What if I need Financial Assistance to Pay for Treatment?

If you need help to pay for your prescription medications, you may be eligible for patient assistance programs. The following organizations provide programs that directly reduce the cost of prescription drugs or can assist you in finding programs for which you are eligible.


AMERICAN LIVER FOUNDATION

The American Liver Foundation’s Financial Assistance Resource Support Guide is available for more information: Download

The American Liver Foundation’s Free Drug Discount Card can be used for prescription medications, over-the-counter medications and medical supplies. The card is available with no charge. For more information.


PHARMACEUTICAL PATIENT ASSISTANCE PROGRAMS

There are pharmaceutical company sponsored prescription assistance programs for specific drugs used to treat Hepatitis C. The drugs are listed below by their brand name:

Daklinza
Bristol?Myers Squibb Patient Support Connect program
844-442-6663
daklinza.bmscustomerconnect.com

Sovaldi and Harvoni
Gilead Support Path
855-769-7284
www.mysupportpath.com

Olysio
Janssen Patient Assistance
800-652-6227
www.olysio.com

Pegasys and Copegus
Genentech Assistance
888-941-3331
www.pegasysaccesssolutions.com

Victrelis and PegIntron
ACT Program
866-363-6379
www.merckhelps.com
(Offered through Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc)

Intron A
Merck Access Program
855-257-3932

Technivie
AbbVie’s proCeed Program
844-484-3547

Viekira
AbbVie’s proCeed Program
844-484-3547

Ribasphere RibaPak (Ribavirin)
Kadmon Enabling Your Success (KEYS) Program
800-364-4767
Copay Card (download)
www.kadmon.com

  • Ribasphere not covered
  • RibaPak covered
  • Enrollment contact info: ribapak.com or 877-377-7862
  • Already enrolled inquiries: 800-364-4764

To apply for drug assistance programs you will likely be asked for the following information, so it’s helpful to have it handy before contacting these organizations:

  • State of residence and zip code
  • Estimated gross annual household income
  • Number of people living in the household
  • Brand name of the prescription medicines you have been prescribed
  • Type of health insurance and/or prescription coverage, if any
  • Name and contact information of your doctor who prescribed the medication

All information discussed with people staffing patient assistance help lines is strictly confidential.

Patient Access Network Foundation (866-316-7263) is a non-profit organization that provides assistance to under-insured people for their out-of-pocket expenses for life-saving medications. Visit them on the Web.

The Patient Advocate Foundation Co-Pay Relief Program (866-512-3861) provides direct financial assistance to insured patients who meet certain qualifications to help them pay for the prescriptions and/or treatments they need. Visit them on the Web.


NEEDYMEDS

NeedyMeds is a nonprofit organization whose mission is to help people who cannot afford medicine or health care costs.

Program
NeedyMeds offers resources that are helpful to uninsured and underinsured patients:

Eligibility
Eligibility depends on programs.

Contact Information
Needy Meds
P.O. Box 219
Gloucester, MA 01931
Phone: 1-800-503-6897
Website


HEALTHWELL FOUNDATION

The HealthWell Foundation is a nonprofit organization which reduces financial barriers to care for underinsured patients with chronic or life-threatening disease.

Program
The HealthWell Foundation provides financial assistance to eligible individuals to cover coinsurance, copayments, health care premiums and deductibles for certain medications and therapies.

Eligibility
HealthWell bases eligibility on an individual’s medical, financial and insurance situation. Click here for further eligibility requirements.

Contact Information
The HealthWell Foundation
P.O. Box 4133
Gaitherburg, MD 20885-4133
grants@healthwellfoundation.org
(800) 675-8416 Phone
(800) 282-7692 Fax
Website


PARTNERSHIP FOR PRESCRIPTION ASSISTANCE

The Partnership for Prescription Assistance helps qualifying patients without prescription drug coverage to access the medicines they need.

Program
The Partnership for Prescription Assistance has an online prescription assistance program finder.

Eligibility
Eligibility depends on the patient assistance program. Apply online here.

Contact Information
Partnership for Prescription Assistance
Phone: 1-888-477-2669
Website


STATE PHARMACEUTICAL ASSISTANCE PROGRAMS

Many states offer subsidies to provide pharmaceutical coverage or a discount program for prescriptions to eligible individuals.

Program
For information on what programs are provided in each state…

Eligibility
Eligibility requirements vary from state to state. For more details…

Contact Information
Contact information varies by state. For more details…

Additional organizations

  • RxAssist offers a comprehensive database of patient assistance programs, as well as news and practical tools. Visit them on the Web.
  • RxOutreach is a mail order pharmacy for people with little to no health insurance coverage. Visit them on the Web.

PATIENT ADVOCATE FOUNDATION CO-PAY RELIEF (CPR)

PAF Co-Pay Relief (CPR) provides direct financial assistance to qualified patients, assisting them with prescription drug co-payments their insurance requires relative to their diagnosis. CPR call counselors work directly with the patient as well as with the provider of care to obtain necessary medical, insurance and income information to advance the application in an expeditious manner.

Program
Maximum Award Level: $25,000 Per Year

Eligibility

  • Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  • Patient must have a confirmed diagnosis of Hepatitis C.
  • Patient must reside and receive treatment in the United States.
  • Patient’s income must fall below 400% of the Federal Poverty Guideline (FPG) with consideration of the Cost of Living Index(COLI) and the number in the household.

Contact Information
Patient Advocate Foundation
Co-Pay Relief Program
421 Butler Farm Road
Hampton, Virginia 23666

Toll Free 1-866-512-3861
Local: 757-952-0118
Fax: 757-952-0119

Website

 

This page has been updated in January 2016.