Questions about Eligibility

Who qualifies?

Millions of people are already benefiting from patient assistant programs - and there are millions more who could be helped. Each patient assistance program has its own eligibility criteria. If you complete the step-by-step application process, you should be able to see if you are eligible for one or more patient assistance programs. Patients with questions about the eligibility criteria of a specific program will be transferred directly to the company sponsoring that program. (Note: There are some instances in which Medicaid beneficiaries may be eligible for certain patient assistance programs.)

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Will non-citizens be eligible?

Each patient assistance program has its own eligibility criteria. In addition to prescription benefits status and household income and size, the criteria for some programs include:

  • Citizenship status
  • Asset guidelines
  • Veterans benefits status

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Can I have other drug coverage and still qualify for a patient assistance program?

Yes, there may be some patient assistance programs for which you may be eligible.

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Why am I eligible for patient assistance programs for some medicines, but not others?

The eligibility criteria for patient assistance programs vary from program to program and may even vary by medicines within a program, depending upon several factors related to your income, prescription medicines, resident state, age, and current prescription drug coverage.

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I don't need help now. Can I qualify in advance?

No. Prescription assistance programs are designed to help those who have an immediate need for prescription medication help.

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Can I join multiple patient assistance programs?

Yes, it is possible to belong to more than one patient assistance program.

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What happens next if patients are informed that they may be eligible for one or more programs?

Patients who may be eligible for one or more programs can use the information provided to contact the relevant program sponsors, and in many cases, they can fill out the relevant application forms online and then print out nearly completed forms. Patients must add or attach the required information and bring it to their doctor's office. Healthcare providers must sign the form and include the specific prescription information or simply attach the actual prescription. Either patients or doctors send the necessary forms to the organization sponsoring the specific program.

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