CO-PAY RELIEF PROGRAM | PATIENT ADVOCATE FOUNDATION

Co-pay relief program (CPR) currently provides direct financial support to insured patients, including Medicare Part D beneficiaries, who must financially and medically qualify to access pharmaceutical co-payment assistance. The program offers personal service to all patients through the use of call counselors, personally guiding patients through the enrollment process.

Eligible Diseases:
Acromegaly
Alzheimer's
Asthma
Bladder Cancer
Breast Cancer
Cervical Cancer
Coronary Artery Disease
Covid 19
Cystic Fibrosis
Diabetes
Electrolyte Imbalance
Gaucher Disease
Hemophilia
Hepatitis B
Hepatitis C
HIV, AIDS and Prevention
Homozygous Familial Hypercholesterolemia
Inherited or Acquired Lipodystrophy
Lupus
Melanoma
Metastatic Breast Cancer
Metastatic Colorectal Cancer
Metastatic Gastric Cancer
Metastatic Prostate Cancer
Multiple Myeloma
Multiple Sclerosis
Myelodysplastic Syndrome
Non-Small Cell Lung Cancers
Osteoporosis
Ovarian Cancer
Pancreatic Cancer
Periodic Paralysis
Peripheral Vascular Disease
Prostate Cancer
Pulmonary Hypertension
Renal Cell Carcinoma
Rheumatoid Arthritis
Spinal Muscular Atrophy
Ulcerative Colitis
Uterine Cancers

Eligibility Requirements:

  • Patient must be currently insured and have coverage for the medication(s) for which they seek financial assistance
  • Patient must have a physician confirmed diagnosis of the disease under which they are requesting financial assistance
  • Patient must reside and receive treatment in the United States
  • Patient's income must fall at or below the income guidelines of the fund under which they are requesting financial assistance. All funds have income guidelines of either 300% or 400% or less of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and the number in the household
  • Patient will be informed immediately upon application if they qualify for assistance

Physical Address

421 Butler Farm Road, Hampton, VA 23666

Hours

Mon 8:30 am - 5 pm; Tue 8:30 am - 5 pm; Wed 8:30 am - 5 pm; Thu 8:30 am - 5 pm; Fri 8:30 am - 5 pm;

Fax

(757) 952-0119

Application process

Call or apply online

Fee

None

Required documents

Call for information

Eligibility

See notes for list of eligible diseases; must have insurance that covers part of the prescription cost; see notes for more details

Languages

English, Spanish

Service area

United States

Agency info

PATIENT ADVOCATE FOUNDATION

Provides direct services to patients with chronic, life threatening and debilitating diseases to help access care and treatment recommended by their doctor.