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Acute Myeloid Leukemia

Get Help with Your Treatment

Apply Online or call 1-866-316-7263

 

Program Status

Open – We are accepting applications for new and renewal patients. If your application for assistance is approved you can begin receiving funding immediately.

 

Assistance Amount

$5,500 per year. Patients may apply for a second grant during their eligibility period subject to availability of funding.

Eligibility Criteria

  1. The patient must be getting treatment for acute myeloid leukemia.
  2. The patient must have Medicare health insurance that covers his or her qualifying medication or product.   
  3. The patient’s medication or product must be listed on PAN’s list of covered medications.
  4. The patient’s income must fall at or below 500% of the Federal Poverty Level.
  5. The patient must reside and receive treatment in the United States or U.S. territories. (U.S. citizenship is not a requirement.)
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See the list of medications covered in this program
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  • Azacitidine (azacitidine)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate and sodium phos in sterile water/pf)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate/betamethasone sodium phosphate)
  • Cerubidine (daunorubicin hcl)
  • Cladribine (cladribine)
  • Clolar (clofarabine)
  • Cytarabine (cytarabine/pf)
  • Dacogen (decitabine)
  • Daunorubicin Hcl (daunorubicin hcl)
  • Decitabine (decitabine)
  • Depocyt (cytarabine liposome/pf)
  • Droxia (hydroxyurea)
  • Etopophos (etoposide phosphate)
  • Etoposide (etoposide)
  • Fludarabine Phosphate (fludarabine phosphate)
  • Hycamtin (topotecan hcl)
  • Hydrea (hydroxyurea)
  • Hydroxyurea (hydroxyurea)
  • Idamycin Pfs (idarubicin hcl)
  • Idarubicin Hcl (idarubicin hcl)
  • Idhifa (enasidenib mesylate)
  • Methotrexate (methotrexate sodium)
  • Mitoxantrone Hcl (mitoxantrone hcl)
  • Mylotarg (gemtuzumab ozogamicin)
  • Nexavar (sorafenib tosylate)
  • Otrexup (methotrexate/pf)
  • Rasuvo (methotrexate/pf)
  • Rydapt (midostaurin)
  • Tibsovo (ivosidenib)
  • Toposar (etoposide)
  • Topotecan Hcl (topotecan hcl)
  • Triamcinolone Acetonide (triamcinolone acetonide)
  • Triamcinolone Diacetate (triamcinolone diacetate in 0.9 % sodium chloride)
  • Vidaza (azacitidine)
  • Vyxeos Liposome (daunorubicin/cytarabine liposomal)

Diagnosis Codes:

ICD-10: C92.00-C92.02, C92.2-C92.22, C92.50-C92.52, C92.60-C92.62, C92.A0-C92.A2, C93.00-C93.02, C94.00-C94.02, C94.20-C94.22

Related Organizations: