There are various types of financial assistance programs available for specialty prescriptions. Eligible patients can utilize manufacturer/copay/discount programs or patient assistance programs to lower their out-of-pocket costs.
A manufacturer/copay/discount program is a form of financial assistance
offered by drug manufacturers to offset the patients copay or out-of-pocket costs. It is primarily used for brand name drugs and cannot be used for prescriptions covered by Medicare, Medicaid, or any federal/state funded program. These programs are often used for marketing purposes.
Patient assistance programs offer financial assistance to uninsured,
underinsured, and government-funded patients. They can be provided by non-profit organizations or for-profit businesses and have specific qualifying criteria such as income, dependencies, and coverage for select medications. Patients need to apply yearly for funds and must stay compliant in taking their medications to continue receiving funding.
To determine if you are eligible for financial assistance for prescriptions, call 877-658-8020 to speak with a specialist who will provide information specific to your situation. Eligibility will be determined through a series of questions, and if eligible, the patient will be enrolled and provided with additional information needed to receive the discount.
Patients with Medicare/Medicaid may still be eligible for financial assistance to lower their out-of-pocket costs on some prescriptions. However, they are not eligible for manufacturer discount programs.
To lower out-of-pocket costs, patients may not need extensive personal
information but may be asked specific questions related to demographics and income. Supporting documents may be required for the application process, and we may work with the prescriber to obtain any necessary forms. Some patient assistance programs may require W2 or tax information, and failure to provide required information could result in the loss of funding.
