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Ankylosing Spondylitis

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Program Status

Program Fully Allocated

Fully Allocated – 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.)
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See the list of medications covered in this program
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  • Active Injection Kit D (dexamethasone sodium phosphate/pf)
  • A-Hydrocort (hydrocortisone sod succinate)
  • Aleve (naproxen sodium)
  • All Day Pain Relief (naproxen sodium)
  • All Day Relief (naproxen sodium)
  • A-Methapred (methylprednisolone sodium succinate)
  • Anaprox Ds (naproxen sodium)
  • Arthrotec 50 (diclofenac sodium/misoprostol)
  • Arthrotec 75 (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)
  • Cortisone Acetate (cortisone acetate)
  • Deltasone (prednisone)
  • Depo-Medrol (methylprednisolone acetate)
  • Dexamethasone (dexamethasone)
  • Dexamethasone Intensol (dexamethasone)
  • Dexamethasone Sodium Phosphate (dexamethasone sod phosphate)
  • Dexamethasone Sodium Phosphate (dexamethasone sodium phosphate/pf)
  • Dexpak (dexamethasone)
  • Diclofenac Potassium (diclofenac potassium)
  • Diclofenac Sodium (diclofenac sodium)
  • Diclofenac Sodium Er (diclofenac sodium)
  • Diclofenac Sodium-Misoprostol (diclofenac sodium/misoprostol)
  • Doubledex (dexamethasone sodium phosphate/pf)
  • Ec-Naprosyn (naproxen)
  • Enbrel (etanercept)
  • Flanax (naproxen sodium)
  • Flo-Pred (prednisolone acetate)
  • Humira (adalimumab)
  • Humira Pediatric Crohn'S (adalimumab)
  • Humira Pen (adalimumab)
  • Humira Pen Crohn-Uc-Hs Starter (adalimumab)
  • Humira Pen Psoriasis-Uveitis (adalimumab)
  • Hydrocortisone (hydrocortisone)
  • Indocin (indomethacin)
  • Indomethacin (indomethacin)
  • Inflectra (infliximab-dyyb)
  • Mediproxen (naproxen sodium)
  • Medrol (methylprednisolone)
  • Methotrexate (methotrexate sodium)
  • Methotrexate (methotrexate sodium/pf)
  • Methylprednisolone (methylprednisolone)
  • Methylprednisolone Acetate (methylprednisolone acetate)
  • Methylprednisolone Sod Succ (methylprednisolone sodium succinate)
  • Midol (naproxen sodium)
  • Millipred (prednisolone)
  • Millipred (prednisolone sod phosphate)
  • Millipred Dp (prednisolone)
  • Naprelan (naproxen sodium)
  • Naprosyn (naproxen)
  • Naproxen (naproxen)
  • Naproxen Sodium (naproxen sodium)
  • Naproxen Sodium Cr (naproxen sodium)
  • Naproxen Sodium Ds (naproxen sodium)
  • Naproxen Sodium Er (naproxen sodium)
  • Orapred (prednisolone sod phosphate)
  • Orapred Odt (prednisolone sod phosphate)
  • Pediapred (prednisolone sod phosphate)
  • Prednisolone (prednisolone)
  • Prednisolone Sodium Phos Odt (prednisolone sod phosphate)
  • Prednisolone Sodium Phosphate (prednisolone sod phosphate)
  • Prednisone (prednisone)
  • Prednisone Intensol (prednisone)
  • Prelone (prednisolone)
  • Rayos (prednisone)
  • Remicade (infliximab)
  • Simponi (golimumab)
  • Solu-Cortef (hydrocortisone sod succinate)
  • Solu-Medrol (methylprednisolone sodium succinate)
  • Sulfasalazine (sulfasalazine)
  • Sulfasalazine Dr (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