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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.
Disclaimer...
Note: Service listings do not represent a recommendation or endorsement by the Medical Home Portal staff or its sponsoring organizations; nor do they reflect any assessment of the quality or value of a listed Service.

UT (15)


Statewide (3)


Clearfield (1)


Logan (1)


Moab (1)


Ogden (3)


Provo (1)


Salt Lake City (2)


South Salt Lake (1)


St. George (1)


Washington Terrace (1)


Nationwide (26)


UT

Statewide

Prescription Assistance Program, Utah Department of Health
UT
Service Categories:
Prescription Drug Patient Assistance Programs
Organization Name: Utah Department of Health
Address: 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.
Original Source: MedHome Portal
Last Updated: 2/14/2018
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Ryan White Part B Program, Utah Department of Health
288 North 1460 West
UT 84114
 Phone: 801-538-6096
Service Categories:
Departments of Health, State
Education About Disabilities/Diagnoses
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Public Health Services
Organization Name: Utah Department of Health
Address: 288 North 1460 West
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
Public Health Services
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.
Original Source: MedHome Portal
Last Updated: 2/14/2018
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Utah Drug Card
UT
Service Categories:
Prescription Drug Patient Assistance Programs
Specialized Information Resources
Address: 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: website
Original Source: MedHome Portal
Last Updated: 6/4/2018
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Clearfield, UT

Midtown Community Health Center - Clearfield, Midtown Community Health Centers
22 South State Street Ste 1007
Clearfield, UT 84015
 Phone: 801-393-5355
Service Categories:
Community Clinics
General Counseling Services
General Dentistry
Health Insurance Counseling and Advocacy
Mental Health, Other Services
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
Organization Name: Midtown Community Health Centers
Address: 22 South State Street Ste 1007
Clearfield, UT 84015
Phone: 801-393-5355
Fax: 801-394-3693
Service Categories:
Community Clinics
General Counseling Services
General Dentistry
Health Insurance Counseling and Advocacy
Mental Health, Other Services
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
Email: oames@midtownchc.org
URL: http://midtownchc.org/directory
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.
Provider Profiles: After-Hours Clinical Advice 801-626-2645
Original Source: United Way 2-1-1
Last Updated: 6/11/2019
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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:
Community Clinics
General Counseling Services
Prescription Drug Patient Assistance Programs
Organization Name: Midtown Community Health Centers
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: Wellness programs are available to any Midtown patient; generally patients are under 200% of Federal Poverty Level, call for specific eligibility questions.
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
Original Source: United Way 2-1-1
Last Updated: 6/11/2019
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Moab, UT

Moab Free Health Clinic, AKA Moab Medical Center, Grand County Government
380 North 500 West
Moab, UT 84532
 Phone: 435-259-1113
Service Categories:
Community Clinics
Departments of Health, Local
Health Insurance Counseling and Advocacy
Individual Counseling
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
Organization Name: Grand County Government
Address: 380 North 500 West
Moab, UT 84532
Phone: 435-259-1113
Fax: 435-259-1120
Service Categories:
Community Clinics
Departments of Health, Local
Health Insurance Counseling and Advocacy
Individual Counseling
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
URL: http://www.moabfreehealthclinic.org
Eligibility: Open to persons 14 years old and older regardless of insurance status.
Services Provided: Providing free non-emergency medical services to improve the quality of life for uninsured or under insured families. Rural Health Clinic (FQHC)
Original Source: United Way 2-1-1
Last Updated: 7/9/2019
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Ogden, UT

James Madison Elementary Health Center, Midtown Community Health Centers
781 25th Street
James Madison Elementary School
Ogden, UT 84401
 Phone: 801-393-5355
Service Categories:
Community Clinics
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
School-based Health Centers
Organization Name: Midtown Community Health Centers
Address: 781 25th Street
James Madison Elementary School
Ogden, UT 84401
Phone: 801-393-5355
Fax: 801-394-4609
Service Categories:
Community Clinics
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
School-based Health Centers
URL: https://www.midtownchc.org/directory/listing/james-madison-center
Eligibility: Services are available to all community residents, but the focus is on serving school-aged children.
Wheelchair Accessible: Complete
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. Primary focus is to serve school-aged children.
Provider Profiles: (Please enter the clinic through the specified clinic/patient entrance.)
After-Hours Clinical Advice 801-626-2645
AUCH member
Original Source: United Way 2-1-1
Last Updated: 9/5/2018
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MTCHC Wellness Clinic, Midtown Community Health Center
237 26th Street
Ogden, UT 84401
 Phone: 801-625-3700
Service Categories:
Community Clinics
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
Organization Name: Midtown Community Health Center
Address: 237 26th Street
Ogden, UT 84401
Phone: 801-625-3700
Service Categories:
Community Clinics
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
Original Source: United Way 2-1-1
Last Updated: 9/5/2018
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Midtown Community Health Center - Ogden, Midtown Community Health Centers
2240 Adams Avenue
Ogden, UT 84401
 Phone: 801-393-5355
Service Categories:
Community Clinics
General Counseling Services
General Dentistry
Mental Health, Other Services
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
Organization Name: Midtown Community Health Centers
Address: 2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
Fax: 801-394-4609
Service Categories:
Community Clinics
General Counseling Services
General Dentistry
Mental Health, Other Services
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
URL: https://www.midtownchc.org/
Eligibility: CHCs serve everyone, insured and uninsured. Patients pay for services on a sliding-scale fee structure based on their income.
Wheelchair Accessible: Complete
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.
Provider Profiles: AUCH
Original Source: United Way 2-1-1
Last Updated: 8/5/2019
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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:
Community Clinics
Prescription Drug Patient Assistance Programs
School-based Health Centers
Organization Name: Intermountain Healthcare - Utah County
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.
Original Source: United Way 2-1-1
Last Updated: 7/1/2019
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Salt Lake City, UT

Crossroads Urban Center
347 South 400 East
Salt Lake City, UT 84111
 Phone: 888-747-8482
Service Categories:
Care Coordination Agencies
Food Banks
Prescription Drug Patient Assistance Programs
Address: 347 South 400 East
Salt Lake City, UT 84111
Phone: 888-747-8482
Fax: 801-364-7228
Service Categories:
Care Coordination Agencies
Food Banks
Prescription Drug Patient Assistance Programs
URL: https://www.crossroadsurbancenter.org/
Eligibility: Individuals and families in need of food assistance for Thanksgiving.
Wheelchair Accessible: 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 quality of life.
Original Source: United Way 2-1-1
Last Updated: 7/9/2019
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Fourth Street Clinic, Wasatch Homeless Health Care, Inc.
409 West 400 South
Salt Lake City, UT 84101
 Phone: 801-364-0058
Service Categories:
Community Clinics
General Dentistry
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
Substance Use Disorder Outpatient Treatment
Organization Name: Wasatch Homeless Health Care, Inc.
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
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.
Wheelchair Accessible: Complete
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
Original Source: United Way 2-1-1
Last Updated: 9/11/2019
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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:
Community Clinics
Dental Care Expense Assistance
General Counseling Services
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
Organization Name: Midtown Community Health Centers
Address: 2253 South State Street
South Salt Lake, UT 84115
Phone: 801-486-0911
Fax: 801-486-0796
Service Categories:
Community Clinics
Dental Care Expense Assistance
General Counseling Services
Outpatient Mental Health Care
Prescription Drug Patient Assistance Programs
URL: https://www.midtownchc.org/directory/listing/south-salt-lake-city
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
Original Source: United Way 2-1-1
Last Updated: 6/11/2019
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St. George, UT

Washington County Prescription Drug Discount, Washington County Government
197 East Tabernacle Street
St. George, UT 84770
 Phone: 435-634-5715
Service Categories:
Government Information Resources
Prescription Drug Patient Assistance Programs
Organization Name: Washington County Government
Address: 197 East Tabernacle Street
St. George, UT 84770
Phone: 435-634-5715
Fax: 435-634-5763
Service Categories:
Government Information Resources
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.
Original Source: United Way 2-1-1
Last Updated: 7/9/2019
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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:
CSHCN Clinics
Community Clinics
Pediatric Medical Homes
Prescription Drug Patient Assistance Programs
Organization Name: Midtown Community Health Centers
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
Pediatric Medical Homes
Prescription Drug Patient Assistance Programs
URL: https://www.midtownchc.org/directory/listing/midtown-chc-childrens
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)
Wheelchair Accessible: Complete
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.
Original Source: United Way 2-1-1
Last Updated: 9/5/2018
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Nationwide

Assistance Fund, TAF Cares
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
 Phone: 855-845-3663
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Organization Name: TAF Cares
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.
Original Source: MHP-Nationwide
Last Updated: 9/12/2019
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Bridges to Access
PO Box 29038
Phoenix, AZ 85038-9038
Service Categories:
Prescription Drug Patient Assistance Programs
Address: PO Box 29038
Phoenix, AZ 85038-9038
Toll Free Phone: 866-728-4368
Service Categories:
Prescription Drug Patient Assistance Programs
URL: http://www.bridgestoaccess.com/
Eligibility: Patients must live in one of the 50 states or the District of Columbia; have no prescription drug benefits through any insurer/payer/program; have gross monthly household income at or below certain levels.
Services Provided: Bridges to Access is GlaxoSmithKline's patient assistance program that provides GSK non-oncology medicines—at no cost—to qualified patients.
Original Source: MedHome Portal
Last Updated: 1/10/2019
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FamilyWize Prescription Discount, FamilyWize Community Service Partnership
1720 Spillman Drive Ste 100
Bethlehem, PA 18015
 Phone: 866-810-3784
Service Categories:
Prescription Drug Patient Assistance Programs
Organization Name: FamilyWize Community Service Partnership
Address: 1720 Spillman Drive Ste 100
Bethlehem, PA 18015
Phone: 866-810-3784
Service Categories:
Prescription Drug Patient Assistance Programs
Email: info@familywize.org
URL: http://www.familywize.org
Eligibility: No restirctions
Services Provided: Provides a prescription drug discount card at no cost. The FamilyWize card can also be used for pet medications.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 7/2/2019
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Good Days
6900 N. Dallas Parkway, Suite 200
Plano, TX 75024
 Phone: 877-968-7233
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Transportation Expense Assistance
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
Original Source: Nationwide Suggest Providers Queue
Last Updated: 9/12/2019
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GoodRx.com
Service Categories:
Prescription Drug Patient Assistance Programs
Specialized Information Resources
Address:
Service Categories:
Prescription Drug Patient Assistance Programs
Specialized Information Resources
URL: http://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.
Original Source: MedHome Portal
Last Updated: 4/25/2018
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Health Well Foundation
PO Box 220410
Chantilly, VA 20153-0410
 Phone: 800-675-8416
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Address: PO Box 220410
Chantilly, VA 20153-0410
Phone: 800-675-8416
Fax: 800-282-7692
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Email: Grants@HealthWellFoundation.org
URL: http://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.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 6/17/2019
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Magic Foundation
6645 West North Avenue
Oak Park, IL 60302
 Phone: 708-383-0808
Service Categories:
Medical Care Expense Assistance
National Support Services, Disab/Diag
Prescription Drug Patient Assistance Programs
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.
Original Source: MedHome Portal
Last Updated: 8/1/2018
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Medicaid Prescription Help
Service Categories:
Medicaid
Prescription Drug Patient Assistance Programs
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.
Original Source: MedHome Portal
Last Updated: 8/1/2018
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Medicare Extra Help
Service Categories:
Medicare Special Needs Plan
Prescription Drug Patient Assistance Programs
Specialized Information Resources
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.
Original Source: MedHome Portal
Last Updated: 8/1/2018
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Medicine Program/Nationwide
PO Box 515
Doniphan, MO 63935-0515
 Phone: 573-996-7300
Service Categories:
Prescription Drug Patient Assistance Programs
Address: PO Box 515
Doniphan, MO 63935-0515
Phone: 573-996-7300
Toll Free Phone: 888-812-5152
Service Categories:
Prescription Drug Patient Assistance Programs
Email: help@themedicineprogram.com
URL: http://www.themedicineprogram.com/
Eligibility: No prescription insurance coverage, applicant does not qualify for a government program, patient's income at a level to cause hardship if purchasing retail.
Services Provided: Our function, in cooperation with the physician, is to assist patients who may qualify to enroll in one or more of the many patient assistance programs now available. These programs provide prescription medicine free-of-charge to individuals in need, regardless of age, if they meet the sponsor's criteria.
Provider Profiles: $5 fee for processing each medication requested
Original Source: MedHome Portal
Last Updated: 5/31/2018
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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:
Education About Disabilities/Diagnoses
Medical Care Expense Assistance
National Support Services, Disab/Diag
Prescription Drug Patient Assistance Programs
Transportation Expense Assistance
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.
Original 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:
Prescription Drug Patient Assistance Programs
Organization Name: Prescription Benefits, Inc.
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: http://www.rxbenefits.com
Services Provided: Nationwide provider of discount pharmacy cards for individuals, families, and seniors.
Original Source: MedHome Portal
Last Updated: 2/20/2018
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NeedyMeds-National-Prescription Drug Discount Card, NeedyMeds.org
50 Whittemore Street
Gloucester, MA 01930
 Phone: 978-281-6666
Service Categories:
Prescription Drug Patient Assistance Programs
Organization Name: NeedyMeds.org
Address: 50 Whittemore Street
Gloucester, MA 01930
Phone: 978-281-6666
Fax: 206-260-8850
Service Categories:
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
Original Source: Nationwide Suggest Providers Queue
Last Updated: 8/6/2019
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Partnership for Prescription Assistance (PPARX)
Washington, DC 20004
 Phone: 888-477-2669
Service Categories:
Prescription Drug Patient Assistance Programs
Address: Washington, DC 20004
Phone: 888-477-2669
Service Categories:
Prescription Drug Patient Assistance Programs
URL: http://www.pparx.org
Eligibility: Qualifying patients without prescription insurance
Services Provided: Online access to more than 475 public and private programs, including nearly 200 offered by biopharmaceutical companies, helping Americans get free or reduced-cost prescription medicines. Co-pay assistance for pharmaceuticals.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 7/23/2019
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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:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Organization Name: PAN Foundation
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: http://www.panfoundation.org
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.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 7/1/2019
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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:
Care Coordination Agencies
Prescription Drug Patient Assistance Programs
Organization Name: Patient Advocate Foundation (PAF)
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 Agencies
Prescription Drug Patient Assistance Programs
URL: http://www.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.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 9/12/2019
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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:
Prescription Drug Patient Assistance Programs
Specialized Information Resources
Organization Name: National Alliance for the Mentally Ill (NAMI)
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
Original Source: MedHome 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:
Education About Disabilities/Diagnoses
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Specialized Information Resources
Transportation Expense Assistance
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
Original 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
DC 20004
Service Categories:
Prescription Drug Patient Assistance Programs
Address: 950 F Street NW Suite 300
DC 20004
Service Categories:
Prescription Drug Patient Assistance Programs
URL: https://medicineassistancetool.org/Who-We-Are
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.
Original Source: MHP-Nationwide
Last Updated: 9/12/2019
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Rx Card
127 Main Street 2nd Floor
Black Hawk, CO 80422
 Phone: 888-670-0039
Service Categories:
Prescription Drug Patient Assistance Programs
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: http://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.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 8/12/2019
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Rx Outreach
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
 Phone: 877-727-9919
Service Categories:
Prescription Drug Patient Assistance Programs
Address: 3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
Fax: 800-875-6591
Service Categories:
Prescription Drug Patient Assistance Programs
Email: questions@rxoutreach.org
URL: https://rxoutreach.org/
Eligibility: Meet income guidelines.
Services Provided: Offers access to affordable medications through a mail order pharmacy for low income individuals and families.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 6/6/2019
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RxAssist.org
Service Categories:
Prescription Drug Patient Assistance Programs
Address:
Service Categories:
Prescription Drug Patient Assistance Programs
Email: info@rxassist.org
URL: http://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.
Original Source: MedHome Portal
Last Updated: 7/30/2018
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RxHope
Service Categories:
Prescription Drug Patient Assistance Programs
Address:
Service Categories:
Prescription Drug Patient Assistance Programs
URL: http://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.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 6/17/2019
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SingleCare
71 Broadway, Unit 255
New York, NY 10006
 Phone: 844-234-3057
Service Categories:
Financial Assistance, Other
Prescription Drug Patient Assistance Programs
Address: 71 Broadway, Unit 255
New York, NY 10006
Phone: 844-234-3057
Service Categories:
Financial Assistance, Other
Prescription Drug Patient Assistance Programs
Email: mcahilll@singlecare.com
URL: https://www.singlecare.com/
Services Provided: Prescription discount cards to help those who are struggling to afford the medicine they need, and we're completely free to join. SingleCare partners with major pharmacies.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 5/13/2019
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United Healthcare Children's Foundation (UHCCF)
MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
Service Categories:
Medical Care Expense Assistance
Prescription Drug Patient Assistance Programs
Address: MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
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.
Original Source: Nationwide Suggest Providers Queue
Last Updated: 8/6/2019
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Walmart Pharmacy
Service Categories:
Prescription Drug Patient Assistance Programs
Address:
Service Categories:
Prescription Drug Patient Assistance Programs
URL: http://www.walmart.com/cp/5431
Services Provided: Walmart is offering $4 prescriptions for some generic medications.
Original Source: MedHome Portal
Last Updated: 7/10/2018
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