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)

Nationwide Provider
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
Nationwide Provider
Organization Name: National Alliance on Mental Illness
(Show others in Organization)
Address:
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
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: MHP-Nationwide
Last Updated: 8/19/2021
GSKForYou View on Map
Nationwide Provider
PO Box 29038
Phoenix, AZ 85038-9038
Nationwide Provider
Address:
PO Box 29038
Phoenix, AZ 85038-9038
Toll Free Phone: 866-728-4368
Eligibility:

Differs based on program. US residents.

Services Provided:

Provides access to specific medications for those without insurance, with Medicare prescription drug coverage, or impacted by disasters. Also offers coupons and vaccine assistance. GlaxoSmithKline's patient assistance program. 

Source: MHP-Nationwide
Last Updated: 10/9/2022
GoodRx.com View on Map
Nationwide Provider
2701 Olympic Blvd.
Santa Monica, CA 90404
Nationwide Provider
Address:
2701 Olympic Blvd.
Santa Monica, CA 90404
Toll Free Phone: 855-268-2822
Email: info@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: 8/15/2022
Nationwide Provider
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Nationwide Provider
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: 11/24/2022
RxAssist.org View on Map
Nationwide Provider
1500 Rosecrans Ave. #500
Manhattan Beach, CA 90266
Nationwide Provider
Address:
1500 Rosecrans Ave. #500
Manhattan Beach, CA 90266
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: 8/15/2022
Nationwide Provider
7500 Security Boulevard
Baltimore, MD 21244
Nationwide Provider
Organization Name: U.S. Centers for Medicare and Medicaid Service
(Show others in Organization)
Address:
7500 Security Boulevard
Baltimore, MD 21244
Eligibility:

Must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.

Services Provided:

Medicare beneficiaries can qualify for a low income subsidy (also known as Extra Help) paying for their monthly premiums, annual deductibles, and co-payments related to Medicare Part D (prescription drug coverage). The Extra Help is worth about $5,000 per year. 

Source: MHP-Nationwide
Last Updated: 4/22/2022
Good Days View on Map
Nationwide Provider
2611 Internet Boulevard Ste 105
Frisco, TX 75034
Phone: 972-608-7141
Nationwide Provider
Address:
2611 Internet Boulevard Ste 105
Frisco, TX 75034
Phone: 972-608-7141
Toll Free Phone: 877-968-7233
Fax: 214-570-3621
Email: info@mygooddays.org
Languages Spoken: Spanish
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 leve. 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.

COVID-19 UPDATE: All services are available via telephone and online. Please call with any questions.

  • Medical Care Expense Assistance
Source: Nationwide Suggest Providers Queue
Last Updated: 2/9/2023
Nationwide Provider
20440 Century Blvd Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
Nationwide Provider
Address:
20440 Century Blvd Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
Fax: 800-282-7692
Email: support@healthwellfoundation.org
Services Provided: Provides financial assistance to adults and children to cover the cost of prescription drug coinsurance, copayments, deductibles, health insurance premiums, and other selected out-of-pocket health care costs.

  • Incidental Medical Expense Assistance
  • Medical Care Expense Assistance
Source: Nationwide Suggest Providers Queue
Last Updated: 2/9/2023
NeedyMeds View on Map
Nationwide Provider
50 Whittemore Street
Gloucester, MA 01930
Phone: 800-503-6897
Nationwide Provider
Address:
50 Whittemore Street
Gloucester, MA 01930
Phone: 800-503-6897
Fax: 206-260-8850
Email: info@needymeds.org
Eligibility:

There are no income, insurance, age, or residency requirements.

Services Provided:

Provides a free drug discount card that offers a discount of up to 80% off prescriptions drugs, medical supplies written on a prescription form, over the counter drugs, and pet prescriptions. 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
Source: Nationwide Suggest Providers Queue
Last Updated: 6/17/2021
Nationwide Provider
421 Butler Farm Road
Hampton, VA 23666
Phone: 757-952-0118
Nationwide Provider
Organization Name: Patient Advocate Foundation
(Show others in Organization)
Address:
421 Butler Farm Road
Hampton, VA 23666
Phone: 757-952-0118
Toll Free Phone: 866-512-3861
Fax: 757-952-0119
Eligibility:

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.

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: 4/7/2022
Nationwide Provider
PO Box 5930
Midlothian, VA 23112
Nationwide Provider
Address:
PO Box 5930
Midlothian, VA 23112
Toll Free Phone: 800-366-7741
Fax: 804-744-9388
Languages Spoken: Spanish; other language interpreters available
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.COVID-19 UPDATE: Following all CDC and state guidelines.

  • Specialized Information and Referral
  • Medical Care Expense Assistance
Source: MHP-Nationwide
Last Updated: 2/9/2023
RxHope View on Map
Nationwide Provider
6000 Creek Road
Blue Ash, OH 45242
Nationwide Provider
Address:
6000 Creek Road
Blue Ash, OH 45242
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. 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: 3/3/2023
Nationwide Provider
9700 Health Care Lane
MN017-W400
Minnetonka, MN 55343
Nationwide Provider
Address:
9700 Health Care Lane
MN017-W400
Minnetonka, MN 55343
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. Family must not exceed maximum eligible family income as documented on IRS Tax Form 1040.

Services Provided: Provides medical grants to help with expenses for children, and 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
Source: Nationwide Suggest Providers Queue
Last Updated: 12/20/2022
Nationwide Provider
805 15th Street NW Suite 500
Washington, DC 20005
Nationwide Provider
Address:
805 15th Street NW Suite 500
Washington, DC 20005
Toll Free Phone: 800-394-0161
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 medical care expense assistance help and hope to underinsured people with chronic or life-threatening illnesses for whom cost limits access to breakthrough medical treatments.

  • Medical Care Expense Assistance
Source: Nationwide Suggest Providers Queue
Last Updated: 2/9/2023
Nationwide Provider
4510 Cox Road, Suite 111
Glen Allen, VA 23060
Nationwide Provider
Address:
4510 Cox Road, Suite 111
Glen Allen, VA 23060
Toll Free Phone: 844-234-3057
Email: support@singlecare.com
Eligibility:

No restrictions

Services Provided:

Provides a no cost prescription drug discount card used in most pharmacies. Must show card or the downloaded mobile app, to the pharmacy when purchasing prescription medications to receive the lowest price available to client: the negotiated SingleCare discounted rate, pharmacy price, or insurance price (if client has a health plan). The SingleCare card can also be used for pet meds.

  • Prescription Drug Discount Cards
Source: Nationwide Suggest Providers Queue
Last Updated: 2/11/2023
Nationwide Provider
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
Nationwide Provider
Organization Name: Rx Outreach
(Show others in Organization)
Address:
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
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:

Offers access to affordable medications through a mail order pharmacy for low income individuals and families.

Source: Nationwide Suggest Providers Queue
Last Updated: 7/10/2021
Nationwide Provider
4700 Millenia Boulevard, Suite 410
Orlando, FL 32839
Nationwide Provider
Address:
4700 Millenia Boulevard, Suite 410
Orlando, FL 32839
Toll Free Phone: 855-845-3663
Eligibility:

Eligibility variable, based on household size, annual income, insurance coverage and US residency.

Services Provided:

Helps patients and families facing high medical out-of-pocket costs by providing financial assistance for their copayments, coinsurance, deductibles, and other health-related expenses. 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: 5/7/2022
Nationwide Provider
14149 NW 8th Street
Sunrise, FL 33325
Nationwide Provider
Organization Name: Parapharma Tech
(Show others in Organization)
Address:
14149 NW 8th Street
Sunrise, FL 33325
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: 3/3/2023
Nationwide Provider
PO Box 630858
Irving, TX 75063
Nationwide Provider
Organization Name: National Association of Counties
(Show others in Organization)
Address:
PO Box 630858
Irving, TX 75063
Toll Free Phone: 877-321-2652
Languages Spoken: Spanish
Services Provided: Provides a prescription drug discount card with savings of up to 80% on generics and up to 40% on brand-name prescription medications. Valid at 65,000 participating pharmacies. Savings are also available on specialty medications (high-tech and injectable drugs), mail orders as well as pet medications. Note that the Prescription Discount Program is not an insurance.COVID-19 UPDATE: Following all CDC and state guidelines.

  • Prescription Expense Assistance
  • Prescription Drug Discount Cards
Source: Nationwide Suggest Providers Queue
Last Updated: 2/9/2023