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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.

Maximum Award Level

$6,000 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 $50 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% 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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  • Accolate (zafirlukast)
  • Accuneb (albuterol)
  • Advair Diskus (fluticasone/salmeterol)
  • Advair HFA (fluticasone/salmeterol)
  • Aerospan (flunisolide)
  • A-Hydrocort (hydrocortisone)
  • Alvesco (ciclesonide)
  • Arnuity Ellipta (fluticasone)
  • Asmalpred (prednisolone)
  • Asmanex (mometasone)
  • Asmanex HFA (mometasone)
  • Asmanex Twisthaler (mometasone)
  • Atrovent HFA (ipratropium)
  • Baycadron (dexamethasone)
  • Breo Ellipta (fluticasone/vilanterol)
  • Brethine (terbutaline)
  • Brondil (dyphylline)
  • Celestone (betamethasone)
  • Cinqair (reslizumab)
  • Combivent (albuterol/ipratropium)
  • Combivent Respimat (albuterol/ipratropium)
  • COPD (dyphylline)
  • Cortef (hydrocortisone)
  • Cortone (cortisone)
  • Cromolyn (cromolyn sodium)
  • Decadron (dexamethasone)
  • Deltasone (prednisone)
  • Dexpak (dexamethasone)
  • Difil-G (dyphylline)
  • Dilex-G (dyphylline)
  • Doubledex (dexamethasone)
  • Dulera (mometasone/formeterol)
  • Duoneb (albuterol/ipratropium)
  • Dyflex-G (dyphylline)
  • Dy-G (dyphylline)
  • Dylix (dyphylline)
  • Dyphylline-GG (dyphylline)
  • ED-Bron G (theophylline)
  • Elixophyllin (theophylline)
  • Flo-Pred (prednisolone)
  • Flovent Diskus (fluticasone)
  • Flovent HFA (fluticasone)
  • Foradil Aerolizer (formoterol)
  • Intal (cromolyn sodium)
  • Jay-Phyl (dyphylline)
  • Lufyllin (dyphylline)
  • Lufyllin-GG (dyphylline)
  • Medrol (methylprednisolone)
  • Millipred (prednisolone)
  • Nucala (mepolizumab)
  • Orapred (prednisolone)
  • Pediapred (prednisolone)
  • Perforomist (formoterol)
  • Prelone (prednisolone)
  • Proair HFA (albuterol)
  • Proair Respiclick (albuterol)
  • Proventil (albuterol)
  • Proventil HFA (albuterol)
  • Pulmicort (budesonide)
  • Pulmicort Flexhaler (budesonide)
  • Qvar (beclomethasone)
  • Rayos (prednisone)
  • Serevent Diskus (salmeterol)
  • Singulair (montelukast)
  • Solu-Cortef (hydrocortisone)
  • Spiriva Handihaler (tiotropium)
  • Spiriva Respimat (tiotropium)
  • Stiolto Respimat (tiotropium)
  • Symbicort (budesonide/formoterol)
  • Theo-24 (theophylline)
  • Theochron (theophylline)
  • Theophylline/D (theophylline)
  • Ventolin (albuterol)
  • Ventolin HFA (albuterol)
  • Veripred (prednisolone)
  • Vospire (albuterol)
  • Xolair (omalizumab)
  • Xopenex (levalbuterol)
  • Xopenex HFA (levalbuterol)
  • Zema-Pak (dexamethasone)
  • Zyflo (zileuton)
  • Zyflo CR (zileuton)

Diagnosis Codes:

ICD-10: J45.20-J45.998