Frequently Asked Questions
Q: What are Patient Assistance Programs?
A:Patient Assistance Programs are offered through drug manufacturing companies to individuals who fit the requirements of the companies offering the medication. Most medications are brand name and free of charge and some maybe generic through non-profit pharmacies.
Q: Who is eligible for Patient Assistance Programs?
A:Each company has its own set of requirements. The most common set of requirements are collected below:
Must be U.S. citizen or legal resident
Cannot have private insurance
Can have Medicare D but must be in Part D Coverage Gap
Must have income under 250% of the Federal Poverty Level
Q: Do I have to be a U.S. Resident or Citizen to access these programs?
A: Yes. Most companies only accept applications from U.S. citizen or residents.
Q: Can I apply for these programs if I have Medicare or Medicare Part D?
A: Applications are reviewed on a case-by-case basis. However, we have many patients who have Medicare or Medicare Part D. Medicare Part D patients must be in the coverage gap to qualify for certain medication. Eligibility determined on a case-by-case basis. To apply with Medicare Part D please provide Monthly Insurance Summary stating the current status of Part D coverage.
Q: Is this Insurance?
A: No. This is not insurance. We simply apply to various pharmaceutical companies based on patients need for medication on the patient’s behalf. If you do not have insurance you are strongly encouraged to apply for insurance through the healthcare.gov open marketplace.
Q: Is there a limit to how many medications you will help me with?
A: No. Our staff is here to help with your prescription needs no matter how many medications you take.
Q: What if I have a change in my medication?
A: It is important that you notify the Prescription Assistance Program Advocate to make necessary changes through the pharmaceutical patient assistance programs. Call toll free 1-877-460-9996 for our Fargo Office and 1-800-472-0031 for our Valley City office.
Q: How are refills handled?
A: It is the patient’s responsibility to contact the Prescription Assistance Program in order to obtain refills for their medications. It is highly recommended that Prescription Assistance request refills from the Pharmaceutical companies. We have strict documentation in place to monitor orders and correspondence between our office and any third party. It is recommended that clients contact the office 30 days prior to their prescription ending.