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)

Service Legend
Local Service
Statewide Service: Provides online resources, telehealth, or service at a satellite office.
Nationwide Service: Provides online resources, telehealth or services at a regional/national headquarters location.
170 North 1100 East
American Fork, UT 84003
Phone: 801-855-3300
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
Address:
347 South 400 East
Salt Lake City, UT 84111
Phone: 801-364-7765
Toll Free Phone: 888-747-8482
Fax: 801-364-7228
Wheelchair Access: Entry and Bathroom(s)
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. Services include Food, baby items, bus fare and gas money, utility service payment assistance, and prescription expense assistance. Related volunteer opportunities available.COVID-19 UPDATE: Following all CDC and State guidelines; masks required.

  • Clothing Vouchers
  • Christmas Baskets
  • Formula/Baby Food
  • Gas Money
  • Advocacy
  • Food Production/Preparation/Delivery Volunteer Opportunities
  • Food Pantries
  • Prescription Expense Assistance
  • Thanksgiving Baskets
  • Diapers
  • Bus Fare
  • Utility Service Payment Assistance
Source: United Way 2-1-1
Last Updated: 4/7/2022
409 West 400 South
Salt Lake City, UT 84101
Phone: 801-364-0058
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
Statewide Provider
288 North 1460 West
PO Box 142104
Salt Lake City, UT 84114
Phone: 801-538-6191
Statewide Provider
Organization Name: Utah Department of Health - Bureau of Epidemiology
(Show others in Organization)
Address:
288 North 1460 West
PO Box 142104
Salt Lake City, UT 84114
Phone: 801-538-6191
Toll Free Phone: 888-EPI-UTAH
Fax: 801-538-9913
Email: epi@utah.gov
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: 4/29/2022
2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
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
Email: mail@midtownchc.org
Wheelchair Access: Complete
Languages Spoken: Services in English, Spanish and all other languages, Other languages upon request, Services in English & Spanish, and translator service available to accommodate all other languages.
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 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.COVID-19 UPDATE: Following all state and CDC guidelines, call before entering.

  • Prescription Expense Assistance
  • Urgent Care Centers
  • General Dentistry
  • Medication Assisted Maintenance Treatment for Substance Use Disorders
  • COVID-19 Diagnostic Tests
  • Navigator Programs
  • Prenatal Care
  • Outpatient Mental Health Facilities
  • Substance Use Disorder Referrals
  • Wellness Programs
  • Community Clinics
  • General Counseling Services
  • General Mental Health Information/Education
Source: United Way 2-1-1
Last Updated: 3/24/2022
222 West 900 North
Cedar City, UT 84720
Phone: 435-586-4962
Address:
222 West 900 North
Cedar City, UT 84720
Phone: 435-586-4962
Fax: 435-865-1662
Email: info@careandshare-ut.org
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.

  • Laundry Facilities
  • Transitional Housing/Shelter
  • Formula/Baby Food
  • Gas Money
  • Life Skills Education
  • Prescription Expense Assistance
  • Clothing Vouchers
  • Food Pantries
  • Public Showers/Baths
  • Bus Fare
  • Birth Certificate Fee Payment Assistance
  • Rent Payment Assistance
  • Homeless Shelter
  • Utility Service Payment Assistance
  • Driver License Fee Payment Assistance
  • GED/High School Equivalency Test Instruction
Source: United Way 2-1-1
Last Updated: 3/30/2022
2775 Wall Avenue
Ogden, UT 84401
Phone: 801-528-2396
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
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: 801-334-0030
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: 801-334-0030
Fax: 801-394-4609
Email: mail@midtownchc.org
Languages Spoken: Spanish and all other languages
Eligibility:

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

Services Provided: Comprehensive primary care services in the community clinic include general dentistry, general counseling, mental health information/ education, navigator programs, outpatient mental health facilities, pap tests, breast examinations, prescription expense assistance, and wellness program. This site also serves as the Utah Cancer Control Program for Davis County.COVID-19 UPDATE: Call before entering

  • Pap Tests
  • General Dentistry
  • General Counseling Services
  • General Mental Health Information/Education
  • Outpatient Mental Health Facilities
  • Breast Examinations
  • Wellness Programs
  • Navigator Programs
  • COVID-19 Diagnostic Tests
  • Prescription Expense Assistance
  • Community Clinics
Source: United Way 2-1-1
Last Updated: 3/24/2022
200 North 750 West
Provo, UT 84601
Phone: 801-357-5757
Organization Name: Intermountain Healthcare - Utah County
(Show others in Organization)
Address:
200 North 750 West
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: 4/12/2022
197 East Tabernacle Street
St. George, UT 84770
Phone: 435-634-5700
Organization Name: Washington County Government
(Show others in Organization)
Address:
197 East Tabernacle Street
St. George, UT 84770
Phone: 435-634-5700
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: 2/25/2022
Statewide Provider
288 North 1460 West
PO Box 142107
Salt Lake City, UT 84114-2107
Phone: 801-538-6894
Statewide Provider
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
Email: asthma@utah.gov
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: 1/19/2022
380 North 500 West
Moab, UT 84532
Phone: 435-259-1113
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: 1/13/2022
2253 South State Street
South Salt Lake, UT 84115
Phone: 801-486-0911
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
2253 South State Street
South Salt Lake, UT 84115
Phone: 801-486-0911
Languages Spoken: Spanish, and translator service available to accommodate all other languages
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 general counseling, navigator programs, prescription expense assistance, and wellness programs.COVID-19 UPDATE: Following CDC Guidelines.

  • Community Clinics
  • Wellness Programs
  • Prescription Expense Assistance
  • Navigator Programs
  • General Counseling Services
  • COVID-19 Diagnostic Tests
  • Health/Disabilities Related Volunteer Opportunities
Source: United Way 2-1-1
Last Updated: 3/24/2022
1034 North 500 West
Provo, UT 84604
Phone: 801-357-7850
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
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
  • Safe Havens for Abandoned Newborns
  • Bereavement Support Groups
  • Hospitals
  • Prescription Expense Assistance
  • Health/Disability Related 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: 3/29/2022
781 25th Street
James Madison Elementary School
Ogden, UT 84401
Phone: 801-393-5355
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
Languages Spoken: Spanish and all other languages
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, 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.) Offers COVID-19 tests, wellness programs, prescription expense assistance, and pediatrics.COVID-19 UPDATE: Following all CDC and state guidelines.

  • Pediatrics
  • Wellness Programs
  • COVID-19 Diagnostic Tests
  • Prescription Expense Assistance
  • Community Clinics
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: 3/24/2022
5285 South 400 East, Suite A
Washington Terrace, UT 84405
Phone: 801-334-0048
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
5285 South 400 East, Suite A
Washington Terrace, UT 84405
Phone: 801-334-0048
Fax: 801-475-0703
Wheelchair Access: Complete
Languages Spoken: Spanish and all other languages
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: A community clinic for children (birth-18 years), providing pediatric services including well-child visits, immunizations, and treatment for acute illnesses. Experienced in caring for children with chronic illnesses and special needs. Offers Wellness programs, and prescription expense assistance.COVID-19 UPDATE: Following all CDC and state guidelines. Offering COVID-19 testing.

  • Wellness Programs
  • Pediatrics
  • COVID-19 Diagnostic Tests
  • Community Clinics
  • Prescription Expense Assistance
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: 3/24/2022
269 West 33 Street
Weber Human Services
Ogden, UT 84401
Phone: 801-393-2742
Organization Name: Midtown Community Health Center
(Show others in Organization)
Address:
269 West 33 Street
Weber Human Services
Ogden, UT 84401
Phone: 801-393-2742
Fax: 801-393-2742
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: 6/10/2022
550 East 1400 North Ste Y
Logan, UT 84321
Phone: 435-752-7060
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
Email: mail@midtownchc.org
Languages Spoken: Services in English, Spanish and all other languages
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.

  • Dental Screening
  • General Counseling Services
  • Community Clinics
  • Prescription Expense Assistance
  • Wellness Programs
  • COVID-19 Diagnostic Tests
Source: United Way 2-1-1
Last Updated: 3/24/2022
Statewide Provider
Salt Lake City, UT
Statewide Provider
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: 5/9/2022
352 South Denver Street Ste 101
Salt Lake City, UT 84111
Phone: 801-364-0366
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: Medical Home Portal
Last Updated: 3/1/2022
Statewide Provider
UT
Phone: 801-366-7551
Statewide Provider
Organization Name: PEHP Health & Benefits
(Show others in Organization)
Address:
UT
Phone: 801-366-7551
Eligibility:

To be eligible to participate, you must:

  • be a resident of the State of Utah;
  • be an individual who has been diagnosed with diabetes;
  • use insulin to treat diabetes; and
  • not be an employee or dependent of an employee of the State of Utah with insulin related benefits covered through PEHP Health & 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: 2/25/2022
PO Box 199
Lehi, UT 84043
Phone: 801-341-8024
Address:
PO Box 199
Lehi, UT 84043
Phone: 801-341-8024
Email: info@epilepsyut.org
Services Provided: Provides awareness, education, support groups, support services, volunteer opportunities and advocacy for and in behalf of all those dealing with the many challenges of epilepsy/seizure disorders.COVID-19 Update: following all CDC and state guidelines.

  • Health/Disability Related Support Groups
  • Non-Emergency Medical Transportation
  • Voluntary Health Organizations
  • Therapeutic Camps
  • Health Related Advocacy Groups
  • 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: 4/22/2022
Nationwide Provider
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
Nationwide Provider
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
Nationwide Provider
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
Nationwide Provider
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
Nationwide Provider
PO Box 29038
Phoenix, AZ 85038-9038
Nationwide Provider
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
Nationwide Provider
2701 Olympic Blvd.
Santa Monica, CA 90404
Nationwide Provider
Address:
2701 Olympic Blvd.
Santa Monica, CA 90404
Toll Free Phone: 855-268-2822
Email: info@goodrx.com
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: 8/15/2022
Nationwide Provider
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Nationwide Provider
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
RxAssist.org View on Map
Nationwide Provider
1500 Rosecrans Ave. #500
Manhattan Beach, CA 90266
Nationwide Provider
Address:
1500 Rosecrans Ave. #500
Manhattan Beach, CA 90266
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: 8/15/2022
Nationwide Provider
7500 Security Boulevard
Baltimore, MD 21244
Nationwide Provider
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: 4/22/2022
Nationwide Provider
99 High Street, Suite 2800
Boston, MA 02129
Phone: 866-810-3784
Nationwide Provider
Organization Name: SingleCare
(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: 2/23/2022
Good Days View on Map
Nationwide Provider
2611 Internet Boulevard Ste 105
Frisco, TX 75034
Phone: 972-608-7141
Nationwide Provider
Address:
2611 Internet Boulevard Ste 105
Frisco, TX 75034
Phone: 972-608-7141
Toll Free Phone: 877-968-7233
Fax: 214-570-3621
Email: info@mygooddays.org
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 leve. 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: 4/22/2022
Nationwide Provider
20440 Century Blvd, Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
Nationwide Provider
Address:
20440 Century Blvd, Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
Fax: 800-282-7692
Email: support@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.

  • Incidental Medical Expense Assistance
  • Medical Care Expense Assistance
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
NeedyMeds View on Map
Nationwide Provider
50 Whittemore Street
Gloucester, MA 01930
Phone: 800-503-6897
Nationwide Provider
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
Nationwide Provider
421 Butler Farm Road
Hampton, VA 23666
Phone: 757-952-0118
Nationwide Provider
Organization Name: Patient Advocate Foundation
(Show others in Organization)
Address:
421 Butler Farm Road
Hampton, VA 23666
Phone: 757-952-0118
Toll Free Phone: 866-512-3861
Fax: 757-952-0119
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:

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: 4/7/2022
Nationwide Provider
3104 E Boundary Ct
Midlothian, VA 23112
Phone: 800-366-7741
Nationwide Provider
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
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
Source: MHP-Nationwide
Last Updated: 4/7/2022
Nationwide Provider
127 Main Street 2nd Floor
Black Hawk, CO 80422
Nationwide Provider
Address:
127 Main Street 2nd Floor
Black Hawk, CO 80422
Toll Free Phone: 844-234-3057
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: 4/7/2022
Nationwide Provider
Nationwide Provider
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. 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: 4/7/2022
Nationwide Provider
9700 Health Care Lane
MN017-W400
Minnetonka, MN 55343
Nationwide Provider
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
Nationwide Provider
805 15th Street NW Suite 500
Washington, DC 20005
Phone: 866-316-7263
Nationwide Provider
Address:
805 15th Street NW Suite 500
Washington, DC 20005
Phone: 866-316-7263
Toll Free Phone: 800-394-0161
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 medical care expense assistance help and hope to underinsured 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
Source: Nationwide Suggest Providers Queue
Last Updated: 9/18/2022
SingleCare View on Map
Nationwide Provider
99 High Street Ste 2800
Charlestown, MA 02129
Phone: 844-234-3057
Nationwide Provider
Address:
99 High Street Ste 2800
Charlestown, MA 02129
Phone: 844-234-3057
Email: pr@singlecare.com
Eligibility:

No restrictions

Services Provided:

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

  • Prescription Drug Discount Cards
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
Nationwide Provider
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
Nationwide Provider
Organization Name: Rx Outreach
(Show others in Organization)
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
Nationwide Provider
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
Nationwide Provider
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
Nationwide Provider
4700 Millenia Boulevard, Suite 410
Orlando, FL 32839
Nationwide Provider
Address:
4700 Millenia Boulevard, Suite 410
Orlando, FL 32839
Toll Free Phone: 855-845-3663
Eligibility:

Eligibility variable, based on household size, annual income, insurance coverage and US residency.

Services Provided:

Helps patients and families facing high medical out-of-pocket costs by providing financial assistance for their copayments, coinsurance, deductibles, and other health-related expenses. 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: 5/7/2022
Nationwide Provider
Organization Name: Parapharma Tech
(Show others in Organization)
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
Nationwide Provider
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
Nationwide Provider
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
Nationwide Provider
PO Box 630858
Irving, TX 75063
Nationwide Provider
Address:
PO Box 630858
Irving, TX 75063
Toll Free Phone: 877-321-2652
Services Provided:

Provides a prescription drug discount card with an average of 29% off pharmacy's regular price on all commonly prescribed prescriptions. Valid at 65,000 participating pharmacies. 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.COVID-19 UPDATE: Following all CDC and state guidelines. Operated by CVS Caremark. Dental and healthcare discounts also available.

  • Prescription Expense Assistance
  • Prescription Drug Discount Cards
Source: Nationwide Suggest Providers Queue
Last Updated: 9/18/2022