PATIENT PRESCRIPTION ASSISTANCE
Do you take expensive medication's that are hard for you to pay for? Do you make less than $50,000 a year single and $100,000 a year married? Drug manufacturers often have patient assistance programs that you may qualify for. To learn more look at the list below and click on the appropriate links to be directed to each individual manufacture patient assistance program.
Where to find HELP:
1- Talk with your PCP for a generic or less expensive option.
2- Ask if you can receive Free Samples from your Doctor
3- Tip - Copays are by the 30 days supply not by quantity. Ask Doctor for a higher quantity
4- Ask Your Doctor to apply to the Federal Rx Assistance Program for you
5- Go to your local Department of Health & Social Services - DHSS - Apply for Medicaid/Extra Help
6- Apply for the State Pharmacy Assistant Program SPAP at https://www.ncdhhs.gov/divisions/office-rural-health/office-rural-health-programs/medication-assistance-program or call them at 866-331-1348
Many states have SPAPs that help certain people pay for prescription drugs based on financial need, age, or medical condition. HIV HMAP in NC
7- Www.GoodRx.com educate yourself and be a smart consumer.
9- Manufacturer assistance programs.
Many drug manufacturers offer assistance programs for people with Medicare drug coverage who meet certain requirements. Visit Medicare.gov/pharmaceutical-assistance-program to learn if there are any programs available for the drugs you are taking.
10- Supplemental Security Income (SSI) Benefits
Supplemental Security Income (SSI) Benefits
SSI is a cash benefit paid by Social Security to people with limited income and resources who are blind, 65 or older, or have a disability. SSI benefits aren’t the same as Social Security retirement benefits. You may be able to get both SSI benefits and Social Security benefits at the same time if your Social Security benefit is less than the SSI benefit amount, due to a limited work history, a history of low-wage work, or both. If you’re eligible for SSI, you automatically qualify for Extra Help, and are usually eligible for Medicaid.
11- Medicare.gov
12- Other Discount Rx Websites
https://costplusdrugs.com/medications/categories/iron-overload/
Bristol Myers Squibb Patient Assistance Foundation (BMSPAF)
CAMZYOS
ABRAXANE
ELIQUIS
EMPLICITI
Whether you are applying to BMSPAF for the first time or requesting continued assistance, your application may be processed more quickly if you include proof of your household income from a Federal Tax Return or other income documentation including:
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1099 forms
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Social security statements
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Pension statements
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Two consecutive pay stubs
Note to Medicare Patients:
In addition to your application, you will need to submit documentation showing you have spent 3% of your annual household income on out-of-pocket prescription expenses for you and/or other members of your household for the year in which you are seeking assistance. Your pharmacy can provide this report.
For example – if your annual household income is $10,000, you would need to spend at least $300 on prescription expenses for you and/or other members of your household. Prescription expenses include your out-of-pocket expenses for any prescriptions filled beginning January 1st of the year you are seeking assistance.
This 3% out-of-pocket prescription expense is in addition to our other eligibility criteria, including financial eligibility. We may not be able to process your application until we receive documentation of these out-of-pocket prescription expenses.
AstraZeneca
To see if you qualify for assistance about the following prescriptions click on the link:
AIRSUPRA® (albuterol/budesonide)
BEVESPI AEROSPHERE® (glycopyrrolate and formoterol fumarate)
BREZTRI AEROSPHERE® (budesonide, glycopyrrolate, and formoterol fumarate)
BRILINTA® (ticagrelor)
BYDUREON BCise® (exenatide extended-release)
CALQUENCE® (acalabrutinib)
FARXIGA® (dapagliflozin)
FASENRA Pen® (benralizumab)
FASENRA® PREFILLED SYRINGE (benralizumab)
IMFINZI® (durvalumab)
IMJUDO® (tremelimumab-actl)D
LOKELMA® (sodium zirconium cyclosilicate)
LYNPARZA® (olaparib)
SAPHNELO® (anifrolumab-fnia)
SYMLIN® (pramlintide acetate)
TAGRISSO® (osimertinib)
TRUQAP® (capivasertib)
WAINUATM (eplontersen)
XIGDUO® XR (dapagliflozin and metformin hydrochloride extended-release)
Answers to your questions or if you need to check the status of a patient's application, please call 1-800-292-6363, Monday-Friday, 9 AM-6 PM EST. If you need to submit an application, please download and fax 1-877-239-0867.
HUMIRA
Use the link to the right to get answers to your questions about HUMIRA, treatment-related resources, and encouragement are ready for you when you need them.
Once enrolled, you’ll be connected with your own Nurse Ambassador,* whose first priority will be to help you stay on track with your treatment plan as prescribed.
Novo Nordisk
The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to our patients. The Patient Assistance Program provides medication at no cost to those who qualify.
Patients who are approved for the PAP may qualify to receive free medicine from Novo Nordisk. There is no registration charge or monthly fee for participating.
Ozempic®
RYBELSUS®
Victoza®
Xultophy®
Fiasp®
Novolin®
NovoLog®
Tresiba®
Zegalogue®
Questions
See the frequently asked questions below or call Novo Nordisk toll-free at 1‑866‑310‑7549.
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