Search your medication on GoodRx, then scroll down and look under “Savings Tips.” If you are taking a certain medication and are unsure if there is a PAP available, you can: How can I find patient assistance programs for my medication? These programs can also force patients to choose a specific brand name medication, even if there are cheaper and more effective alternatives available. A 2018 study suggested providers don’t always know which patients would be best for which PAPs because of a lack of clear information on eligibility and benefits. Patients typically can’t apply to PAPs without involving their care team, because healthcare providers need to fill out part of the application. Many see the sign-up process as deliberately confusing and tedious. A 2009 study showed that only half of the programs would disclose their eligibility criteria freely. While these programs can provide serious benefits, they are difficult to access and understand. Why are patient assistance programs criticized? Lilly Cares Foundation Patient Assistance Program Here is a list of some of the largest patient assistance programs: What are some examples of these programs? In their qualification section, they list what your maximum monthly gross income must be under, which is dependent on your household size and where you live. Once you are enrolled, there may be limits on how much medication you can get or how long the program lasts.įor example, the manufacturer GlaxoSmithKline offers an assistance program for its medications Benlysta and Nucala. Most programs also require your healthcare provider to fill out a form. You will need to submit forms like your tax documents and proof of residence to prove your eligibility. To sign up, you will either call the program or register online. Meet certain income eligibility requirements Prove you are uninsured or that your insurance doesn’t cover your medication In general, you must meet the following requirements:īe a permanent, legal resident of the U.S. Each program defines and sets their own qualification standards. Unfortunately, there is no standard enrollment process. And programs often have different requirements. The benefits you receive vary widely from program to program. If you don’t have insurance, or are underinsured and can’t afford medication, these programs often offer free or low-cost options. There are also state programs and nonprofit-sponsored programs. PAPs are most often sponsored by pharmaceutical companies. Where do patient assistance programs come from? Keep reading to find out more about PAPs. But they can and do help people who are struggling to afford medications. Like manufacturer copay cards, PAPs have received some criticism. The goal of these programs is to provide financial assistance to help these patients access medications for little or no cost. Patient assistance programs (PAPs) are usually sponsored by pharmaceutical manufacturers and are promoted as a safety net for Americans who have no health insurance or are underinsured. And those without health insurance or adequate coverage must pay for their medications out of pocket. However, coverage gaps and formulary restrictions can burden even those with insurance. Many Americans are partially shielded from the high cost of prescription drugs through employer health insurance, Medicaid, or Medicare.
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