Back to Top


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

$1,400 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 combine 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.)
list icon
See the list of medications covered in this program
View List  
  • Accolate (zafirlukast)
  • Accuneb (albuterol sulfate)
  • Active Injection Kit D (dexamethasone sodium phosphate/pf)
  • Advair Diskus (fluticasone propionate/salmeterol xinafoate)
  • Advair Hfa (fluticasone propionate/salmeterol xinafoate)
  • Aerospan (flunisolide)
  • A-Hydrocort (hydrocortisone sod succinate)
  • Albuterol Sulfate (albuterol sulfate)
  • Alvesco (ciclesonide)
  • Arnuity Ellipta (fluticasone furoate)
  • Asmanex (mometasone furoate)
  • Asmanex Hfa (mometasone furoate)
  • Atrovent Hfa (ipratropium bromide)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate/betamethasone sodium phosphate)
  • Breo Ellipta (fluticasone furoate/vilanterol trifenatate)
  • Budesonide (budesonide)
  • Celestone (betamethasone acetate/betamethasone sodium phosphate)
  • Cinqair (reslizumab)
  • Combivent Respimat (ipratropium bromide/albuterol sulfate)
  • Cortef (hydrocortisone)
  • Cortisone Acetate (cortisone acetate)
  • Cromolyn Sodium (cromolyn sodium)
  • Deltasone (prednisone)
  • Dexamethasone (dexamethasone)
  • Dexamethasone Intensol (dexamethasone)
  • Dexamethasone Sodium Phosphate (dexamethasone sod phosphate)
  • Dexamethasone Sodium Phosphate (dexamethasone sodium phosphate/pf)
  • Dexpak (dexamethasone)
  • Doubledex (dexamethasone sodium phosphate/pf)
  • Dulera (mometasone furoate/formoterol fumarate)
  • Elixophyllin (theophylline anhydrous)
  • Flo-Pred (prednisolone acetate)
  • Flovent Diskus (fluticasone propionate)
  • Flovent Hfa (fluticasone propionate)
  • Foradil (formoterol fumarate)
  • Hydrocortisone (hydrocortisone)
  • Ipratropium Bromide (ipratropium bromide)
  • Ipratropium-Albuterol (ipratropium bromide/albuterol sulfate)
  • Levalbuterol Concentrate (levalbuterol hcl)
  • Levalbuterol Hcl (levalbuterol hcl)
  • Levalbuterol Tartrate Hfa (levalbuterol tartrate)
  • Lufyllin (dyphylline)
  • Medrol (methylprednisolone)
  • Methylprednisolone (methylprednisolone)
  • Millipred (prednisolone)
  • Millipred (prednisolone sod phosphate)
  • Millipred Dp (prednisolone)
  • Montelukast Sodium (montelukast sodium)
  • Nucala (mepolizumab)
  • Orapred (prednisolone sod phosphate)
  • Orapred Odt (prednisolone sod phosphate)
  • Pediapred (prednisolone sod phosphate)
  • Perforomist (formoterol fumarate)
  • Prednisolone (prednisolone)
  • Prednisolone Sodium Phos Odt (prednisolone sod phosphate)
  • Prednisolone Sodium Phosphate (prednisolone sod phosphate)
  • Prednisone (prednisone)
  • Prednisone Intensol (prednisone)
  • Prelone (prednisolone)
  • Proair Hfa (albuterol sulfate)
  • Proair Respiclick (albuterol sulfate)
  • Proventil Hfa (albuterol sulfate)
  • Pulmicort (budesonide)
  • Pulmicort Flexhaler (budesonide)
  • Qvar (beclomethasone dipropionate)
  • Rayos (prednisone)
  • Serevent Diskus (salmeterol xinafoate)
  • Singulair (montelukast sodium)
  • Solu-Cortef (hydrocortisone sod succinate)
  • Solu-Cortef (hydrocortisone sodium succinate/pf)
  • Spiriva (tiotropium bromide)
  • Spiriva Respimat (tiotropium bromide)
  • Stiolto Respimat (tiotropium bromide/olodaterol hcl)
  • Symbicort (budesonide/formoterol fumarate)
  • Terbutaline Sulfate (terbutaline sulfate)
  • Theo-24 (theophylline anhydrous)
  • Theochron (theophylline anhydrous)
  • Theophylline (theophylline anhydrous)
  • Theophylline Anhydrous (theophylline anhydrous)
  • Theophylline In 5% Dextrose (theophylline in dextrose 5 % in water)
  • Ventolin Hfa (albuterol sulfate)
  • Veripred 20 (prednisolone sod phosphate)
  • Vospire Er (albuterol sulfate)
  • Xolair (omalizumab)
  • Xopenex (levalbuterol hcl)
  • Xopenex Concentrate (levalbuterol hcl)
  • Xopenex Hfa (levalbuterol tartrate)
  • Zafirlukast (zafirlukast)
  • Zyflo (zileuton)
  • Zyflo Cr (zileuton)

Diagnosis Codes:

ICD-10: J45.20-J45.998