary Medical and Dental Care is a Federally Qualified Health Center dedicated to providing high quality healthcare to individuals and families in the communities we serve. Our team of medical, dental and behavioral health professionals has the experience and knowledge to help manage a range of healthcare needs at any age.

Locations in Pascoag, Foster, Scituate and North Kingstown.

ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Please call 401-568-7661.

ATENCION: si habla espanol, tiene a su disposicion servicios gratuitos de asistencia linguistica. Por favor, pongase en contacto con su oficina medico o llame al 401-568-7661.
Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 2/19/2021
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WellOne-Pascoag, WellOne Primary Medical and Dental Care View on Map
36 Bridge Way
Pascoag, RI 02859
 Phone: 401-567-0800
Service Categories:
Organization Name: WellOne Primary Medical and Dental Care
(Show others in Organization)
Address:
36 Bridge Way
Pascoag, RI 02859
Phone: 401-567-0800
Fax: 401-568-7949
Service Categories:
Community Clinics
Dental Care Expense Assistance
Family Medicine
General Dentistry
Mental Health, Other Services
Pediatric Dentistry
Prescription Drug Patient Assistance Programs
URL: http://welloneri.org/
Eligibility: WellOne accepts most major insurances including Rhode Island Medical Assistance as well as major credit cards and has special programs for patients with limited or no health insurance.
Services Provided:

Services include:

  • Medical Primary Care
  • Dental Care
  • Women's Health
  • Behavioral Health and Substance Use Disorder
  • Lab
  • Reduced pharmacy costs if no insurance at certain CVS pharmacy's
  • Financial Assistance Programs

Patient Centered Medical Home Brochure 
Provider Profiles:

WellOne Primary Medical and Dental Care is a Federally Qualified Health Center dedicated to providing high quality healthcare to individuals and families in the communities we serve. Our team of medical, dental and behavioral health professionals has the experience and knowledge to help manage a range of healthcare needs at any age.

Locations in Pascoag, Foster, Scituate and North Kingstown.

ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Please call 401-568-7661.

ATENCION: si habla espanol, tiene a su disposicion servicios gratuitos de asistencia linguistica. Por favor, pongase en contacto con su oficina medico o llame al 401-568-7661.
Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 2/19/2021
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WellOne- Scituate Neighborhood Health Station, WellOne Primary Medical and Dental Care
35 Village Plaza Way
Scituate Village Market Place
Scituate, RI 02857
 Phone: 401-647-6262
Service Categories:
Organization Name: WellOne Primary Medical and Dental Care
(Show others in Organization)
Address:
35 Village Plaza Way
Scituate Village Market Place
Scituate, RI 02857
Phone: 401-647-6262
Fax: 401-647-6201
Service Categories:
Community Clinics
Dental Care Expense Assistance
Family Medicine
General Dentistry
Mental Health, Other Services
Pediatric Dentistry
Prescription Drug Patient Assistance Programs
Substance Use Disorder Outpatient Treatment
URL: http://welloneri.org/
Eligibility: WellOne accepts most major insurance. We also accept major credit cards and offer special programs for patients with limited or no health insurance.
Services Provided:

Services include:

  • Medical Primary Care
  • Dental Care
  • Women's Health
  • Behavioral Health and Substance Use Disorder
  • Lab
  • Reduced pharmacy costs if no insurance at certain CVS pharmacy's
  • Financial Assistance Programs

Patient Centered Medical Home Brochure 
Provider Profiles:

WellOne Primary Medical and Dental Care is a Federally Qualified Health Center dedicated to providing high quality healthcare to individuals and families in the communities we serve. Our team of medical, dental and behavioral health professionals has the experience and knowledge to help manage a range of healthcare needs at any age.

Locations in Pascoag, Foster, Scituate and North Kingstown.

ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Please call 401-568-7661.

ATENCION: si habla espanol, tiene a su disposicion servicios gratuitos de asistencia linguistica. Por favor, pongase en contacto con su oficina medico o llame al 401-568-7661.
Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 2/19/2021
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Nationwide Drug Card Program, Prescription Benefits, Inc. View on Map
PO Box 382377
Birmingham, AL 35238
 Phone: 800-334-8134
Service Categories:
Organization Name: Prescription Benefits, Inc.
(Show others in Organization)
Address:
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
Fax: 205-980-2354
Service Categories:
Prescription Drug Patient Assistance Programs
Email: generalinfo@rxbenefits.com
URL: https://www.rxbenefits.com/
Services Provided: Nationwide provider of discount pharmacy cards for individuals, families, and seniors.
Source: MHP-Nationwide
Last Updated: 4/8/2020
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Patient Prescription Drug Assistance Programs Listing, National Alliance for the Mentally Ill (NAMI) View on Map
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
 Phone: 703-524-7600
Service Categories:
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
Service Categories:
Prescription Drug Patient Assistance Programs
Specialized Information Resources
URL: https://www.nami.org/Find-Support/Living-with-a-Mental-Health-Condition/Getting-Help-Paying-for-Medications
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
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GSKForYou View on Map
PO Box 29038
Phoenix, AZ 85038-9038
Service Categories:
Address:
PO Box 29038
Phoenix, AZ 85038-9038
Toll Free Phone: 866-728-4368
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://www.gskforyou.com/
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
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Magic Foundation View on Map
6645 West North Avenue
Oak Park, IL 60302
 Phone: 708-383-0808
Service Categories:
Address:
6645 West North Avenue
Oak Park, IL 60302
Phone: 708-383-0808
Toll Free Phone: 800-362-4423
Service Categories:
Medical Care Expense Assistance
National Support Services, Disab/Diag
Prescription Drug Patient Assistance Programs
URL: https://www.magicfoundation.org/Financial-Assistance/
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
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GoodRx.com View on Map
CA
Service Categories:
Address:
CA
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://www.goodrx.com/
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
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RareCare Medication Assistance Program, National Organization for Rare Disorders View on Map
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
 Phone: 203-744-0100
Service Categories:
Organization Name: National Organization for Rare Disorders
(Show others in Organization)
Address:
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Toll Free Phone: 800-999-6673
Fax: 203-263-9938
Service Categories:
Medical Care Expense Assistance
National Support Services, Disab/Diag
Prescription Drug Patient Assistance Programs
Transportation Expense Assistance
URL: https://rarediseases.org/
Eligibility:

Persons with a rare disease and in financial need.
Services Provided:

Provides assistance programs to help patients obtain life-saving or life-sustaining medication they could not otherwise afford. Programs provide medication, financial assistance with insurance premiums and co-pays, diagnostic testing assistance, and travel assistance for clinical trials.
Source: MHP-Nationwide
Last Updated: 3/30/2021
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RxAssist.org
Service Categories:
Address:
Service Categories:
Prescription Drug Patient Assistance Programs
Email: info@rxassist.org
URL: https://www.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
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Abbott Patient Assistance Program, Abbot Nutrition View on Map
610 Crescent Executive Court, Suite 200
Lake Mary, FL 32746
 Phone: 866-801-5657
Service Categories:
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
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
URL: http://pathwayreimbursement.com/patient-assistance-program
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
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Medicare Extra Help
Service Categories:
Address:
Service Categories:
Medicare Special Needs Plan
Prescription Drug Patient Assistance Programs
Specialized Information Resources
URL: https://www.cms.gov/Medicare/Eligibility-and-Enrollment/LowIncSubMedicarePresCov/EligibilityforLowIncomeSubsidy.html
Services Provided: Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. Use the website to investigate and apply.
Source: Medical Home Portal
Last Updated: 8/1/2018
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Mead Johnson Nutrition View on Map
225 North Canal Street, 25th Floor
Chicago, IL 60606
 Phone: 312-466-5800
Service Categories:
Address:
225 North Canal Street, 25th Floor
Chicago, IL 60606
Phone: 312-466-5800
Toll Free Phone: 800-BAB-Y123
Service Categories:
Food Assistance
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
URL: https://www.meadjohnson.com/
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
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FamilyWize Prescription Discount, FamilyWize Community Service Partnership View on Map
99 High Street, Suite 2800
Boston, MA 02129
 Phone: 866-810-3784
Service Categories:
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
Service Categories:
Prescription Drug Patient Assistance Programs
Email: info@familywize.org
URL: https://www.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
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Good Days View on Map
6900 N. Dallas Parkway, Suite 200
Plano, TX 75024
 Phone: 877-968-7233
Service Categories:
Address:
6900 N. Dallas Parkway, Suite 200
Plano, TX 75024
Phone: 877-968-7233
Fax: 214-570-3621
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Transportation Expense Assistance
Email: info@mygooddays.org
URL: https://www.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
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HealthWell Foundation View on Map
20440 Century Blvd, Suite 250
PO Box 489, Buckeystown, MD 21717
Germantown, MD 20874
 Phone: 800-675-8416
Service Categories:
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
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Email: portal@healthwellfoundation.org
URL: https://www.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
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NeedyMeds View on Map
PO Box 219
Gloucester, MA 01931
 Phone: 978-281-6666
Service Categories:
Address:
PO Box 219
Gloucester, MA 01931
Phone: 978-281-6666
Toll Free Phone: 800-503-6897
Fax: 206-260-8850
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
Email: info@needymeds.org
URL: https://www.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
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Nestle HealthCare Nutrition Patient Assistance Program, Nestle HealthCare Nutrition, Inc. View on Map
12 Vreeland Road, 2nd Floor
Florham Park, NJ 07932
 Phone: 844-424-6727
Service Categories:
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
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
URL: https://www.nestlehealthscience.us/
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
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Patient Advocate Foundation Co-Pay Relief Program, Patient Advocate Foundation (PAF) View on Map
421 Butler Farm Road
Hampton, VA 23666
 Phone: 866-512-3861
Service Categories:
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
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://copays.org/
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
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Patient Services Inc (PSI) View on Map
PO Box 5930
Midlothian, VA 23112
 Phone: 800-366-7741
Service Categories:
Address:
PO Box 5930
Midlothian, VA 23112
Phone: 800-366-7741
Toll Free Phone: 800-366-7741
Fax: 804-744-9388
Service Categories:
Education About Disabilities/Diagnoses
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Specialized Information Resources
Transportation Expense Assistance
Email: psiops@uneedpsi.org
URL: https://www.patientservicesinc.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
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Rx Card View on Map
127 Main Street 2nd Floor
Black Hawk, CO 80422
 Phone: 888-670-0039
Service Categories:
Address:
127 Main Street 2nd Floor
Black Hawk, CO 80422
Phone: 888-670-0039
Fax: 720-287-6523
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://www1.singlecare.com/pscard
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
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RxHope
Service Categories:
Address:
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://www.rxhope.com/home.aspx
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
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United Healthcare Children's Foundation (UHCCF) View on Map
MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
 Phone: 855-698-4223
Service Categories:
Address:
MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
Phone: 855-698-4223
Toll Free Phone: 855-698-4223
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Email: customerservice@uhccf.org
URL: https://www.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
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Patient Access Network (PAN), PAN Foundation View on Map
805 15th Street, NW Ste 500
Washington, DC 20005
 Phone: 202-347-9272
Service Categories:
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
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Email: contact@panfoundation.org
URL: https://www.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
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SingleCare View on Map
99 High Street, Suite 2800
Boston, MA 02110
 Phone: 844-234-3057
Service Categories:
Address:
99 High Street, Suite 2800
Boston, MA 02110
Phone: 844-234-3057
Service Categories:
Prescription Drug Patient Assistance Programs
Email: mcahilll@singlecare.com
URL: https://www.singlecare.com/
Services Provided: Prescription savings program. Sign up online and search for savings.
Source: Nationwide Suggest Providers Queue
Last Updated: 4/1/2020
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Rx Outreach: The Nonprofit Pharmacy View on Map
P. O. Box 66536
St. Louis, MO 63166-6536
 Phone: 888-796-1234
Service Categories:
Address:
P. O. Box 66536
St. Louis, MO 63166-6536
Phone: 888-796-1234
Toll Free Phone: 800-769-3880
Fax: 800-875-6591
Service Categories:
Pharmacies / Prescriptions
Prescription Drug Patient Assistance Programs
Email: questions@rxoutreach.org
URL: https://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
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Pharmaceutical Research and Manufacturers of America (PhRMA) View on Map
950 F Street NW Suite 300
Washington, DC 20004
 Phone: 888-477-2669
Service Categories:
Address:
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://medicineassistancetool.org/
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
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Assistance Fund, TAF Cares View on Map
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
 Phone: 855-845-3663
Service Categories:
Organization Name: TAF Cares
(Show others in Organization)
Address:
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
Phone: 855-845-3663
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
URL: https://tafcares.org/
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
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We Care Program, Parapharma Tech
Service Categories:
Organization Name: Parapharma Tech
(Show others in Organization)
Address:
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
URL: https://www.healthierthickening.com/we-care/
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
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Prescription Care View on Map
7349 N Via Paseo Del Sur, Unit # 453
Scottsdale, AZ 85258
 Phone: 866-299-0857
Service Categories:
Address:
7349 N Via Paseo Del Sur, Unit # 453
Scottsdale, AZ 85258
Phone: 866-299-0857
Toll Free Phone: 866-299-0857
Service Categories:
Pharmacies / Prescriptions
Prescription Drug Patient Assistance Programs
Email: hello@prescriptioncare.com
URL: https://www.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
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Galen US Medical Nutrition, Galen Pharma View on Map
2661 Audubon Road
Audubon, PA 19403
 Phone: 855-425-3646
Service Categories:
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
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
Email: galenus@galen-pharma.com
URL: https://www.galen-pharma.com/medical-nutrition/
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
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Nutricia North America
Phone: 800-605-0410
Service Categories:
Address:
Phone: 800-605-0410
Toll Free Phone: 800-605-0410
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
Email: metacustomercare@nutricia.com
URL: http://www.medicalfood.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
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Levemir View on Map
800 Scudders Mill Rd
Plainsboro, NJ 08536
 Phone: 609-987-5800
Service Categories:
Address:
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://www.levemir.com/
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
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