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)

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
Email: natalie.nelson2@imail.org
Languages Spoken: Has interpreting service, if needed, Varies depending on availability of employees, Spanish
Eligibility:

No restrictions, serves all ages.

Services Provided: Provides inpatient, outpatient, and emergency medical care.

  • Prescription Expense Assistance
  • Breastfeeding Support Programs
  • Emergency Room Care
  • Codependents Support Groups
  • Hospitals
  • Safe Havens for Abandoned Newborns
Provider Profiles:

Spirometry testing ages 6 and older 801 855-3593, asthma education

Source: United Way 2-1-1
Last Updated: 5/17/2021
347 South 400 East
Salt Lake City, UT 84111
Phone: 801-364-7765
Service Categories:
Address:
347 South 400 East
Salt Lake City, UT 84111
Phone: 801-364-7765
Fax: 801-364-7228
Email: jessica@crossroadsurbancenter.org
Wheelchair Access: Entry and Bathroom(s)
Languages Spoken: Spanish
Eligibility:

6 times a year per family.

Services Provided:

Assists and organizes low income, disabled, and minority Utahns to meet basic survival needs and to address essential issues affecting the quality of life.

COVID-19 UPDATE: Following all CDC and State guidelines.

  • Clothing Vouchers
  • Gas Money
  • Advocacy
  • Christmas Baskets
  • Formula/Baby Food
  • Food Pantries
  • Diapers
  • Thanksgiving Baskets
  • Utility Service Payment Assistance
  • Prescription Expense Assistance
  • Food Production/Preparation/Delivery Volunteer Opportunities
  • Bus Fare
Source: United Way 2-1-1
Last Updated: 5/24/2021
409 West 400 South
Salt Lake City, UT 84101
Phone: 801-364-0058
Service Categories:
Address:
409 West 400 South
Salt Lake City, UT 84101
Phone: 801-364-0058
Fax: 801-364-4602
Email: info@fourthstreetclinic.org
Wheelchair Access: Complete
Languages Spoken: Spanish onsite; other translation services available by phone.
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 clinic, providing coordinated primary care, behavioral health, substance use and use/recovery referrals, limited dental, and pharmacy services to homeless individuals and families in the Salt Lake area. Related volunteer opportunities also available.

COVID-19 UPDATE: In-person visits will check-in through the front of clinic and complete screening questionnaires. Those that are symptomatic or high risk may be rescheduled. Following all CDC and state guidelines.

  • Glasses/Contact Lenses
  • Health/Disabilities Related Volunteer Opportunities
  • Mental Health Evaluation
  • Prescription Expense Assistance
  • General Dentistry
  • Navigator Programs
  • Community Clinics
  • General Counseling Services
Source: United Way 2-1-1
Last Updated: 5/24/2021
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
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
2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
Service Categories:
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
Fax: 801-394-4609
Wheelchair Access: Complete
Eligibility:

CHCs serve everyone, insured and uninsured. Patients pay for services on a sliding-scale fee structure based on their income.

Services Provided:

Ogden Midtown Community Health Center location offers (for patients of all ages and backgrounds) comprehensive primary health care services, walk-in service (Urgent Care) for acute illnesses or minor emergencies, full dental services, lab services, minor surgery, behavioral health services/counseling, and a pharmacy offering discounted pharmaceutical and over-the-counter medications.

  • Navigator Programs
  • Prescription Expense Assistance
  • General Counseling Services
  • Outpatient Mental Health Facilities
  • General Mental Health Information/Education
  • Prenatal Care
  • Community Clinics
  • Urgent Care Centers
  • Wellness Programs
  • General Dentistry
  • Medication Assisted Maintenance Treatment for Substance Use Disorders
  • Substance Use Disorder Referrals
  • COVID-19 Diagnostic Tests
Provider Profiles:

AUCH

Source: United Way 2-1-1
Last Updated: 5/17/2021
222 West 900 North
Cedar City, UT 84720
Phone: 435-586-4962
Service Categories:
Address:
222 West 900 North
Cedar City, UT 84720
Phone: 435-586-4962
Fax: 435-865-1662
Email: info@careandshare-ut.org
Languages Spoken: Spanish
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.

  • Formula/Baby Food
  • Laundry Facilities
  • Transitional Housing/Shelter
  • Gas Money
  • Life Skills Education
  • Prescription Expense Assistance
  • Food Pantries
  • Clothing Vouchers
  • Public Showers/Baths
  • Birth Certificate Fee Payment Assistance
  • Bus Fare
  • Rent Payment Assistance
  • Homeless Shelter
  • Utility Service Payment Assistance
  • GED/High School Equivalency Test Instruction
  • Driver License Fee Payment Assistance
Source: United Way 2-1-1
Last Updated: 5/24/2021
2775 Wall Avenue
Ogden, UT 84401
Phone: 801-528-2396
Service Categories:
Organization Name: Ogden Rescue Mission
(Show others in Organization)
Address:
2775 Wall Avenue
Ogden, UT 84401
Phone: 801-528-2396
Fax: 801-394-4161
Email: jerika@seagerclinic.org
Wheelchair Access: Complete
Services Provided:

Provides free primary care, dental, diabetes, eye, podiatry, and mental health clinics for uninsured and underinsured patients. Visit website for a calendar of upcoming clinics. The clinic also helps patients access their prescription medications at no cost.

COVID-19 UPDATE: Clinic now open for in-person care. Free COVID-19 testing, no appointment required.

  • General Dentistry
  • Prescription Drugs for Specific Health Conditions
  • Community Clinics
Source: United Way 2-1-1
Last Updated: 5/24/2021
2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
Service Categories:
Address:
2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
Fax: 801-394-4609
Wheelchair Access: Complete
Eligibility:

Open to all ages and cultural backgrounds.  Private, non-profit community healthcare center accepting patients with and without private health insurance, Medicaid, Medicare, CHIP (Children's Health Insurance Program), and PCN (Primary Care Network).

Services Provided:

Provides medical, dental, behavioral health, and pharmaceutical services. Affordable, needs-based healthcare to underserved residents in Northern Utah.

Other Services Include:

  • Translation and coordinated-care services
  • Assistance navigating healthcare programs/services or other financial assistance programs
  • Prenatal care and delivery
  • Well Child Visits
  • Women's Health
  • Geriatrics
  • Treatment for acute and chronic illnesses
  • Infectious Disease Management
Source: Medical Home Portal
Last Updated: 6/24/2021
22 South State Street Ste 1007
Davis County Health Department Building
Clearfield, UT 84015
Phone: 801-393-5355
Service Categories:
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
22 South State Street Ste 1007
Davis County Health Department Building
Clearfield, UT 84015
Phone: 801-393-5355
Fax: 801-394-4609
Email: mail@midtownchc.org
Eligibility:

Low income, sliding scale. Temporary Medicaid coverage for pregnant women.

Services Provided:

The Midtown Davis County Medical and Dental Clinics are co-located with the Davis County Health Department. Comprehensive primary care services include treatment for acute and chronic illnesses, well care, and mental health counseling. Full dental services offered including extractions, fillings, root canals, partials, crowns, and dentures. This site also serves as the Utah Cancer Control Program for Davis County.

COVID-19 UPDATE: Please call before entering. Offers curb-side Covid-19 testing.

  • Prescription Expense Assistance
  • Community Clinics
  • General Dentistry
  • General Counseling Services
  • General Mental Health Information/Education
  • Outpatient Mental Health Facilities
  • Wellness Programs
  • Breast Examinations
  • Pap Tests
  • Navigator Programs
  • COVID-19 Diagnostic Tests
Provider Profiles:

After-Hours Clinical Advice 801-626-2645

Source: United Way 2-1-1
Last Updated: 5/17/2021
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
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
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
Email: help@washco.utah.gov
Eligibility: All residents of Washington County can receive a discount card. No restrictions apply.
Services Provided:

Provides information about Washington County and refers questions or concerns to the appropriate county department.

  • Prescription Drug Discount Cards
Source: United Way 2-1-1
Last Updated: 11/11/2020
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
Wheelchair Access: Complete
Languages Spoken: Spanish
Eligibility: Eligibility varies by program, free to those who qualify.
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. 

Services Include:

Provider Profiles:

Nichole Shepard, MPH - Program Manager
Kellie Baxter - Health Program Specialist
Holly Uphold, PhD - Epidemiologist
Savannah Smith, MPH - Program Coordinator

Source: Medical Home Portal
Last Updated: 1/20/2021
380 North 500 West
Moab, UT 84532
Phone: 435-259-1113
Service Categories:
Organization Name: Grand County Government
(Show others in Organization)
Address:
380 North 500 West
Moab, UT 84532
Phone: 435-259-1113
Email: info@moabfreehelathclinic.org
Wheelchair Access: Accessible
Languages Spoken: Spanish, Other languages upon request
Eligibility:

No restrictions; income guidelines apply.

Services Provided: Providing free, non emergency medical services to improve the quality of life for uninsured or under insured families.

  • Massage Therapy
  • Health/Disabilities Related Volunteer Opportunities
  • HIV Testing
  • Sexually Transmitted Disease Screening
  • Mental Health Related Support Groups
  • Podiatry/Foot Care
  • Prescription Drug Patient Assistance Programs
  • Community Clinics
  • Navigator Programs
  • General Counseling Services
Source: United Way 2-1-1
Last Updated: 5/24/2021
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
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, pediatrics, minor surgeries, immunizations, women's health, family planning, geriatrics, treatment for acute and chronic illnesses, and mental and behavioral health services. Dental services for established clients. State provider for refugee services.

COVID-19 UPDATE: Offers COVID-19 curbside testing; call before arrival or entering.

  • Wellness Programs
  • Navigator Programs
  • Prescription Expense Assistance
  • Community Clinics
  • General Counseling Services
  • COVID-19 Diagnostic Tests
Source: United Way 2-1-1
Last Updated: 5/17/2021
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
Email: kyle.hansen@imail.org
Languages Spoken: Spanish, Has interpreting service, if needed.
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.

  • Emergency Room Care
  • Prescription Expense Assistance
  • Safe Havens for Abandoned Newborns
  • Hospitals
  • Bereavement Support Groups

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

Pediatric Services:

  • Anesthesiology
  • Cardiology
  • Child Life Specialists
  • 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: United Way 2-1-1
Last Updated: 5/17/2021
781 25th Street
James Madison Elementary School
Ogden, UT 84401
Phone: 801-393-5355
Service Categories:
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
781 25th Street
James Madison Elementary School
Ogden, UT 84401
Phone: 801-393-5355
Fax: 801-392-5959
Wheelchair Access: Complete
Eligibility:

Services are available to all community residents, but the focus is on serving school-aged children.

Services Provided:

Health clinic located inside James Madison Elementary School, designed to serve the students at the school, their family members and residents in the neighborhood with comprehensive primary healthcare services. Offers services to patients of all ages, but primary focus is to serve school-aged children. (Please enter the clinic through the specified clinic/patient entrance on the North.)

  • Pediatrics
  • Wellness Programs
  • COVID-19 Diagnostic Tests
  • Community Clinics
  • Prescription Expense Assistance
Provider Profiles:

(Please enter the clinic through the specified clinic/patient entrance.)
After-Hours Clinical Advice 801-626-2645
AUCH member

Source: United Way 2-1-1
Last Updated: 5/17/2021
5285 South 400 East, Suite 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, Suite A
Washington Terrace, UT 84405
Phone: 801-393-5355
Fax: 801-475-0703
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.

  • Community Clinics
  • Pediatrics
  • Wellness Programs
  • Prescription Expense Assistance
  • COVID-19 Diagnostic Tests
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: 5/17/2021
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
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
550 East 1400 North Ste Y
Logan, UT 84321
Phone: 435-752-7060
Service Categories:
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
550 East 1400 North Ste Y
Logan, UT 84321
Phone: 435-752-7060
Fax: 435-752-1672
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.

COVID-19 UPDATE: Please call before entering. Offers curb-site Covid-19 testing.

  • Dental Screening
  • General Counseling Services
  • Wellness Programs
  • Prescription Expense Assistance
  • Community Clinics
  • COVID-19 Diagnostic Tests
Source: United Way 2-1-1
Last Updated: 5/17/2021
Salt Lake City, UT
Service Categories:
Address:
Salt Lake City, UT
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
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
Email: info@utahlupus.org
Eligibility: No restrictions
Services Provided: Improves the quality of life for all people affected by lupus through programs of research, education, support, and advocacy.

  • Disease/Disability Information
  • Prescription Expense Assistance
  • Health/Disability Related Support Groups
  • Voluntary Health Organizations
Source: United Way 2-1-1
Last Updated: 10/14/2020
UT
Phone: 801-366-7551
Service Categories:
Organization Name: PEHP Health & Benefits
(Show others in Organization)
Address:
UT
Phone: 801-366-7551
Eligibility:

Must be a legal resident of Utah, been diagnosed with diabetes, use insulin to treat diabetes, not be an employee nor dependent of an employee of the State of Utah or PEHP, where there are covered insulin related benefits.

Services Provided: A program that allows Utahns who are diagnosed with Type I, II, or gestational diabetes, and using insulin for treatment, to purchase insulin at discounted rates. Program is primarily designed to help individuals who do not have health insurance or are covered by insurance that requires a large deductible.

  • Prescription Drug Discount Cards
Source: United Way 2-1-1
Last Updated: 5/24/2021
PO Box 199
Lehi, UT 84043
Phone: 801-341-8024
Service Categories:
Address:
PO Box 199
Lehi, UT 84043
Phone: 801-341-8024
Email: info@epilepsyut.org
Languages Spoken: Translators available with prior notice.
Services Provided:

Provides awareness, education, support groups, support services, and advocacy for and in behalf of all those dealing with the many challenges of epilepsy/seizure disorders.

  • Non-Emergency Medical Transportation
  • Health/Disability Related Support Groups
  • Therapeutic Camps
  • Health Related Advocacy Groups
  • Voluntary Health Organizations
  • Prescription Drugs for Specific Health Conditions
  • Disease/Disability Information
  • Independent Living Skills Instruction
  • Health/Disabilities Related Volunteer Opportunities
Source: United Way 2-1-1
Last Updated: 5/21/2021
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
Email: generalinfo@rxbenefits.com
Services Provided: Nationwide provider of discount pharmacy cards for individuals, families, and seniors.
Source: MHP-Nationwide
Last Updated: 4/8/2020
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
Service Categories:
Organization Name: National Alliance on Mental Illness
(Show others in Organization)
Address:
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
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: MHP-Nationwide
Last Updated: 8/19/2021
GSKForYou View on Map
PO Box 29038
Phoenix, AZ 85038-9038
Service Categories:
Address:
PO Box 29038
Phoenix, AZ 85038-9038
Toll Free Phone: 866-728-4368
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
GoodRx.com View on Map
CA
Service Categories:
Address:
CA
Services Provided:

Online resource for finding lowest prices for prescription drugs. Offers a search function online or in its app to find drug prices at pharmacies near your location. Offers coupons, will send refill reminders and alerts when prices change. May offer prices lower than available with insurance.

Source: MHP-Nationwide
Last Updated: 8/31/2020
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Service Categories:
Organization Name: National Organization for Rare Disorders
(Show others in Organization)
Address:
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Toll Free Phone: 800-999-6673
Fax: 203-263-9938
Eligibility:

Persons with a rare disease and in financial need.

Services Provided:

Provides assistance programs to help patients obtain life-saving or life-sustaining medication they could not otherwise afford. Programs provide medication, financial assistance with insurance premiums and co-pays, diagnostic testing assistance, and travel assistance for clinical trials.

Source: MHP-Nationwide
Last Updated: 6/17/2021
Service Categories:
Address:
Email: info@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
7500 Security Boulevard
Baltimore, MD 21244
Service Categories:
Organization Name: U.S. Centers for Medicare and Medicaid Service
(Show others in Organization)
Address:
7500 Security Boulevard
Baltimore, MD 21244
Eligibility:

Must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.

Services Provided:

Medicare beneficiaries can qualify for a low income subsidy (also known as Extra Help) paying for their monthly premiums, annual deductibles, and co-payments related to Medicare Part D (prescription drug coverage). The Extra Help is worth about $5,000 per year. 

Source: MHP-Nationwide
Last Updated: 8/2/2021
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
Email: info@familywize.org
Eligibility:

No restrictions

Services Provided:

Provides a free prescription drug discount card used in most pharmacies. Must show card to the pharmacy when purchasing prescription medications to receive the lowest price available to client: the negotiated FamilyWize discounted rate, pharmacy price, or insurance price (if client has a health plan). The FamilyWize card can also be used for pet medications.

  • Prescription Drug Discount Cards
Source: Nationwide Suggest Providers Queue
Last Updated: 4/21/2021
2611 Internet Blvd., Ste 105
Frisco, TX 75034
Phone: 972-608-7141
Service Categories:
Address:
2611 Internet Blvd., Ste 105
Frisco, TX 75034
Phone: 972-608-7141
Fax: 214-570-3621
Email: info@mygooddays.org
Languages Spoken: Spanish
Eligibility: Patients suffering from diagnosed, covered chronic medical conditions who have limited financial means (when program is accepting enrollment) looking for assistance with FDA approved medications, and income level at or below 500% of the Federal poverty level. Lists of covered conditions available online.
Services Provided:

Helps patients suffering from chronic medical conditions who have limited financial means get access to the medications they need, pay insurance co-pays, transportation, premiums, and find the insurance coverage that's right for them.

COVID-19 UPDATE: All services are available via telephone and online. Please call with any questions.

  • Medical Care Expense Assistance
Source: Nationwide Suggest Providers Queue
Last Updated: 6/3/2021
20440 Century Blvd, Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
Service Categories:
Address:
20440 Century Blvd, Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
Fax: 800-282-7692
Email: portal@healthwellfoundation.org
Services Provided:

Provides financial assistance to adults and children to cover the cost of prescription drug coinsurance, copayments, deductibles, health insurance premiums, and other selected out-of-pocket health care costs.

COVID-19 UPDATE Offers assistance during the pandemic. If there are available grants for those impacted by COVID-19, that information will be posted on the website. Closed Election day November 3rd, 2020

  • Incidental Medical Expense Assistance
  • Medical Care Expense Assistance
Source: Nationwide Suggest Providers Queue
Last Updated: 6/3/2021
NeedyMeds View on Map
50 Whittemore Street
Gloucester, MA 01930
Phone: 800-503-6897
Service Categories:
Address:
50 Whittemore Street
Gloucester, MA 01930
Phone: 800-503-6897
Fax: 206-260-8850
Email: info@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. Does not provide medicine, supplies of financial assistance. 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.

  • Prescription Drug Discount Cards
  • Prescription Drug Patient Assistance Programs
Source: Nationwide Suggest Providers Queue
Last Updated: 6/17/2021
421 Butler Farm Road
Hampton, VA 23666
Phone: 866-512-3861
Service Categories:
Organization Name: Patient Advocate Foundation (PAF)
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Address:
421 Butler Farm Road
Hampton, VA 23666
Phone: 866-512-3861
Toll Free Phone: 800-532-5274
Fax: 757-952-0119
Eligibility: Currently insured and have coverage for medication seeking financial assistance. Have a confirmed diagnosis and treatment plan. Reside and receive treatment in the Unites states. Income at or below 300-400% of the Federal Poverty Guideline.
Services Provided:

PAF’s Co-Pay Relief (CPR) program provides direct financial assistance to qualified patients with co-payments, co- insurance or cost-sharing associated with prescription drugs through funds dedicated to specific disease states. In some instances, assistance with insurance premiums and/or ancillary services associated with the disease also may be available.

Process:

  • Complete the application for assistance, entering all of the required information
  • Once you have fully completed the application you will be notified immediately if you are eligible for financial assistance
  • If you are eligible for assistance, the application will be instantly approved, and you will be enrolled into the program.
  • You will have immediate access to your award and pharmacy card
Source: Nationwide Suggest Providers Queue
Last Updated: 10/13/2020
3104 E Boundary Ct
Midlothian, VA 23112
Phone: 800-366-7741
Service Categories:
Address:
3104 E Boundary Ct
Midlothian, VA 23112
Phone: 800-366-7741
Toll Free Phone: 800-366-7741
Fax: 804-744-9388
Email: psiops@uneedpsi.org
Languages Spoken: Spanish, other language interpreters available
Eligibility:

Financial assistance for insured and uninsured patients with chronic illnesses.

Services Provided:

Provides online disease and treatment information as well as financial assistance for patients with chronic illnesses who are struggling to keep up with expensive premiums and co-payments. Financial support and guidance available for qualified patients with specific, rare chronic diseases.

COVID-19 UPDATE: Following all CDC and State guidelines.

  • Specialized Information and Referral
  • Medical Care Expense Assistance
Provider Profiles:

Online resources

Source: MHP-Nationwide
Last Updated: 6/3/2021
RX Card View on Map
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
Eligibility:

No restrictions

Services Provided:

Helps consumers of prescription drugs save money at retail pharmacies, with discounts ranging from 10% to 85% depending on the type of drug chosen. Also offers valuable information on programs to help with free medication through the Patient Assistance Partners.

COVID-19 UPDATE: Not applicable.

  • Prescription Drug Discount Cards
Source: Nationwide Suggest Providers Queue
Last Updated: 6/3/2021
Service Categories:
Address:
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.

COVID-19 UPDATE: Operating as usual.

  • Prescription Drug Patient Assistance Programs
Source: Nationwide Suggest Providers Queue
Last Updated: 6/3/2021
9700 Health Care Lane
MN017-W400
Minnetonka, MN 55343
Service Categories:
Address:
9700 Health Care Lane
MN017-W400
Minnetonka, MN 55343
Toll Free Phone: 855-698-4223
Email: customerservice@uhccf.org
Eligibility: Parents of children receiving serious and financially-challenging health care treatment. Children must be 16 or younger at the time of application, have a Social Security Number issued by the Social Security Administration (TIN numbers are not accepted), must be covered by commercial/private insurance, and under license medical professional. Family must not exceed maximum eligible family income as documented on IRS Tax Form 1040.
Services Provided:

Provides medical grants to help children gain access to health-related services not covered, or not fully covered, by their parents' commercial health insurance plan. Children must be 16 years old or younger while meeting other grant requirements.

  • Medical Care Expense Assistance
Provider Profiles:

See additional criteria and exclusions on website.

Source: Nationwide Suggest Providers Queue
Last Updated: 6/2/2021
805 15th Street, NW Ste 500
Washington, DC 20005
Phone: 866-316-7263
Service Categories:
Address:
805 15th Street, NW Ste 500
Washington, DC 20005
Phone: 866-316-7263
Fax: 866-316-7261
Email: contact@panfoundation.org
Eligibility:

Patient must be receiving treatment for the disease named in program which they are applying, patient's medication/product must be listed on PANS covered medications, patient must fall at or below 400/500% of Federal Poverty Level (depending on funding guidelines), patient must reside and receive treatment in the US or US territories; US citizenship is not required.

Services Provided:

Offers help and hope to people with chronic or life-threatening illnesses for whom cost limits access, to breakthrough medical treatments.

COVID-19 UPDATE: Following all CDC and State guidelines.

  • Medical Care Expense Assistance
Provider Profiles:

Call or visit website.

Source: Nationwide Suggest Providers Queue
Last Updated: 6/3/2021
SingleCare View on Map
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
Email: mcahilll@singlecare.com
Services Provided: Prescription savings program. Sign up online and search for savings.
Source: Nationwide Suggest Providers Queue
Last Updated: 4/1/2020
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
Service Categories:
Organization Name: Rx Outreach
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Address:
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
Toll Free Phone: 800-769-3880
Fax: 800-875-6591
Email: questions@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:

Offers access to affordable medications through a mail order pharmacy for low income individuals and families.

Source: Nationwide Suggest Providers Queue
Last Updated: 7/10/2021
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
Service Categories:
Address:
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
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: 10/13/2020
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
Phone: 855-845-3663
Service Categories:
Organization Name: TAF Cares
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Address:
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
Phone: 855-845-3663
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
Organization Name: Parapharma Tech
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Address:
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: 9/16/2021
Levemir View on Map
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
Service Categories:
Address:
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
Eligibility: Reimbursement for insulin program-contact company.
Services Provided:

Levemir is used to control high blood sugar in adults and children with diabetes.

Discount program: If eligible, you will pay no more than $25 for your Levemir® prescription and each refill for up to 2 yearsa with a Novo Nordisk Instant Savings Card. The savings card can be used like a coupon when you pick up your Levemir® prescription from the pharmacy.

Talk to your health care provider to see if Levemir® is right for you. Then, sign up for an Instant Savings Card.

Source: Nationwide Suggest Providers Queue
Last Updated: 10/29/2020
PO Box 630858
Irving, TX 75063
Service Categories:
Address:
PO Box 630858
Irving, TX 75063
Toll Free Phone: 877-321-2651
Languages Spoken: Spanish
Eligibility:

Call or visit website for information on participating counties.

Services Provided:

Provides an average of 29% off pharmacy's regular price on all commonly prescribed prescriptions. Valid at 65,000 participating pharmacies nationwide. Savings are also available on specialty medications (high-tech and injectable drugs), mail order as well as pet medications. Note that the Prescription Discount Program is not an insurance.

  • Prescription Expense Assistance
  • Prescription Drug Discount Cards
Source: Nationwide Suggest Providers Queue
Last Updated: 6/2/2021