Back to Top

Ankylosing Spondylitis

Get Help with Your Treatment

Apply Online or call 1-866-316-7263

 

Program Status

Program Fully Allocated

Currently Closed – We are no longer accepting or processing applications for new or renewal patients.

 

 

Maximum Award Level

$3,800 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 the disease named in the assistance program to which he or she is applying.
  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 400% 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.)
list icon
See the list of medications covered in this program
View List  
  • Active Injection Kit D (dexamethasone sodium phosphate/pf)
  • A-Hydrocort (hydrocortisone sod succinate)
  • Aleve (naproxen sodium)
  • All Day Pain Relief (naproxen sodium)
  • A-Methapred (methylprednisolone sodium succinate)
  • Anaprox Ds (naproxen sodium)
  • Arthrotec 50 (diclofenac sodium/misoprostol)
  • Azulfidine (sulfasalazine)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate/betamethasone sodium phosphate)
  • Cambia (diclofenac potassium)
  • Cataflam (diclofenac potassium)
  • Celebrex (celecoxib)
  • Celecoxib (celecoxib)
  • Celestone (betamethasone acetate/betamethasone sodium phosphate)
  • Cimzia (certolizumab pegol)
  • Cortef (hydrocortisone)
  • Cortisone Acetate (cortisone acetate)
  • Deltasone (prednisone)
  • Depo-Medrol (methylprednisolone acetate)
  • Dexamethasone Sodium Phosphate (dexamethasone sod phosphate)
  • Dexpak (dexamethasone)
  • Diclofenac Potassium (diclofenac potassium)
  • Diclofenac Sodium (diclofenac sodium)
  • Diclofenac Sodium-Misoprostol (diclofenac sodium/misoprostol)
  • Doubledex (dexamethasone sodium phosphate/pf)
  • Enbrel (etanercept)
  • Flanax (naproxen sodium)
  • Flo-Pred (prednisolone acetate)
  • Humira (adalimumab)
  • Humira Pediatric Crohn'S (adalimumab)
  • Hydrocortisone (hydrocortisone)
  • Indocin (indomethacin)
  • Indomethacin Er (indomethacin)
  • Inflectra (infliximab-dyyb)
  • Kenalog-40 (triamcinolone acetonide)
  • Mediproxen (naproxen sodium)
  • Methotrexate Sodium (methotrexate sodium/pf)
  • Methylprednisolone (methylprednisolone)
  • Midol (naproxen sodium)
  • Millipred (prednisolone)
  • Naprelan (naproxen sodium)
  • Naprosyn (naproxen)
  • Naproxen Sodium (naproxen sodium)
  • Orapred Odt (prednisolone sod phosphate)
  • Pediapred (prednisolone sod phosphate)
  • Prednisolone (prednisolone)
  • Prednisone (prednisone)
  • Prelone (prednisolone)
  • Rayos (prednisone)
  • Remicade (infliximab)
  • Renflexis (infliximab-abda)
  • Simponi (golimumab)
  • Solu-Cortef (hydrocortisone sodium succinate/pf)
  • Sulfasalazine (sulfasalazine)
  • Sulindac (sulindac)
  • Veripred 20 (prednisolone sod phosphate)
  • Vimovo (naproxen/esomeprazole magnesium)
  • Voltaren-Xr (diclofenac sodium)
  • Wal-Proxen (naproxen sodium)
  • Zipsor (diclofenac potassium)

Diagnosis Codes:

ICD-10: M08.1, M45.0-M45.9