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Receive $100 in free transportation to your medical appointments if you qualify. Check Eligibility

 
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We offer the fastest, most dependable way to help patients pay for their out-of-pocket costs.

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older couple smiling at eachother

We Can Help

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We cover the deductible, co-pay and coinsurance for your prescribed medications.
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Our application takes only a few minutes to complete and we don't require any paper documentation.
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We let you know if you're approved for assistance immediately.
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Your caregiver, healthcare provider or pharmacists can apply on your behalf.
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Your pharmacy or healthcare provider can submit claims to us right away—and we provide support if they need help.
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Our grants cover your medications for twelve months. And if you need more help, you may be able to apply for additional funding.

How to Apply

  1. Verify there is an open assistance program for your diagnosis.
  2. Collect your documents.
  3. Apply online or call us at 1-866-316-7263, Monday through Friday, 9 a.m. to 7 p.m. ET.

Required Information

Please have the following information ready to complete your application:

  • Diagnosis and medication name.
  • Patient demographics: Name, address, Social Security Number and phone number.
  • Income: Adjusted gross income applicable for the patient and all members of the patient's household.
  • Insurance: Health insurance and pharmacy card(s).
  • Physician demographics: Prescribing physician name, phone number and facility address.

Please note, all applicants are required to attest that the application information provided is complete and accurate. Reported financial information may be verified by an audit, as deemed necessary by PAN.

Apply Today

Our self-service portals are available 24/7 or call us at 1-866-316-7263, Monday through Friday, 9 a.m. – 7 p.m. ET.

 

Please follow the links below to apply: