Prescription Drug Patient Assistance Programs

Pharmaceutical companies or pharmacies that make brand name or generic prescription drugs available to patients who are uninsured or underinsured or, for other reasons, cannot afford to pay the market price. Also included are organizations that help qualifying patients complete and file paperwork for submission to drug manufacturers to request such medication or which maintain lists of these types of programs for referral purposes. (AIRS LH-6700.6300)

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

UT

Statewide

Organization Name: Utah Department of Health
(Show others in Organization)
Address:
Salt Lake City, UT
Eligibility: low income or uninsured with prescription needs
Services Provided: A webpage compilation of resources offering prescription assistance, assembled by the Utah Department of Health.
Asthma-related support.
Source: Medical Home Portal
Last Updated: 11/6/2019
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
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: No charge, no health insurance required
Services Provided: Provides comprehensive asthma care by ensuring availability of and access to guidelines-based medical management and pharmacotherapy for all Utahns with asthma, and to link those with poorly controlled asthma to individualized services.
Utah Asthma Home Visiting Program for individuals with asthma living in Salt Lake and Utah Counties.
Prescription Assistance Program for Patients with Asthma http://health.utah.gov/asthma/basics/rxassist.html
Provider Profiles: Nichole Shepard, MPH - Program Manager
Kellie Baxter, Health Program Specialist
Holly Uphold, PhD - Epidemiologist
Janae Letterman, BS CHES - Program Coordinator
Source: Medical Home Portal
Last Updated: 1/8/2020
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
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: 10/5/2020

American Fork, UT

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
Eligibility: No restrictions, serves all ages.
Services Provided: American Fork Hospital serves people with medical needs in the local community by providing a wide range of inpatient and outpatient services including hospital services, emergency care, and support groups.
Provider Profiles: Spirometry testing ages 6 and older 801 855-3593, asthma education
Source: United Way 2-1-1
Last Updated: 7/1/2019

Cedar City, UT

222 West 900 North
PO Box 2241
Cedar City, UT 84720
Phone: 435-586-4962
Address:
222 West 900 North
PO Box 2241
Cedar City, UT 84720
Phone: 435-586-4962
Fax: 435-865-1662
Eligibility: Low-income individuals and families with children
Services Provided: Provides programs and services which help homeless and low-income individuals and families work toward self sufficiency. Programs include food pantries, homeless shelter, laundry and bathing facilities, and other forms of assistance.
Source: United Way 2-1-1
Last Updated: 12/12/2019

Clearfield, UT

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: 10/14/2020

Lehi, UT

Address:
Lehi, UT 84043
Phone: 801-566-5949
Wheelchair Access: Complete
Eligibility: Epilepsy patients and their families.
Services Provided:

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

Source: United Way 2-1-1
Last Updated: 9/21/2020

Logan, UT

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: 10/14/2020

Ogden, UT

Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
2240 Adams Avenue
Ogden, UT 84403
Phone: 801-393-5355
Fax: 801-394-4609
Wheelchair Access: Complete
Eligibility: Open to all
Services Provided: Health care coordination, case management, and prescription assistance for uninsured children, families, and adults including health education and specialty care coordination available at every Midtown Community Health Clinic location from Salt Lake City to Logan. Enrollment Specialist also available by appointment to help with navigation of Medicaid, CHIP, PCN, UPP, and Marketplace plans (ObamaCare).
Source: Medical Home Portal
Last Updated: 11/8/2017
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: 10/14/2020
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
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: 10/14/2020
2775 Wall Avenue
Ogden, UT 84401
Phone: 801-394-4161
Organization Name: Ogden Rescue Mission
(Show others in Organization)
Address:
2775 Wall Avenue
Ogden, UT 84401
Phone: 801-394-4161
Wheelchair Access: Complete
Eligibility: Clients without dental insurance
Services Provided: Supplies medical services, medications, and some dental care to homeless and low-income clients. Offers a variety of monthly clinics-- pulmonary, foot, eye clinic, mental health, and a monthly lab draw. Call for dates and times.
Source: United Way 2-1-1
Last Updated: 6/13/2019

Park City, UT

Address:
PO Box 4615
Park City, UT 84060
Phone: 800-260-6295
Fax: 812-602-2030
Eligibility: For children under 12 months who have special needs. Must be referred by a physician. A patient may be accepted based on financial need or other factors. The Multiple Birth Program is for families who have given birth to multiples. Must be referred by a physician. To be accepted into the Multiple Birth. Program, the family must not be able to qualify for help through a local WIC program.
Services Provided: Provides free or reduced cost specialty formula (Enfamil) to parents who have children with special nutritional needs or parents of multiples.
Source: Medical Home Portal
Last Updated: 1/16/2020

Provo, UT

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
Organization Name: Mountainlands Family Health Center - Provo Family Health Center
(Show others in Organization)
Address:
750 North 200 West Suite 201
Provo, UT 84601
Phone: 801-429-2000
Fax: 801-429-2001
Eligibility: Low-income individuals and families. Accepts most insurance. Pharmacy services are only available to active Mountainlands Family Health Center patients.
Services Provided: Provides medical care and a discount pharmacy.
Participate in the Federal 340b program to purchase medications at deeply discounted prices so patients receive high-quality medications for a fraction of the normal cost.
Provider Profiles: AUCH, a Community Health Center
Locations in Provo, West Park (Provo), Payson, Vernal, Vernal dental, and East Bay Health Center (Provo)
Source: United Way 2-1-1
Last Updated: 1/16/2020
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
Services Provided:

The largest hospital in Utah County and a designated Level II Trauma Center serves by providing a wide range of inpatient and outpatient services including hospital services, emergency care, and support groups.

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

Pediatric 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: Medical Home Portal
Last Updated: 9/18/2020

Salt Lake City, UT

Organization Name: Wasatch Homeless Health Care, Inc.
(Show others in Organization)
Address:
409 West 400 South
Salt Lake City, UT 84101
Phone: 801-364-0058
Fax: 801-364-4602
Email: info@fourthstreetclinic.org
Wheelchair Access: Complete
Eligibility: Homeless individuals or families and patients with an income less than 200% of Federal Poverty Level. Insured and uninsured. Patients pay for services on a sliding-scale fee structure based on their income.
Services Provided: A comprehensive medical home providing coordinated primary care, behavioral health, substance abuse, and pharmacy services to homeless individuals and families in the Salt Lake area.
After hours call 801.364.0058
Provider Profiles: AUCH
Source: United Way 2-1-1
Last Updated: 6/4/2020
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

South Salt Lake, UT

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 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: 10/14/2020

St. George, UT

197 East Tabernacle Street
St. George, UT 84770
Phone: 435-634-5712
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
Eligibility: All residents of Washington County can receive a discount card. No restrictions apply.
Services Provided: Prescription drug discount cards.
Source: United Way 2-1-1
Last Updated: 11/26/2019

Washington Terrace, UT

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: 10/14/2020

Nationwide

610 Crescent Executive Court, Suite 200
Lake Mary, FL 32746
Phone: 866-801-5657
Organization Name: Abbot Nutrition
(Show others in Organization)
Address:
610 Crescent Executive Court, Suite 200
Lake Mary, FL 32746
Phone: 866-801-5657
Toll Free Phone: 866-801-5657
Fax: 866-734-7353
Eligibility: Must meet eligibility criteria.
Services Provided:

Assists with costs for formulas, Ensure and PediaSure, Abbott Nutrition products.

Source: MHP-Nationwide
Last Updated: 8/11/2020
4700 Millenia Blvd., Suite 410
Orlando, FL 32839
Phone: 855-845-3663
Organization Name: TAF Cares
(Show others in Organization)
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
99 High Street, Suite 2800
Boston, MA 02129
Phone: 866-810-3784
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
Services Provided: Provides a prescription drug discount card at no cost. The FamilyWize card can also be used for pet medications.
Source: Nationwide Suggest Providers Queue
Last Updated: 4/17/2020
PO Box 29038
Phoenix, AZ 85038-9038
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
2661 Audubon Road
Audubon, PA 19403
Phone: 855-425-3646
Organization Name: Galen Pharma
(Show others in Organization)
Address:
2661 Audubon Road
Audubon, PA 19403
Phone: 855-425-3646
Toll Free Phone: 855-425-3646
Fax: 215-660-8501
Email: galenus@galen-pharma.com
Services Provided:

Galen Medical Nutrition: Galen offers a variety of innovative medical foods, for use in the dietary management of metabolic disorders. Formulas are available for disorders such as Phenylketonuria (PKU), Maple Syrup Urine Disease (MSUD), and Tyrosinemia (TYR) as well as Urea Cycle Disorder (UCD).

Galen US Access Program: Information for patients and clinicians located in the US.

Source: MHP-Nationwide
Last Updated: 8/17/2020
Address:
6900 N. Dallas Parkway, Suite 200
Plano, TX 75024
Phone: 877-968-7233
Fax: 214-570-3621
Email: info@cdfund.org
Eligibility: Patients suffering from diagnosed, covered chronic medical conditions who have limited financial means.
Services Provided: Helps patients get access to the medications they need, pay insurance co-pays, transportation, insurance premiums, diagnostic testing, finding insurance coverage, and emotional support.
Provider Profiles: Hours: 8:00 a.m. to 5:00 p.m. CST
Source: Nationwide Suggest Providers Queue
Last Updated: 9/12/2019
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
20440 Century Blvd, Suite 250
PO Box 489, Buckeystown, MD 21717
Germantown, MD 20874
Phone: 800-675-8416
Address:
20440 Century Blvd, Suite 250
PO Box 489, Buckeystown, MD 21717
Germantown, MD 20874
Phone: 800-675-8416
Toll Free Phone: 800-675-8416
Fax: 800-282-7692
Email: portal@healthwellfoundation.org
Eligibility: Patients living with chronic and life-altering illnesses. Must meet income and diagnosis requirements. Call for specific information.
Services Provided:

Provides financial assistance to eligible individuals to cover coinsurance, copayments, health care premiums and deductibles for certain medications and therapies.

Source: Nationwide Suggest Providers Queue
Last Updated: 10/13/2020
Address:
6645 West North Avenue
Oak Park, IL 60302
Phone: 708-383-0808
Toll Free Phone: 800-362-4423
Eligibility: Children with endocrine disorders.
Services Provided: The Magic Foundation provides information, resources, and an insurance and appeals assistance program, designed to assist members in the insurance appeals process as funding allows. Programs include: Pharmaceutical Company Patient Assistance Programs, Co-Pay Assistance Foundation, Insurance Appeals.
Provider Profiles: An organization of parents of children with endocrine disorders.
Source: Medical Home Portal
Last Updated: 8/1/2018
225 North Canal Street, 25th Floor
Chicago, IL 60606
Phone: 312-466-5800
Address:
225 North Canal Street, 25th Floor
Chicago, IL 60606
Phone: 312-466-5800
Toll Free Phone: 800-BAB-Y123
Eligibility: Children requiring formula
Services Provided:

Mead Johnson develops and markets products that help meet the nutritional needs of infants and children.

Find a Product by need. Offers a variety of specialty and general nutrition feeding products.

Enfamil Family Center information for parents and families.

Patient Savings Programs: Various programs for different products, patient ages, and variety of need.

Source: MHP-Nationwide
Last Updated: 9/22/2020
Address:
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Toll Free Phone: 800-999-6673
Fax: 203-263-9938
Languages Spoken: Spanish
Eligibility: Persons with a rare disease, financial need.
Services Provided: A patient advocacy organization for individuals with rare diseases and the organizations that serve them. NORD provides Patient Assistance Programs that provide financial assistance. In addition, NORD provides links to other financial assistance resources.
Patient Assistance Program, RareCare, provides medication, financial assistance with insurance premiums and co-pays, diagnostic testing assistance, and travel assistance for clinical trials or consultation with disease specialists.
Source: MHP-Nationwide
Last Updated: 9/12/2019
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
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
PO Box 219
Gloucester, MA 01931
Phone: 978-281-6666
Address:
PO Box 219
Gloucester, MA 01931
Phone: 978-281-6666
Toll Free Phone: 800-503-6897
Fax: 206-260-8850
Email: info@needymeds.org
Eligibility: There are no income, insurance, age, or residency requirements.
Services Provided: NeedyMeds is an online information resource of programs that provide assistance to people who are unable to afford their medications and health care costs. 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
Provider Profiles:

90 day w refills. Turnaround 3-4 weeks; physician sends in prescription

Source: Nationwide Suggest Providers Queue
Last Updated: 10/15/2020
12 Vreeland Road, 2nd Floor
Florham Park, NJ 07932
Phone: 844-424-6727
Organization Name: Nestle HealthCare Nutrition, Inc.
(Show others in Organization)
Address:
12 Vreeland Road, 2nd Floor
Florham Park, NJ 07932
Phone: 844-424-6727
Toll Free Phone: 844-424-6727
Fax: 844-708-0036
Services Provided:

Vitaflo Medical Nutrition: Specialized medical foods for Metabolic Disorders, the Ketogenic Diet and other areas of disease specific nutrition.

Patient Assistance Program: Provides brand name medications at no or low cost. Funding for nutrition products available, including for people who require a tube feeding to meet 100% of daily nutritional requirements. Only patients whose sole or primary source of nutrition is the requested product are eligible for this program. Patients who use the products as supplements are not eligible.

Source: Nationwide Suggest Providers Queue
Last Updated: 8/18/2020
Address:
Phone: 800-605-0410
Toll Free Phone: 800-605-0410
Email: metacustomercare@nutricia.com
Services Provided:

Formula, low protein foods, and other medical diet foods.

Nutricia Navigator: help with navigating formula coverage. Online or call 800-365-7354 or email NutriciaNavigator@nutricia.com

Source: MHP-Nationwide
Last Updated: 8/17/2020
805 15th Street, NW Ste 500
Washington, DC 20005
Phone: 202-347-9272
Organization Name: PAN Foundation
(Show others in Organization)
Address:
805 15th Street, NW Ste 500
Washington, DC 20005
Phone: 202-347-9272
Toll Free Phone: 866-316-7262
Email: contact@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.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/6/2020
421 Butler Farm Road
Hampton, VA 23666
Phone: 866-512-3861
Organization Name: Patient Advocate Foundation (PAF)
(Show others in Organization)
Address:
421 Butler Farm Road
Hampton, VA 23666
Phone: 866-512-3861
Toll Free Phone: 800-532-5274
Fax: 757-952-0119
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
Organization Name: National Alliance for the Mentally Ill (NAMI)
(Show others in Organization)
Address:
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
Phone: 703-524-7600
Fax: 703-524-9094
Eligibility: Differs by specific pharmaceutical company.
Services Provided: Provides a list of pharmaceutical companies that offer medications through medication assistance programs to low-income individuals and families.
Provider Profiles: Internet-based resource
Source: Medical Home Portal
Last Updated: 8/20/2018
Address:
PO Box 5930
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. Assistance is focused on a limited number of around 20 diseases, and the list always changes.
Services Provided: Provides online disease and treatment information as well as limited financial assistance for patients with chronic illnesses who are struggling to keep up with expensive premiums and copayments. Available programs and specific illnesses are regularly updated. Financial assistance includes: subsidizing the cost of health insurance premiums; providing pharmacy and treatment copayment assistance; assisting with Medicare Part D co-insurance; providing travel assistance for transportation reimbursement.
Provider Profiles: Online resources
Source: MHP-Nationwide
Last Updated: 7/11/2019
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
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
7349 N Via Paseo Del Sur, Unit # 453
Scottsdale, AZ 85258
Phone: 866-299-0857
Address:
7349 N Via Paseo Del Sur, Unit # 453
Scottsdale, AZ 85258
Phone: 866-299-0857
Toll Free Phone: 866-299-0857
Email: hello@prescriptioncare.com
Eligibility: Individuals who cannot afford their prescription medication. The average household income to qualify for the Prescription Care program: -Individuals earning around $30,000 per year. -Couples earning around $50,000 per year. -Increased income guidelines for additional members of the household.
Services Provided: Prescription Care is a full service medication access company that researches available sources of assistance, enrolls eligible individuals in patient available assistance programs, handles ongoing refill processing and maintains enrollment.

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

The cost for Prescription Care is $49.00 per month for each medication Prescription Care can assist. Final approval is determined by each assistance program and patients are not charged any fees if they are not approved.
Source: MHP-Nationwide
Last Updated: 5/28/2020
127 Main Street 2nd Floor
Black Hawk, CO 80422
Phone: 888-670-0039
Address:
127 Main Street 2nd Floor
Black Hawk, CO 80422
Phone: 888-670-0039
Fax: 720-287-6523
Eligibility: Open to the public.
Services Provided: Helps consumers of prescription drugs save money at the retail pharmacy ranging from 10% to 85% depending on the type of drug you choose. Also offers valuable information on programs to help you with free medication through the Patient Assistance Partners.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/7/2020
P. O. Box 66536
St. Louis, MO 63166-6536
Phone: 888-796-1234
Address:
P. O. Box 66536
St. Louis, MO 63166-6536
Phone: 888-796-1234
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: Licensed non-profit mail order pharmacy. A medication list and enrollment instructions are available online.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/17/2020
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
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.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/10/2020
99 High Street, Suite 2800
Boston, MA 02110
Phone: 844-234-3057
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
MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
Phone: 855-698-4223
Address:
MN017-W400
PO Box 41
Minneapolis, MN 55440-0041
Phone: 855-698-4223
Toll Free Phone: 855-698-4223
Email: customerservice@uhccf.org
Eligibility: Parents of children receiving serious and financially-challenging health care treatment. 16 and under nationwide for medical services not covered or not fully covered by insurance. Live in US, covered by a commercial health insurance plan.
Services Provided: Provides grants, up to $5,000, for families who have children with critical healthcare treatment, services, or equipment not covered or not fully covered by their parents' health benefit plans to help pay for child health care services such as speech therapy, physical therapy, occupational therapy sessions, prescriptions, and medical equipment such as wheelchairs, orthotics, and eyeglasses. Co-pay assistance for pharmaceuticals.
Provider Profiles: See additional criteria and exclusions on website.
Source: Nationwide Suggest Providers Queue
Last Updated: 1/17/2020
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: 1/15/2020