Back to Top

Arrhythmia in Patients with Atrial Fibrillation or Atrial Flutter

Get Help with Your Treatment

Apply Online or call 1-866-316-7263

 

Program Status

program status icon open

Fully Allocated – We are no longer accepting or processing applications for new or renewal patients.

Maximum Award Level

$3,000 per year. Patients may apply for a second grant during their eligibility period subject to availability of funding.

Please be advised that a minimum claim of $25 is required for PAN to process the claim. You may aggregate multiple prescriptions to meet the minimum claim threshold.

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  
  • Amiodarone Hcl (amiodarone hcl)
  • Atenolol (atenolol)
  • Betapace (sotalol hcl)
  • Betapace Af (sotalol hcl)
  • Bisoprolol Fumarate (bisoprolol fumarate)
  • Brevibloc (esmolol hcl)
  • Brevibloc (esmolol hcl in sodium chloride, iso-osmotic)
  • Calan (verapamil hcl)
  • Calan Sr (verapamil hcl)
  • Cardizem (diltiazem hcl)
  • Cardizem Cd (diltiazem hcl)
  • Cardizem La (diltiazem hcl)
  • Cartia Xt (diltiazem hcl)
  • Carvedilol (carvedilol)
  • Cordarone (amiodarone hcl)
  • Coreg (carvedilol)
  • Coreg Cr (carvedilol phosphate)
  • Corgard (nadolol)
  • Corvert (ibutilide fumarate)
  • Digitek (digoxin)
  • Digox (digoxin)
  • Digoxin (digoxin)
  • Dilacor Xr (diltiazem hcl)
  • Dilt-Cd (diltiazem hcl)
  • Diltia Xt (diltiazem hcl)
  • Diltiazem 12Hr Er (diltiazem hcl)
  • Diltiazem 24Hr Cd (diltiazem hcl)
  • Diltiazem 24Hr Er (diltiazem hcl)
  • Diltiazem Er (diltiazem hcl)
  • Diltiazem Hcl (diltiazem hcl)
  • Dilt-Xr (diltiazem hcl)
  • Diltzac Er (diltiazem hcl)
  • Disopyramide Phosphate (disopyramide phosphate)
  • Dofetilide (dofetilide)
  • Esmolol Hcl (esmolol hcl)
  • Flecainide Acetate (flecainide acetate)
  • Hemangeol (propranolol hcl)
  • Ibutilide Fumarate (ibutilide fumarate)
  • Inderal La (propranolol hcl)
  • Inderal Xl (propranolol hcl)
  • Innopran Xl (propranolol hcl)
  • Lanoxin (digoxin)
  • Lanoxin Pediatric (digoxin)
  • Lopressor (metoprolol tartrate)
  • Matzim La (diltiazem hcl)
  • Metoprolol Succinate (metoprolol succinate)
  • Metoprolol Tartrate (metoprolol tartrate)
  • Multaq (dronedarone hcl)
  • Nadolol (nadolol)
  • Nexterone (amiodarone in dextrose, iso-osmotic)
  • Norpace (disopyramide phosphate)
  • Norpace Cr (disopyramide phosphate)
  • Pacerone (amiodarone hcl)
  • Procainamide Hcl (procainamide hcl)
  • Propafenone Hcl (propafenone hcl)
  • Propafenone Hcl Er (propafenone hcl)
  • Propranolol Hcl (propranolol hcl)
  • Propranolol Hcl Er (propranolol hcl)
  • Quinidine Gluconate (quinidine gluconate)
  • Quinidine Sulfate (quinidine sulfate)
  • Rythmol (propafenone hcl)
  • Rythmol Sr (propafenone hcl)
  • Sorine (sotalol hcl)
  • Sotalol (sotalol hcl)
  • Sotalol Af (sotalol hcl)
  • Sotalol Hcl (sotalol hcl)
  • Sotylize (sotalol hcl)
  • Tambocor (flecainide acetate)
  • Taztia Xt (diltiazem hcl)
  • Tenormin (atenolol)
  • Tiazac (diltiazem hcl)
  • Tikosyn (dofetilide)
  • Toprol Xl (metoprolol succinate)
  • Verapamil Er (verapamil hcl)
  • Verapamil Er Pm (verapamil hcl)
  • Verapamil Hcl (verapamil hcl)
  • Verapamil Sr (verapamil hcl)
  • Verelan (verapamil hcl)
  • Verelan Pm (verapamil hcl)
  • Zebeta (bisoprolol fumarate)