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)

485 West B Street
Fallon, NV 89406
Phone: 775-423-6695
Service Categories:
Address:
485 West B Street
Fallon, NV 89406
Phone: 775-423-6695
Fax: 775-423-8057
Email: socialservices@churchillcounty.org
Wheelchair Access: Yes
Eligibility: Anyone in Churchill County may apply. Eligibility is determined by casework.
Services Provided: Indigent medical and prescription assistance for those found to be indigent. Client must have applied for healthcare per Federal law and have no insurance coverage.
Source: Nevada 2-1-1
Last Updated: 1/23/2020
101 Radar Road
Tonopah, NV 89049
Phone: 775-482-8125
Service Categories:
Organization Name: Nye County Health and Human Services
(Show others in Organization)
Address:
101 Radar Road
Tonopah, NV 89049
Phone: 775-482-8125
Fax: 775-482-7261
Wheelchair Access: Yes
Services Provided: Provides prescription expense assistance to those who qualify when funding is available.
Source: Nevada 2-1-1
Last Updated: 9/6/2018
1981 East Calvada Boulevard North
Unit 120
Pahrump, NV 89048
Phone: 775-751-7095
Service Categories:
Organization Name: Nye County Health and Human Services
(Show others in Organization)
Address:
1981 East Calvada Boulevard North
Unit 120
Pahrump, NV 89048
Phone: 775-751-7095
Fax: 775-751-4284
Wheelchair Access: Yes
Services Provided: Provides prescription expense assistance to those who qualify when funding is available.
Source: Nevada 2-1-1
Last Updated: 1/23/2020
431 West Plumb Lane
Las Vegas, NV 89106
Phone: 775-850-1440
Service Categories:
Address:
431 West Plumb Lane
Las Vegas, NV 89106
Phone: 775-850-1440
Fax: 775-850-1444
Email: pharmacy@pharmacy.nv.gov
Eligibility: Cancer patients in need of cancer medication.
Services Provided:

Offers a cancer drug donation program which allows participating pharmacies to accept cancer medications that were originally dispensed by Nevada Pharmacy. The drugs may be re-dispensed to Nevada resident currently being treated for cancer.

Source: Nevada 2-1-1
Last Updated: 8/25/2020
639 Isbell Road
Suite 460
Reno, NV 89509
Phone: 775-322-8668
Service Categories:
Address:
639 Isbell Road
Suite 460
Reno, NV 89509
Phone: 775-322-8668
Fax: 775-322-2798
Email: Kelsey.piechocki@uwnns.org
Wheelchair Access: Yes
Services Provided: Provides familywize prescription discount cards that can reduce the cost on average by 45%. Covers all FDA approved prescriptions medications.
Source: Nevada 2-1-1
Last Updated: 5/5/2020
2621 Northgate Lane
Suite 62
Carson City, NV 89706
Phone: 775-884-2269
Service Categories:
Address:
2621 Northgate Lane
Suite 62
Carson City, NV 89706
Phone: 775-884-2269
Fax: 775-884-2730
Email: info@carson-family.org
Wheelchair Access: Yes
Eligibility: Low income clients in coverage area.
Services Provided:

Provides resources to assist families with prescription needs.

Source: Nevada 2-1-1
Last Updated: 8/25/2020
Online Resource
Las Vegas, NV
Service Categories:
Address:
Online Resource
Las Vegas, NV
Eligibility: Nevada residents
Services Provided: Nevada Drug Card Program is a free statewide prescription assistance program to help uninsured and under-insured residents of Nevada afford their prescriptions.
Source: Nevada 2-1-1
Last Updated: 12/30/2019
7910 North Virginia Street
Reno, NV 89506
Phone: 775-829-2273
Service Categories:
Organization Name: CARE Chest of Sierra Nevada
(Show others in Organization)
Address:
7910 North Virginia Street
Reno, NV 89506
Phone: 775-829-2273
Fax: 775-829-8745
Email: info@carechest.com
Wheelchair Access: Yes
Eligibility: Must meet income guidelines and live in the state of Nevada
Services Provided:

Offers up to $100 annually to supplement the costs of emergency prescriptions or co-pays to qualified individuals in need. Pain medications are not covered.

Source: Nevada 2-1-1
Last Updated: 10/27/2020
1830 East Sahara Avenue
Las Vegas, NV 89104
Phone: 702-382-2326
Service Categories:
Organization Name: Aid for AIDS of Nevada
(Show others in Organization)
Address:
1830 East Sahara Avenue
Las Vegas, NV 89104
Phone: 702-382-2326
Fax: 702-366-1609
Email: antioco@afanlv.org
Wheelchair Access: Yes
Eligibility: HIV positive and below 400% of the FPL.
Services Provided: Ryan White Part B: AIDS Drug Assistance Program offers assistance for HIV medication, medication co-pay, and medical insurance.
Source: Nevada 2-1-1
Last Updated: 5/4/2020
101 Radar Road
Tonopah, NV 89049
Phone: 775-482-8125
Service Categories:
Organization Name: Nye County Health and Human Services
(Show others in Organization)
Address:
101 Radar Road
Tonopah, NV 89049
Phone: 775-482-8125
Fax: 775-482-7261
Wheelchair Access: Yes
Eligibility: Persons with HIV/AIDS.
Services Provided: Under Ryan White Part A (HIV/AIDS) provides case management, transportation assistance and vouchers, emergency rent and utilities, food pantry, household cleaning and hygiene vouchers, and fresh/frozen vegetables/fruits/meats vouchers.
Source: Nevada 2-1-1
Last Updated: 3/19/2019
1981 East Calvada Boulevard North
Unit 120
Pahrump, NV 89048
Phone: 775-751-7090
Service Categories:
Organization Name: Nye County Health and Human Services
(Show others in Organization)
Address:
1981 East Calvada Boulevard North
Unit 120
Pahrump, NV 89048
Phone: 775-751-7090
Fax: 775-751-4284
Wheelchair Access: Yes
Eligibility: Persons with HIV/AIDS.
Services Provided: Under Ryan White Part A (HIV/AIDS) provides case management, transportation assistance and vouchers, emergency rent and utilities, vouchers for household cleaning/personal hygiene and for fresh/frozen/fruits/vegetables and meats, and food pantry.
Source: Nevada 2-1-1
Last Updated: 1/23/2020
1090 East Desert Inn Road
Suite 306
Las Vegas, NV 89109
Phone: 702-657-3873
Service Categories:
Organization Name: Community Outreach Medical Center
(Show others in Organization)
Address:
1090 East Desert Inn Road
Suite 306
Las Vegas, NV 89109
Phone: 702-657-3873
Fax: 702-636-0787
Email: efraire@nvcomc.org
Wheelchair Access: Yes
Eligibility: Individuals with HIV/AIDS, Ryan White A eligible.
Services Provided: Program provides eligibly for Ryan White Part A program, case management, adherence counseling, education/outreach events, transportation, food vouchers, nutritionist consultations, HIV/AIDS support group, and HIV/AIDS educational conferences.
Source: Nevada 2-1-1
Last Updated: 5/4/2020
821 Water Street
Elko, NV 89801
Phone: 775-738-3038
Service Categories:
Organization Name: Elko Friends in Service Helping
(Show others in Organization)
Address:
821 Water Street
Elko, NV 89801
Phone: 775-738-3038
Fax: 775-777-1175
Wheelchair Access: Yes
Services Provided: Variety of services including showers/hygiene supplies, laundry facility/supplies, prescription/medical assistance, emergency clothing/furniture vouchers, aid for chronically homeless.
Source: Nevada 2-1-1
Last Updated: 8/2/2018
280 South Decatur Boulevard
Las Vegas, NV 89107
Phone: 702-759-0800
Service Categories:
Organization Name: Southern Nevada Health District
(Show others in Organization)
Address:
280 South Decatur Boulevard
Las Vegas, NV 89107
Phone: 702-759-0800
Email: nursing@snhdmail.org
Wheelchair Access: Yes
Eligibility: Diagnosed with HIV.
Services Provided:

Offers confidential program that helps people HIV develop a plan to notify sex or needle partners about possible exposure; education on disease transmission and prevention; assist with eligibility for Ryan White program and linkage to HIV provider; offers nurse case management and HIV provider visits for up to six months.

Source: Nevada 2-1-1
Last Updated: 8/25/2020
985 Damonte Ranch Parkway
Reno, NV 89521
Phone: 775-850-1440
Service Categories:
Address:
985 Damonte Ranch Parkway
Reno, NV 89521
Phone: 775-850-1440
Fax: 775-850-1444
Email: pharmacy@pharmacy.nv.gov
Wheelchair Access: Yes
Eligibility: Cancer patients in need of cancer medication.
Services Provided: Offers a cancer drug donation program which allows participating pharmacies to accept cancer medications that were originally dispensed by Nevada Pharmacy. The drugs may be re-dispensed to Nevada resident currently being treated for cancer.
Source: Nevada 2-1-1
Last Updated: 6/6/2019
3416 Goni Road
Suite D132
Carson City, NV 89706
Phone: 866-303-6323
Service Categories:
Organization Name: Nevada Aging and Disability Services Division
(Show others in Organization)
Address:
3416 Goni Road
Suite D132
Carson City, NV 89706
Phone: 866-303-6323
Fax: 775-687-0576
Email: nvrx@adsd.nv.gov
Wheelchair Access: Yes
Eligibility: Individuals 18 to 61 with a disability or 62 and older; has lived in Nevada the last 12 months prior to application; income guidelines; Medicare eligible.
Services Provided: Assists with a portion of monthly premiums with participating Medicare Part D plan.
Source: Nevada 2-1-1
Last Updated: 11/18/2019
3320 West Sahara Avenue
Las Vegas, NV 89102
Phone: 866-303-6323
Service Categories:
Organization Name: Nevada Aging and Disability Services Division
(Show others in Organization)
Address:
3320 West Sahara Avenue
Las Vegas, NV 89102
Phone: 866-303-6323
Fax: 775-687-0576
Email: nvrx@adsd.nv.gov
Wheelchair Access: Yes
Eligibility: Individuals 18 to 61 with a disability or 62 and older; has lived in Nevada the last 12 months prior to application; income guidelines; Medicare eligible.
Services Provided:

Assists with a portion of monthly premiums with participating Medicare Part D plan.

Source: Nevada 2-1-1
Last Updated: 8/25/2020
2785 East Desert Inn Road
Suite 260
Las Vegas, NV 89121
Phone: 800-230-7526
Service Categories:
Organization Name: Planned Parenthood of Rocky Mountains
(Show others in Organization)
Address:
2785 East Desert Inn Road
Suite 260
Las Vegas, NV 89121
Phone: 800-230-7526
Email: robert.thurmond@pprm.org
Eligibility: Ryan White Part B, case by case evaluation
Services Provided: Ryan White Part B early intervention services, care linkage, HIV testing, free condoms, non medical case management, and self care workshops.
Source: Nevada 2-1-1
Last Updated: 1/23/2020
59 Damonte Ranch Parkway
Suite B216
Reno, NV 89521
Phone: 775-329-1555
Service Categories:
Address:
59 Damonte Ranch Parkway
Suite B216
Reno, NV 89521
Phone: 775-329-1555
Fax: 800-207-5996
Email: info@canadaprescriptionservice.com
Wheelchair Access: Yes
Eligibility: All who have medical prescriptions
Services Provided: Provides on-line discount prescription medications for customers. CPSN is licensed and based in Nevada and was established to offer safe reliable access to prescription medications with savings of 50% to 85% off US retail prices.
Source: Nevada 2-1-1
Last Updated: 11/18/2019
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
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
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
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
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
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
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
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
GoodRx.com View on Map
CA
Service Categories:
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
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
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
Service Categories:
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
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
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
Address:
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Service Categories:
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
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
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
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
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
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
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
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
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
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
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
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
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
Organization Name: Parapharma Tech
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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
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
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
2661 Audubon Road
Audubon, PA 19403
Phone: 855-425-3646
Service Categories:
Organization Name: Galen Pharma
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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
Phone: 800-605-0410
Service Categories:
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
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
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