Patient Assistance Programs for Prescription Drugs

If you can’t afford the prescription drugs you need, you may be eligible for assistance programs offered by pharmaceutical companies, nonprofit groups, or state governments.

Here's how they work.

Patient Assistance Programs Run by Drug Companies

To get the process started, you need to mail an application to the drug company with information about your financial situation. You can usually download an application from the company’s website and fill it out online. In most cases, your doctor will need to provide information about your prescriptions.

The drug company will review the application and tell you if you’re eligible for assistance. If approved, many companies will ship a supply of the drug to your home or your doctor’s office. You or your doctor will need to place a new order several weeks before the supply runs out.

For more information on Patient Assistance Programs, go to RxAssist.org, a non-profit organization that maintains a comprehensive directory of drug assistance programs. You can type in the name of the drug you are taking and it will give you all information on any drug assistance programs, as well as a link to applications.

Assistance Programs Run by States

Currently, about one-third of states have active pharmaceutical assistance programs, typically for people who are elderly, disabled, or in financial need. With the passage of the Medicare Part D drug benefit and more recently, the closing of the Part D donut hole, many states have ended their drug assistance programs. 

 

Assistance Programs Run by Nonprofit Groups

  • Partnership for Prescription Assistance: A program sponsored by drug companies, doctors, patient advocacy organizations, and civic groups. It helps low-income, uninsured patients get free or low-cost, brand-name medications.
  • NeedyMeds: A non-profit organization that maintains an extensive database of information about patient assistance programs, state assistance, drug discount programs, and free or low-cost medical care. You can search their database for free on their website. The site also has information on thousands of programs to help consumers through the application process.
  • RxAssist: An online database of drug company programs that provide free or affordable drugs and co-pay assistance.
  • Center for Benefits : Provided by the National Council on Aging, this shares information about assistance programs for low-income seniors and young people with disabilities.
  • RxHope: A web-based resource where you can search by medication to locate assistance programs. They also offer help with the application process.
  • RxOutreach : A mail-order pharmacy for people with little to no health insurance coverage.

 

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Drug Discount Cards

Some states, non-profit organizations, and retail pharmacies offer drug discount cards. A few are free. You can get others for a low monthly or annual fee. If you’re buying, be sure to go with a reputable organization, such as AARP or NeedyMeds.

Take caution. Unfortunately, some people sell fake discount cards to try to get credit card and social security numbers. Be aware that discount cards are nothealth insurance. Before you sign up for any discount card, make sure it comes with clear terms and conditions and at least a 30-day refund policy.

 

Get Help Sorting It All Out

If you take a lot of medications, it may be hard to research all your options and fill out paperwork for all the different programs. Several groups provide free information, and some will help you find the program that supplies the drug you need. You can also ask for help filling out paperwork and navigating the application process.

 

WebMD Medical Reference Reviewed by Sarah Goodell on August 19, 2019

Sources

SOURCES:

NeedyMeds: "Common Questions: What are patient assistance programs?"

RxAssist: "Patient Assistance Program FAQs." 

American Society of Health-System Pharmacists: "Patient Education about Patient Assistance Programs."

Partnership for Prescription Assistance: "Questions about Eligibility - Prescription" Assistance Program." 

Abbott: "Patient Assistance Foundation - Pharmaceutical Products: Advicore Enrollment Form."

Genzyme Renassist: "Instructions for Renassist Insurance Verification & Patient Assistance Application."

Pfizer: "FirstRESOURCE."

National Conference of State Legislatures: "State Pharmaceutical Assistance Programs."

NeedyMeds: "State-Sponsored Programs."

RxAssist: "Statewide Drug Assistance Programs." 

RxAssist: "Drug Discount Card FAQs."

NeedyMeds: "NeedyMeds Drug Discount Card." 

American Association of Retired Persons: "AARP Prescription Discount Program - FAQs." 

AARP Bulletin Today: "Scam Alert: Don’t Get Bilked by Phony Medical Discount Cards." 

Kansas Attorney General: "Medical Discount Cards."

Consumer Health Alliance. Consumer Guide. 

Partnership for Prescription Assistance: "Facts About PPA - Prescription Assistance Program."

NeedyMeds: "Welcome First-Time Users." 

National Council on Aging: "Center for Benefits - Prescriptions."

Rx Outreach: "About Us - Patient Assistance Program, Discount Prescription Drugs."

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