Existence of insurance coverage for pharmaceuticals (including Medicare Part D coverage). Qualifying income, qualifying diagnosis verified by physician of conditions such as breast, lung, lymphoma, prostate, kidney, colon, pancreatic, head/neck cancers, malignant brain tumor, sarcoma, diabetes, multiple myeloma, myelodysplastic syndrome ( and other pre-leukemia diseases) osteoporosis, pain, hepatitis C rheumatoid arthritis, selected autoimmune disorders and CIA/CIN.

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