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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)

If you know of a Service that should be listed but isn't, please Suggest a New Provider. If you find errors in a listing, please let us know by using the "Suggest an Edit" form on the provider's detail page.

UT (20)


Statewide(4)


American Fork(1)


Cedar City(1)


Lehi(1)


Logan(1)


Ogden(3)


Park City(1)


Provo(3)


Salt Lake City(2)


South Salt Lake(1)


St. George(1)


Washington Terrace(1)


Nationwide (29)


UT

Statewide

Prescription Assistance Program, Utah Department of Health
Salt Lake City, UT
Service Categories:
Organization Name: Utah Department of Health
(Show others in Organization)
Address:
Salt Lake City, UT
Service Categories:
Prescription Drug Patient Assistance Programs
URL: http://health.utah.gov/asthma/basics/rxassist.html
Eligibility: low income or uninsured with prescription needs
Services Provided: A webpage compilation of resources offering prescription assistance, assembled by the Utah Department of Health.
Asthma-related support.
Source: Medical Home Portal
Last Updated: 11/6/2019
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Ryan White Part B Program, Utah Department of Health
288 North 1460 West
Salt Lake City, UT 84114
 Phone: 801-538-6096
Service Categories:
Organization Name: Utah Department of Health
(Show others in Organization)
Address:
288 North 1460 West
Salt Lake City, UT 84114
Phone: 801-538-6096
Fax: 801-538-9913
Service Categories:
Departments of Health, State
Education About Disabilities/Diagnoses
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
URL: http://health.utah.gov/epi/treatment/
Eligibility: Individuals living with HIV disease and family members who have no insurance, are underinsured or are not eligible for a State program, assets not over $10,000 (does not include a home or one car), low income.
Services Provided: 1. Supportive Services Program - ambulatory care, dental care, transportation services, case management, mental health services, substance abuse services, outreach services, and home health care.
2. ADAP (AIDS Drug Assistance Program) - helps eligible individuals pay for all or part of their HIV medications.
3. Health Insurance Continuation Program (COBRA) - can pay for COBRA payments for eligible individuals.
Source: Medical Home Portal
Last Updated: 11/4/2019
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Utah Asthma Program (UAP), Utah Department of Health
288 North 1460 West
PO Box 142107
Salt Lake City, UT 84114-2107
 Phone: 801-538-6894
Service Categories:
Organization Name: Utah Department of Health
(Show others in Organization)
Address:
288 North 1460 West
PO Box 142107
Salt Lake City, UT 84114-2107
Phone: 801-538-6894
Fax: 801-538-9495
Service Categories:
Departments of Health, State
Disability Awareness Programs
Education About Disabilities/Diagnoses
Prescription Drug Patient Assistance Programs
URL: http://www.health.utah.gov/asthma
Wheelchair Access: Complete
Languages Spoken: Spanish
Eligibility: No charge, no health insurance required
Services Provided: Provides comprehensive asthma care by ensuring availability of and access to guidelines-based medical management and pharmacotherapy for all Utahns with asthma, and to link those with poorly controlled asthma to individualized services.
Utah Asthma Home Visiting Program for individuals with asthma living in Salt Lake and Utah Counties.
Prescription Assistance Program for Patients with Asthma http://health.utah.gov/asthma/basics/rxassist.html
Provider Profiles: Nichole Shepard, MPH - Program Manager
Kellie Baxter, Health Program Specialist
Holly Uphold, PhD - Epidemiologist
Janae Letterman, BS CHES - Program Coordinator
Source: Medical Home Portal
Last Updated: 1/8/2020
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Utah Drug Card
Salt Lake City, UT
Service Categories:
Address:
Salt Lake City, UT
Service Categories:
Prescription Drug Patient Assistance Programs
Specialized Information Resources
URL: https://www.utahdrugcard.com/
Eligibility: Utah residents
Services Provided: Access to a Prescription Assistance Program in which residents can print free discount prescription coupons up to 75 percent in savings at more than 68,000 pharmacies. Simply follow the link and print your free coupon now to start saving on your prescription drugs.
Provider Profiles: Not a Medicare prescription drug plan, nor a government affiliated program.
Source: Medical Home Portal
Last Updated: 11/6/2019
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American Fork, UT

American Fork Hospital, Intermountain Healthcare - Utah County
170 North 1100 East
American Fork, UT 84003
 Phone: 801-855-3300
Service Categories:
Organization Name: Intermountain Healthcare - Utah County
(Show others in Organization)
Address:
170 North 1100 East
American Fork, UT 84003
Phone: 801-855-3300
Fax: 801-855-3548
Service Categories:
Hospitals
Local Support Groups, Bereavement
Prescription Drug Patient Assistance Programs
URL: http://www.intermountainhealthcare.org
Eligibility: No restrictions, serves all ages.
Services Provided: American Fork Hospital serves people with medical needs in the local community by providing a wide range of inpatient and outpatient services including hospital services, emergency care, and support groups.
Provider Profiles: Spirometry testing ages 6 and older 801 855-3593, asthma education
Source: United Way 2-1-1
Last Updated: 7/1/2019
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Cedar City, UT

Iron County Care and Share
222 West 900 North
PO Box 2241
Cedar City, UT 84720
 Phone: 435-586-4962
Service Categories:
Address:
222 West 900 North
PO Box 2241
Cedar City, UT 84720
Phone: 435-586-4962
Fax: 435-865-1662
Service Categories:
Food Banks
Homeless Shelters
Prescription Drug Patient Assistance Programs
URL: http://www.careandshare-ut.org
Eligibility: Low-income individuals and families with children
Services Provided: Provides programs and services which help homeless and low-income individuals and families work toward self sufficiency. Programs include food pantries, homeless shelter, laundry and bathing facilities, and other forms of assistance.
Source: United Way 2-1-1
Last Updated: 12/12/2019
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Lehi, UT

Epilepsy Association of Utah
Lehi, UT 84043
 Phone: 801-566-5949
Service Categories:
Address:
Lehi, UT 84043
Phone: 801-566-5949
Service Categories:
Camps for Children with Special Needs
Community Advocacy Organizations
Disability Awareness Programs
Education About Disabilities/Diagnoses
Local Support Groups, Disability/Diag
Prescription Drug Patient Assistance Programs
URL: http://www.epilepsyut.org
Wheelchair Access: Complete
Eligibility: Epilepsy patients and their families.
Services Provided: Provides awareness, education, support services, and advocacy for and in behalf of all those dealing with the many challenges of epilepsy/seizure disorders. A yearly summer camp for youth.
Source: United Way 2-1-1
Last Updated: 7/9/2019
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Logan, UT

Midtown Community Health Center - Logan, Midtown Community Health Centers
550 East 1400 North
Logan, UT 84321
 Phone: 435-752-7060
Service Categories:
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
550 East 1400 North
Logan, UT 84321
Phone: 435-752-7060
Fax: 435-752-1672
Service Categories:
Community Clinics
General Counseling Services
Prescription Drug Patient Assistance Programs
URL: http://midtownchc.org/directory
Eligibility: Cache County. Wellness programs are available to any Midtown patient; generally patients are under 200% of Federal Poverty Level.
Services Provided: Health Clinic serves residents of Cache Valley and the surrounding areas to ensure that low-income and uninsured community residents have access to comprehensive primary healthcare services. Provides primary healthcare services including well care, prenatal care, pediatrics, immunizations, women's health, geriatrics, and treatment for acute and chronic illnesses such as diabetes, hypertension, and asthma
Source: United Way 2-1-1
Last Updated: 12/5/2019
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Ogden, UT

Health Access Team, Midtown Community Health Centers
2240 Adams Avenue
Ogden, UT 84403
 Phone: 801-393-5355
Service Categories:
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
2240 Adams Avenue
Ogden, UT 84403
Phone: 801-393-5355
Fax: 801-394-4609
Service Categories:
Care Coordination/Case Management
Education About Disabilities/Diagnoses
Prescription Drug Patient Assistance Programs
URL: http://midtownchc.org
Wheelchair Access: Complete
Eligibility: Open to all
Services Provided: Health care coordination, case management, and prescription assistance for uninsured children, families, and adults including health education and specialty care coordination available at every Midtown Community Health Clinic location from Salt Lake City to Logan. Enrollment Specialist also available by appointment to help with navigation of Medicaid, CHIP, PCN, UPP, and Marketplace plans (ObamaCare).
Source: Medical Home Portal
Last Updated: 11/8/2017
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MTCHC Wellness Clinic, Midtown Community Health Center
237 26th Street
Weber Human Services
Ogden, UT 84401
 Phone: 801-625-3700
Service Categories:
Organization Name: Midtown Community Health Center
(Show others in Organization)
Address:
237 26th Street
Weber Human Services
Ogden, UT 84401
Phone: 801-625-3700
Service Categories:
Community Clinics
Health-Related Education
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
URL: https://www.midtownchc.org/directory/listing/the-wellness-clinic
Eligibility: CHCs serve everyone, insured and uninsured. Patients pay for services on a sliding-scale fee structure based on their income. Patients must be 18 and over with a serious and persistent mental health concern to be seen at this clinic.
Services Provided: Midtown Wellness Clinic, located at Weber Human Services, is designed to improve the physical health of individuals with mental illnesses and addictions. Comprehensive primary care services including treatment for acute and chronic illnesses, well care, mental health counseling, and medication management for mental health issues are offered.
Provider Profiles: After Hours Clinical Advice 801-626-2645
AUCH
Source: United Way 2-1-1
Last Updated: 1/14/2020
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Seager Memorial Clinic at Ogden Rescue Mission, Ogden Rescue Mission
2775 Wall Avenue
Ogden, UT 84401
 Phone: 801-394-4161
Service Categories:
Organization Name: Ogden Rescue Mission
(Show others in Organization)
Address:
2775 Wall Avenue
Ogden, UT 84401
Phone: 801-394-4161
Service Categories:
Community Clinics
Prescription Drug Patient Assistance Programs
Wheelchair Access: Complete
Eligibility: Clients without dental insurance
Services Provided: Supplies medical services, medications, and some dental care to homeless and low-income clients. Offers a variety of monthly clinics-- pulmonary, foot, eye clinic, mental health, and a monthly lab draw. Call for dates and times.
Source: United Way 2-1-1
Last Updated: 6/13/2019
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Park City, UT

Mead Johnson Helping Hands for Special Kids
PO Box 4615
Park City, UT 84060
 Phone: 800-260-6295
Service Categories:
Address:
PO Box 4615
Park City, UT 84060
Phone: 800-260-6295
Fax: 812-602-2030
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
URL: http://www.meadjohnson.com/pediatrics/us-en/nurse-connections/special-programs
Eligibility: For children under 12 months who have special needs. Must be referred by a physician. A patient may be accepted based on financial need or other factors. The Multiple Birth Program is for families who have given birth to multiples. Must be referred by a physician. To be accepted into the Multiple Birth. Program, the family must not be able to qualify for help through a local WIC program.
Services Provided: Provides free or reduced cost specialty formula (Enfamil) to parents who have children with special nutritional needs or parents of multiples.
Source: Medical Home Portal
Last Updated: 1/16/2020
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Provo, UT

Intermountain Dixon Family Health Center, Intermountain Healthcare - Utah County
750 West 200 North
Provo, UT 84601
 Phone: 801-357-5757
Service Categories:
Organization Name: Intermountain Healthcare - Utah County
(Show others in Organization)
Address:
750 West 200 North
Provo, UT 84601
Phone: 801-357-5757
Fax: 801-357-5759
Service Categories:
Community Clinics
Prescription Drug Patient Assistance Programs
School-based Health Centers
URL: http://www.intermountainhealthcare.org
Eligibility: low income, uninsured or under insured demographic
Services Provided: The Intermountain Dixon Health Center is located on the campus of Dixon Middle School and provides general medical care for people of all ages, including low-income families or those without insurance. Includes those in need of assistance paying for their prescription of insulin.
Source: United Way 2-1-1
Last Updated: 7/1/2019
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Mountainlands Family Health Center and Pharmacy- West Park Family Health Center, Mountainlands Family Health Center - Provo Family Health Center
750 North 200 West Suite 201
Provo, UT 84601
 Phone: 801-429-2000
Service Categories:
Organization Name: Mountainlands Family Health Center - Provo Family Health Center
(Show others in Organization)
Address:
750 North 200 West Suite 201
Provo, UT 84601
Phone: 801-429-2000
Fax: 801-429-2001
Service Categories:
Community Clinics
Immunization Clinics
Pharmacies / Prescriptions
Prescription Drug Patient Assistance Programs
URL: https://www.mountainlands.org/pharmacy
Eligibility: Low-income individuals and families. Accepts most insurance. Pharmacy services are only available to active Mountainlands Family Health Center patients.
Services Provided: Provides medical care and a discount pharmacy.
Participate in the Federal 340b program to purchase medications at deeply discounted prices so patients receive high-quality medications for a fraction of the normal cost.
Provider Profiles: AUCH, a Community Health Center
Locations in Provo, West Park (Provo), Payson, Vernal, Vernal dental, and East Bay Health Center (Provo)
Source: United Way 2-1-1
Last Updated: 1/16/2020
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Utah Valley Hospital, Intermountain Healthcare - Utah County
1034 North 500 West
Provo, UT 84604
 Phone: 801-357-7850
Service Categories:
Organization Name: Intermountain Healthcare - Utah County
(Show others in Organization)
Address:
1034 North 500 West
Provo, UT 84604
Phone: 801-357-7850
Fax: 801-357-7780
Service Categories:
Hospitals
Inpatient (Acute) Mental Health Care
Local Support Groups, Bereavement
Neonatal Intensive Care Unit (NICU)
Prescription Drug Patient Assistance Programs
URL: http://www.intermountainhealthcare.org
Services Provided: The largest hospital in Utah County and a designated Level II Trauma Center serves by providing a wide range of inpatient and outpatient services including hospital services, emergency care, and support groups.

Pediatric Intensive Care Unit (PICU) with 6 beds staffed by Primary Children's specialists.

Pediatric Specialists as part of the Primary Children’s Hospital Network:
Anesthesiology
Cardiology
Ear, Nose and Throat
Gastroenterology
Infectious Disease
Neurology
Orthopedics

Pediatric hospitalists (physicians who work at the hospital and only treat hospital patients)
Psychiatry
Radiology
Surgery
Provider Profiles: Spirometry testing ages 8 and older 801 357-3930, asthma education
Source: Medical Home Portal
Last Updated: 7/18/2019
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Salt Lake City, UT

Fourth Street Clinic, Wasatch Homeless Health Care, Inc.
409 West 400 South
Salt Lake City, UT 84101
 Phone: 801-364-0058
Service Categories:
Organization Name: Wasatch Homeless Health Care, Inc.
(Show others in Organization)
Address:
409 West 400 South
Salt Lake City, UT 84101
Phone: 801-364-0058
Fax: 801-364-4602
Service Categories:
Community Clinics
General Dentistry
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
Substance Use Disorder Outpatient Treatment
Email: info@fourthstreetclinic.org
URL: http://www.fourthstreetclinic.org
Wheelchair Access: Complete
Eligibility: Homeless individuals or families and patients with an income less than 200% of Federal Poverty Level. Insured and uninsured. Patients pay for services on a sliding-scale fee structure based on their income.
Services Provided: A comprehensive medical home providing coordinated primary care, behavioral health, substance abuse, and pharmacy services to homeless individuals and families in the Salt Lake area.
After hours call 801.364.0058
Provider Profiles: AUCH
Source: United Way 2-1-1
Last Updated: 6/4/2020
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Lupus Foundation of America - Utah
352 South Denver Street Ste 101
Salt Lake City, UT 84111
 Phone: 801-364-0366
Service Categories:
Address:
352 South Denver Street Ste 101
Salt Lake City, UT 84111
Phone: 801-364-0366
Toll Free Phone: 800-657-6398
Service Categories:
Disability Awareness Programs
Education About Disabilities/Diagnoses
Local Support Groups, Disability/Diag
Prescription Drug Patient Assistance Programs
Email: info@utahlupus.org
URL: https://www.lupus.org/get-local-anywhere
Eligibility: No restrictions
Services Provided: Improves the quality of life for all people affected by lupus through programs of research, education, support, and advocacy.
Source: United Way 2-1-1
Last Updated: 1/30/2020
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South Salt Lake, UT

Midtown Community Health Center - South Salt Lake, Midtown Community Health Centers
2253 South State Street
South Salt Lake, UT 84115
 Phone: 801-486-0911
Service Categories:
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
2253 South State Street
South Salt Lake, UT 84115
Phone: 801-486-0911
Fax: 801-486-0796
Service Categories:
Community Clinics
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
URL: http://midtownchc.org/directory
Eligibility: CHCs serve everyone, insured and uninsured. Patients pay for services on a sliding-scale fee structure based on their income.
Services Provided: Offer patients of all ages and backgrounds comprehensive primary healthcare services including well care, prenatal care, pediatrics, immunizations, women’s health, family planning, geriatrics, treatment for acute and chronic illnesses, and mental and behavioral health services. State provider for refugee services.
Provider Profiles: AUCH
Source: United Way 2-1-1
Last Updated: 12/5/2019
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St. George, UT

Washington County Prescription Drug Discount, Washington County Government
197 East Tabernacle Street
St. George, UT 84770
 Phone: 435-634-5712
Service Categories:
Organization Name: Washington County Government
(Show others in Organization)
Address:
197 East Tabernacle Street
St. George, UT 84770
Phone: 435-634-5712
Fax: 435-634-5763
Service Categories:
Prescription Drug Patient Assistance Programs
URL: http://www.washco.utah.gov
Eligibility: All residents of Washington County can receive a discount card. No restrictions apply.
Services Provided: Prescription drug discount cards.
Source: United Way 2-1-1
Last Updated: 11/26/2019
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Washington Terrace, UT

Midtown Children's Clinic, Midtown Community Health Centers
5285 South 400 East, Ste A
Washington Terrace, UT 84405
 Phone: 801-393-5355
Service Categories:
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
5285 South 400 East, Ste A
Washington Terrace, UT 84405
Phone: 801-393-5355
Fax: 801-394-4609
Service Categories:
CSHCN Clinics
Community Clinics
Health-Related Education
Prescription Drug Patient Assistance Programs
URL: https://www.midtownchc.org/directory/listing/midtown-chc-childrens
Wheelchair Access: Complete
Eligibility: Clinic serves exclusively children under age 18, insured and uninsured. Patients pay for services, including prescriptions on a sliding-scale fee structure based on their income. Medicaid, Medicare, CHIP (Children’s Health Insurance Program), PCN (Primary Care Network), most private medical insurances (please confirm when you set an appointment)
Services Provided: Midtown Children's Clinic is exclusively for children (birth-18 years), providing well-child visits, immunizations, and treatment for acute illnesses. Experienced in caring for children with chronic illnesses and special needs.
Provider Profiles: After-Hours Clinical Advice 801-626-2645

AUCH
Trained in the medical home model 6/18/2011 - 12/31/2014.
Source: United Way 2-1-1
Last Updated: 9/5/2018
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Nationwide

Abbott Patient Assistance Program, Abbot Nutrition
Phone: 800-558-7677
Service Categories:
Organization Name: Abbot Nutrition
(Show others in Organization)
Address:
Phone: 800-558-7677
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
URL: http://pathwayreimbursement.com/patient-assistance-program
Eligibility: Must meet eligibility criteria.
Services Provided: Assists with costs for formulas, Ensure and PediaSure, Abbott Nutrition products.
Source: MHP-Nationwide
Last Updated: 1/15/2020
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Assistance Fund, TAF Cares
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
 Phone: 855-845-3663
Service Categories:
Organization Name: TAF Cares
(Show others in Organization)
Address:
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
Phone: 855-845-3663
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
URL: https://tafcares.org/
Eligibility: Eligibility variable, based on household size, annual income, insurance coverage and US residency.
Services Provided: Direct financial assistance for co-pays, health care expenses and insurance premium and incidentals for medical treatment. 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: 9/12/2019
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FamilyWize Prescription Discount, FamilyWize Community Service Partnership
99 High Street, Suite 2800
Boston, MA 02129
 Phone: 866-810-3784
Service Categories:
Organization Name: FamilyWize Community Service Partnership
(Show others in Organization)
Address:
99 High Street, Suite 2800
Boston, MA 02129
Phone: 866-810-3784
Toll Free Phone: 800-222-2818
Service Categories:
Prescription Drug Patient Assistance Programs
Email: info@familywize.org
Services Provided: Provides a prescription drug discount card at no cost. The FamilyWize card can also be used for pet medications.
Source: Nationwide Suggest Providers Queue
Last Updated: 4/17/2020
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GSKForYou
PO Box 29038
Phoenix, AZ 85038-9038
Service Categories:
Address:
PO Box 29038
Phoenix, AZ 85038-9038
Toll Free Phone: 866-728-4368
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://www.gskforyou.com/
Eligibility: Differs based on program. US residents.
Services Provided: GSKForYou is GlaxoSmithKline's patient assistance program. Access to specific medications for those without insurance, with Medicare prescription drug coverage, or impacted by disasters. Also offers coupons and vaccine assistance.
Source: MHP-Nationwide
Last Updated: 1/6/2020
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Good Days
6900 N. Dallas Parkway, Suite 200
Plano, TX 75024
 Phone: 877-968-7233
Service Categories:
Address:
6900 N. Dallas Parkway, Suite 200
Plano, TX 75024
Phone: 877-968-7233
Fax: 214-570-3621
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Transportation Expense Assistance
Email: info@cdfund.org
URL: https://www.mygooddays.org/
Eligibility: Patients suffering from diagnosed, covered chronic medical conditions who have limited financial means.
Services Provided: Helps patients get access to the medications they need, pay insurance co-pays, transportation, insurance premiums, diagnostic testing, finding insurance coverage, and emotional support.
Provider Profiles: Hours: 8:00 a.m. to 5:00 p.m. CST
Source: Nationwide Suggest Providers Queue
Last Updated: 9/12/2019
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GoodRx.com
Service Categories:
Address:
Service Categories:
Prescription Drug Patient Assistance Programs
Specialized Information Resources
URL: https://www.goodrx.com/
Services Provided: A website to search for lowest price prescription drugs based on location. Offers coupons, will send refill reminders and alerts when prices change.
Source: MHP-Nationwide
Last Updated: 4/9/2020
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HealthWell Foundation
20440 Century Blvd, Suite 250
PO Box 489, Buckeystown, MD 21717
Germantown, MD 20874
 Phone: 800-675-8416
Service Categories:
Address:
20440 Century Blvd, Suite 250
PO Box 489, Buckeystown, MD 21717
Germantown, MD 20874
Phone: 800-675-8416
Toll Free Phone: 800-675-8416
Fax: 800-282-7692
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Email: Grants@HealthWellFoundation.org
URL: https://www.healthwellfoundation.org/
Eligibility: Patients living with chronic and life-altering illnesses. Must meet income and diagnosis requirements. Call for specific information.
Services Provided: Provides financial assistance to eligible individuals to cover coinsurance, copayments, health care premiums and deductibles for certain medications and therapies.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/17/2020
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Magic Foundation
6645 West North Avenue
Oak Park, IL 60302
 Phone: 708-383-0808
Service Categories:
Address:
6645 West North Avenue
Oak Park, IL 60302
Phone: 708-383-0808
Toll Free Phone: 800-362-4423
Service Categories:
Medical Care Expense Assistance
National Support Services, Disab/Diag
Prescription Drug Patient Assistance Programs
URL: https://www.magicfoundation.org/Financial-Assistance/
Eligibility: Children with endocrine disorders.
Services Provided: The Magic Foundation provides information, resources, and an insurance and appeals assistance program, designed to assist members in the insurance appeals process as funding allows. Programs include: Pharmaceutical Company Patient Assistance Programs, Co-Pay Assistance Foundation, Insurance Appeals.
Provider Profiles: An organization of parents of children with endocrine disorders.
Source: Medical Home Portal
Last Updated: 8/1/2018
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Medicaid Prescription Help
Service Categories:
Address:
Service Categories:
Medicaid
Prescription Drug Patient Assistance Programs
URL: https://www.medicaid.gov/medicaid/prescription-drugs/index.html
Eligibility: Low income and relatively few assets, reside in one of the 50 States or the District of Columbia.
Services Provided: Although pharmacy coverage is an optional benefit under federal Medicaid law, all states currently provide coverage for outpatient prescription drugs to all categorically eligible individuals and most other enrollees within their state Medicaid programs.
Source: Medical Home Portal
Last Updated: 8/1/2018
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Medicare Extra Help
Service Categories:
Address:
Service Categories:
Medicare Special Needs Plan
Prescription Drug Patient Assistance Programs
Specialized Information Resources
URL: https://www.cms.gov/Medicare/Eligibility-and-Enrollment/LowIncSubMedicarePresCov/EligibilityforLowIncomeSubsidy.html
Services Provided: Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. Use the website to investigate and apply.
Source: Medical Home Portal
Last Updated: 8/1/2018
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Medicine Assistance Tool, Pharmaceutical Research and Manufacturers of America (PhRMA)
Washington, DC 20004
 Phone: 888-477-2669
Service Categories:
Organization Name: Pharmaceutical Research and Manufacturers of America (PhRMA)
(Show others in Organization)
Address:
Washington, DC 20004
Phone: 888-477-2669
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://medicineassistancetool.org/
Services Provided: Free-to-use search engine that focuses its searches on patient assistance resources available to eligible patients. PhRMA’s Medicine Assistance Tool (MAT) is a search engine designed to help patients, caregivers and health care providers learn more about the resources available through the various biopharmaceutical industry programs. MAT is not its own patient assistance program, but rather a search engine for many of the patient assistance resources that the biopharmaceutical industry offers. Formerly PPA.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/6/2020
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National Organization for Rare Disorders (NORD)
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
 Phone: 203-744-0100
Service Categories:
Address:
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Toll Free Phone: 800-999-6673
Fax: 203-263-9938
Service Categories:
Education About Disabilities/Diagnoses
Medical Care Expense Assistance
National Support Services, Disab/Diag
Prescription Drug Patient Assistance Programs
Transportation Expense Assistance
URL: https://www.rarediseases.org/
Languages Spoken: Spanish
Eligibility: Persons with a rare disease, financial need.
Services Provided: A patient advocacy organization for individuals with rare diseases and the organizations that serve them. NORD provides Patient Assistance Programs that provide financial assistance. In addition, NORD provides links to other financial assistance resources.
Patient Assistance Program, RareCare, provides medication, financial assistance with insurance premiums and co-pays, diagnostic testing assistance, and travel assistance for clinical trials or consultation with disease specialists.
Source: MHP-Nationwide
Last Updated: 9/12/2019
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Nationwide Drug Card Program, Prescription Benefits, Inc.
PO Box 382377
Birmingham, AL 35238
 Phone: 800-334-8134
Service Categories:
Organization Name: Prescription Benefits, Inc.
(Show others in Organization)
Address:
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
Fax: 205-980-2354
Service Categories:
Prescription Drug Patient Assistance Programs
Email: generalinfo@rxbenefits.com
URL: https://www.rxbenefits.com/
Services Provided: Nationwide provider of discount pharmacy cards for individuals, families, and seniors.
Source: MHP-Nationwide
Last Updated: 4/8/2020
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NeedyMeds -- National Prescription Drug Discount Card, NeedyMeds.org
50 Whittemore Street
Gloucester, MA 01930
 Phone: 978-281-6666
Service Categories:
Organization Name: NeedyMeds.org
(Show others in Organization)
Address:
50 Whittemore Street
Gloucester, MA 01930
Phone: 978-281-6666
Toll Free Phone: 800-503-6897
Fax: 206-260-8850
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
Email: info@needymeds.org
URL: https://www.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.

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.
Provider Profiles: 90 day w refills. Turnaround 3-4 weeks; physician sends in prescription
Source: Nationwide Suggest Providers Queue
Last Updated: 1/17/2020
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Nestle HealthCare Nutrition Patient Assistance Program, Nestle HealthCare Nutrition, Inc.
12 Vreeland Road, 2nd Floor
Florham Park, NJ 07932
 Phone: 800-422-2752
Service Categories:
Organization Name: Nestle HealthCare Nutrition, Inc.
(Show others in Organization)
Address:
12 Vreeland Road, 2nd Floor
Florham Park, NJ 07932
Phone: 800-422-2752
Toll Free Phone: 800-422-2752
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
URL: https://www.needymeds.org/company_list.taf?_function=name&program_id=7ffd85d93a3e4de5c490d304ccd9f864
Services Provided: Provides brand name medications at no or low cost. Funding for nutrition products available, including for people who require a tube feeding to meet 100% of daily nutritional requirements. Only patients whose sole or primary source of nutrition is the requested product are eligible for this program. Patients who use the products as supplements are not eligible.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/15/2020
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Patient Access Network (PAN), PAN Foundation
805 15th Street, NW Ste 500
Washington, DC 20005
 Phone: 202-347-9272
Service Categories:
Organization Name: PAN Foundation
(Show others in Organization)
Address:
805 15th Street, NW Ste 500
Washington, DC 20005
Phone: 202-347-9272
Toll Free Phone: 866-316-7262
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Email: contact@panfoundation.org
URL: https://panfoundation.org/index.php/en/
Eligibility: People with chronic or life-threatening illnesses, financial assistance for out-of-pocket costs.
Services Provided: Offers help and hope to people with chronic or life-threatening illnesses for whom cost limits access to breakthrough medical treatments.
Provider Profiles: Call or visit website.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/6/2020
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Patient Advocate Foundation Co-Pay Relief Program, Patient Advocate Foundation (PAF)
421 Butler Farm Road
Hampton, VA 23666
 Phone: 866-512-3861
Service Categories:
Organization Name: Patient Advocate Foundation (PAF)
(Show others in Organization)
Address:
421 Butler Farm Road
Hampton, VA 23666
Phone: 866-512-3861
Toll Free Phone: 800-532-5274
Fax: 757-952-0119
Service Categories:
Care Coordination/Case Management
Prescription Drug Patient Assistance Programs
URL: https://copays.org/
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: Co-pay assistance for pharmaceuticals.
Includes mental retardation and developmental disabilities.

PAF also offers case management assistance, a National Financial Resource Directory (searchable by state), and financial aid funds. Small grants to patients who meet financial and medical criteria provided on first-come first served basis.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/6/2020
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Patient Assistance Programs, MeadJohnson Nutrition (Enfamil)
Service Categories:
Organization Name: MeadJohnson Nutrition (Enfamil)
(Show others in Organization)
Address:
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
URL: https://www.meadjohnson.com/pediatrics/us-en/patient-resources/patient-assistance-programs
Eligibility: Children requiring formula
Services Provided: Listing of a variety of Enfamile programs for different needs: Enfamil, Helping Hand (Enfamil), Nutramigen Savings and Support Program (Enfamil), Premature (Enfamil), Multiple Birth Program (Enfamile); and Free Matabolic Starter Case (Mead Johnson), Women, Infants and Children (WIC)
Source: MHP-Nationwide
Last Updated: 1/15/2020
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Patient Prescription Drug Assistance Programs Listing, National Alliance for the Mentally Ill (NAMI)
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
 Phone: 703-524-7600
Service Categories:
Organization Name: National Alliance for the Mentally Ill (NAMI)
(Show others in Organization)
Address:
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
Phone: 703-524-7600
Fax: 703-524-9094
Service Categories:
Prescription Drug Patient Assistance Programs
Specialized Information Resources
URL: https://www.nami.org/Find-Support/Living-with-a-Mental-Health-Condition/Getting-Help-Paying-for-Medications
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: Medical Home Portal
Last Updated: 8/20/2018
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Patient Services Inc (PSI)
PO Box 5930
Midlothian, VA 23112
 Phone: 800-366-7741
Service Categories:
Address:
PO Box 5930
Midlothian, VA 23112
Phone: 800-366-7741
Toll Free Phone: 800-366-7741
Fax: 804-744-9388
Service Categories:
Education About Disabilities/Diagnoses
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Specialized Information Resources
Transportation Expense Assistance
Email: psiops@uneedpsi.org
URL: https://www.patientservicesinc.org/
Eligibility: Financial assistance for insured and uninsured patients with chronic illnesses. Assistance is focused on a limited number of around 20 diseases, and the list always changes.
Services Provided: Provides online disease and treatment information as well as limited financial assistance for patients with chronic illnesses who are struggling to keep up with expensive premiums and copayments. Available programs and specific illnesses are regularly updated. Financial assistance includes: subsidizing the cost of health insurance premiums; providing pharmacy and treatment copayment assistance; assisting with Medicare Part D co-insurance; providing travel assistance for transportation reimbursement.
Provider Profiles: Online resources
Source: MHP-Nationwide
Last Updated: 7/11/2019
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Pharmaceutical Research and Manufacturers of America (PhRMA)
950 F Street NW Suite 300
Washington, DC 20004
Service Categories:
Address:
950 F Street NW Suite 300
Washington, DC 20004
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://medicineassistancetool.org/
Services Provided:

A free-to-use search engine that focuses its searches on patient assistance resources available to eligible patients. Search for financial assistance resources available to them, their loved ones or patients.
Source: MHP-Nationwide
Last Updated: 6/22/2020
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Prescription Care
7349 N Via Paseo Del Sur, Unit # 453
Scottsdale, AZ 85258
 Phone: 866-299-0857
Service Categories:
Address:
7349 N Via Paseo Del Sur, Unit # 453
Scottsdale, AZ 85258
Phone: 866-299-0857
Toll Free Phone: 866-299-0857
Service Categories:
Pharmacies / Prescriptions
Prescription Drug Patient Assistance Programs
Email: hello@prescriptioncare.com
URL: https://www.prescriptioncare.com/
Eligibility: Individuals who cannot afford their prescription medication. The average household income to qualify for the Prescription Care program: -Individuals earning around $30,000 per year. -Couples earning around $50,000 per year. -Increased income guidelines for additional members of the household.
Services Provided: Prescription Care is a full service medication access company that researches available sources of assistance, enrolls eligible individuals in patient available assistance programs, handles ongoing refill processing and maintains enrollment.

Prescription Care assists eligible individuals access FDA-approved prescription medications. Prescription Care is not an insurance plan or discount card. Prescription Care staff identify all available sources of assistance for the individual and handle the ordering, managing, tracking, on-time refilling and renewal of medications.

The cost for Prescription Care is $49.00 per month for each medication Prescription Care can assist. Final approval is determined by each assistance program and patients are not charged any fees if they are not approved.
Source: MHP-Nationwide
Last Updated: 5/28/2020
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Rx Card
127 Main Street 2nd Floor
Black Hawk, CO 80422
 Phone: 888-670-0039
Service Categories:
Address:
127 Main Street 2nd Floor
Black Hawk, CO 80422
Phone: 888-670-0039
Fax: 720-287-6523
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://www.freedrugcardsite.com/
Eligibility: Open to the public.
Services Provided: Helps consumers of prescription drugs save money at the retail pharmacy ranging from 10% to 85% depending on the type of drug you choose. Also offers valuable information on programs to help you with free medication through the Patient Assistance Partners.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/7/2020
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Rx Outreach: The Nonprofit Pharmacy
P. O. Box 66536
St. Louis, MO 63166-6536
 Phone: 888-796-1234
Service Categories:
Address:
P. O. Box 66536
St. Louis, MO 63166-6536
Phone: 888-796-1234
Toll Free Phone: 800-769-3880
Fax: 800-875-6591
Service Categories:
Pharmacies / Prescriptions
Prescription Drug Patient Assistance Programs
Email: questions@rxoutreach.org
URL: https://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: Licensed non-profit mail order pharmacy. A medication list and enrollment instructions are available online.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/17/2020
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RxAssist.org
Service Categories:
Address:
Service Categories:
Prescription Drug Patient Assistance Programs
Email: info@rxassist.org
URL: https://www.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: 1/6/2020
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RxHope
Service Categories:
Address:
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://www.rxhope.com/home.aspx
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. This is an online service only. Addresses and telephone numbers will vary depending upon the specific drug and manufacturer desired.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/10/2020
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SingleCare
99 High Street, Suite 2800
Boston, MA 02110
 Phone: 844-234-3057
Service Categories:
Address:
99 High Street, Suite 2800
Boston, MA 02110
Phone: 844-234-3057
Service Categories:
Prescription Drug Patient Assistance Programs
Email: mcahilll@singlecare.com
URL: https://www.singlecare.com/
Services Provided: Prescription savings program. Sign up online and search for savings.
Source: Nationwide Suggest Providers Queue
Last Updated: 4/1/2020
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United Healthcare Children's Foundation (UHCCF)
MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
 Phone: 855-698-4223
Service Categories:
Address:
MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
Phone: 855-698-4223
Toll Free Phone: 855-698-4223
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Email: customerservice@uhccf.org
URL: https://www.uhccf.org/
Eligibility: Parents of children receiving serious and financially-challenging health care treatment. 16 and under nationwide for medical services not covered or not fully covered by insurance. Live in US, covered by a commercial health insurance plan.
Services Provided: Provides grants, up to $5,000, for families who have children with critical healthcare treatment, services, or equipment not covered or not fully covered by their parents' health benefit plans to help pay for child health care services such as speech therapy, physical therapy, occupational therapy sessions, prescriptions, and medical equipment such as wheelchairs, orthotics, and eyeglasses. Co-pay assistance for pharmaceuticals.
Provider Profiles: See additional criteria and exclusions on website.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/17/2020
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We Care Program, Parapharma Tech
Service Categories:
Organization Name: Parapharma Tech
(Show others in Organization)
Address:
Service Categories:
Nutrition, Metabolic
Prescription Drug Patient Assistance Programs
URL: https://www.healthierthickening.com/we-care/
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: 1/15/2020
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