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Atopic Dermatitis

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Program Status

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

Assistance Amount

$3,500 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 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 500% 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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  • Actimmune (interferon gamma-1b,recomb.)
  • Adv Allergy Collection Kit (hydrocortisone)
  • A-Hydrocort (hydrocortisone sod succinate)
  • Al-12 (ammonium lactate)
  • Ala-Scalp (hydrocortisone)
  • Alclometasone Dipropionate (alclometasone dipropionate)
  • Amcinonide (amcinonide)
  • Amlactin (ammonium lactate)
  • Ammonium Lactate (ammonium lactate)
  • Anti-Itch (hydrocortisone)
  • Anti-Itch Creme (hydrocortisone/aloe vera/vitamin e acetate/vitamins a and d)
  • Anti-Itch Plus (hydrocortisone/aloe vera/vitamin e acetate/vitamins a and d)
  • Anti-Itch Spray (hydrocortisone)
  • Apexicon (diflorasone diacetate)
  • Apexicon E (diflorasone diacetate/emollient base)
  • Aqua Glycolic Hc (hydrocortisone/skin cleanser combination no.25)
  • Arze-Ject-A (triamcinolone acetonide)
  • Aveeno (hydrocortisone/colloidal oatmeal/aloe/vitamin e)
  • Azasan (azathioprine)
  • Azathioprine (azathioprine)
  • Beta Hc (hydrocortisone)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate/betamethasone sodium phosphate)
  • Betamethasone Dipropionate (betamethasone dipropionate)
  • Betamethasone Dipropionate (betamethasone dipropionate/propylene glycol)
  • Betamethasone Valerate (betamethasone valerate)
  • Capex Shampoo (fluocinolone acetonide)
  • Celestone (betamethasone acetate/betamethasone sodium phosphate)
  • Cellcept (mycophenolate mofetil)
  • Clobetasol Emollient (clobetasol propionate/emollient base)
  • Clobetasol Emulsion (clobetasol propionate/emollient base)
  • Clobetasol Propionate (clobetasol propionate)
  • Clobex (clobetasol propionate)
  • Clocortolone Pivalate (clocortolone pivalate)
  • Clodan (clobetasol propionate)
  • Cloderm (clocortolone pivalate)
  • Cordran (flurandrenolide)
  • Cormax (clobetasol propionate)
  • Cortaid (hydrocortisone)
  • Corticool (hydrocortisone)
  • Cortisone (hydrocortisone)
  • Cortisone + Cooling Relief (hydrocortisone)
  • Cortisone Acetate (cortisone acetate)
  • Cortizone-10 (hydrocortisone)
  • Cortizone-10 Plus (hydrocortisone)
  • Cutivate (fluticasone propionate)
  • Cyclosporine (cyclosporine)
  • Cyclosporine (cyclosporine, modified)
  • Cyclosporine Modified (cyclosporine, modified)
  • Deltasone (prednisone)
  • Depo-Medrol (methylprednisolone acetate)
  • Dermacinrx Cinlone-I Cpi (triamcinolone acetonide/lidocaine/prilocaine)
  • Dermacinrx Silazone (triamcinolone acetonide/silicones)
  • Dermarest Eczema (hydrocortisone)
  • Derma-Smoothe-Fs (fluocinolone acetonide)
  • Derma-Smoothe-Fs (fluocinolone acetonide/shower cap)
  • Dermasorb Hc (hydrocortisone/skin cleanser combination no.35)
  • Dermasorb Ta (triamcinolone acetonide/emollient combination no.86)
  • Dermatop (prednicarbate)
  • Dermawerx Sds (triamcinolone acetonide/dimethicone/silicone, adhesive)
  • Dermazone (triamcinolone acetonide/silicones)
  • Desonate (desonide)
  • Desonide (desonide)
  • Desowen (desonide)
  • Desoximetasone (desoximetasone)
  • Dexamethasone (dexamethasone)
  • Dexamethasone Sodium Phosphate (dexamethasone sod phosphate)
  • Dexamethasone Sodium Phosphate (dexamethasone sodium phosphate/pf)
  • Dexpak (dexamethasone)
  • Diflorasone Diacetate (diflorasone diacetate)
  • Diprolene (betamethasone dipropionate/propylene glycol)
  • Diprolene Af (betamethasone dipropionate/propylene glycol)
  • Dupixent (dupilumab)
  • Eczema Anti-Itch (hydrocortisone)
  • Elidel (pimecrolimus)
  • Elocon (mometasone furoate)
  • Eucrisa (crisaborole)
  • Flonase (fluticasone propionate)
  • Flo-Pred (prednisolone acetate)
  • Fluocinolone Acetonide (fluocinolone acetonide)
  • Fluocinolone Acetonide (fluocinolone acetonide/shower cap)
  • Fluocinonide (fluocinonide)
  • Fluocinonide Emollient (fluocinonide/emollient base)
  • Fluocinonide-E (fluocinonide/emollient base)
  • Flurandrenolide (flurandrenolide)
  • Fluticasone Propionate (fluticasone propionate)
  • Gengraf (cyclosporine, modified)
  • Geri-Hydrolac (ammonium lactate)
  • Halobetasol Propionate (halobetasol propionate)
  • Halog (halcinonide)
  • Hydro Skin (hydrocortisone)
  • Hydrocortisone (hydrocortisone)
  • Hydrocortisone (hydrocortisone/mineral oil/petrolatum,white)
  • Hydrocortisone Acetate (hydrocortisone acetate)
  • Hydrocortisone Butyrate (hydrocortisone butyrate)
  • Hydrocortisone Butyrate (hydrocortisone butyrate/emollient base)
  • Hydrocortisone Plus (hydrocortisone/aloe vera)
  • Hydrocortisone Valerate (hydrocortisone valerate)
  • Hydrocortisone-Aloe (hydrocortisone/aloe vera)
  • Hydrocream (hydrocortisone)
  • Hydroskin (hydrocortisone)
  • Hydroskin (hydrocortisone/aloe vera)
  • Hydroxyzine Hcl (hydroxyzine hcl)
  • Hydroxyzine Pamoate (hydroxyzine pamoate)
  • Imuran (azathioprine)
  • Kenalog (triamcinolone acetonide)
  • Kenalog-10 (triamcinolone acetonide)
  • Kenalog-40 (triamcinolone acetonide)
  • Lac-Hydrin (ammonium lactate)
  • Lac-Hydrin Five (ammonium lactate)
  • Lac-Hydrin Twelve (ammonium lactate)
  • Locoid (hydrocortisone butyrate)
  • Locoid Lipocream (hydrocortisone butyrate/emollient base)
  • Lokara (desonide)
  • Luxiq (betamethasone valerate)
  • Medrol (methylprednisolone)
  • Methotrexate (methotrexate sodium)
  • Methylprednisolone (methylprednisolone)
  • Methylprednisolone Acetate (methylprednisolone acetate)
  • Methylprednisolone Sodium Succ (methylprednisolone sodium succinate)
  • Micort-Hc (hydrocortisone acetate)
  • Millipred (prednisolone)
  • Millipred (prednisolone sod phosphate)
  • Millipred Dp (prednisolone)
  • Mometasone Furoate (mometasone furoate)
  • Mycophenolate Mofetil (mycophenolate mofetil)
  • Neoral (cyclosporine, modified)
  • Neosporin (hydrocortisone)
  • Noble Formula Hc (hydrocortisone)
  • Nucort (hydrocortisone acetate/aloe vera)
  • Nu-Derm Tolereen (hydrocortisone)
  • Nutriarx (triamcinolone acetonide/dimethicone/silicone, adhesive)
  • Olux (clobetasol propionate)
  • Olux-E (clobetasol propionate/emollient base)
  • Orapred (prednisolone sod phosphate)
  • Orapred Odt (prednisolone sod phosphate)
  • Pandel (hydrocortisone probutate)
  • Pediaderm Hc (hydrocortisone/emollient combination no.45)
  • Pediaderm Ta (triamcinolone acetonide/emollient combination no.45)
  • Pediapred (prednisolone sod phosphate)
  • Physicians Ez Use M-Pred (methylprednisolone acetate/bupivacaine hcl)
  • Prednicarbate (prednicarbate)
  • Prednisolone (prednisolone)
  • Prednisolone Sodium Phos Odt (prednisolone sod phosphate)
  • Prednisolone Sodium Phosphate (prednisolone sod phosphate)
  • Prednisone (prednisone)
  • Prednisone Intensol (prednisone)
  • Prelone (prednisolone)
  • Preparation H (hydrocortisone)
  • Pro-C-Dure 5 (triamcinolone acetonide)
  • Pro-C-Dure 6 (triamcinolone acetonide)
  • Protopic (tacrolimus)
  • Psorcon (diflorasone diacetate)
  • Rayos (prednisone)
  • Readysharp Methylprednisolone (methylprednisolone acetate)
  • Readysharp Triamcinolone (triamcinolone acetonide)
  • Rheumatrex (methotrexate sodium)
  • Sanadermrx (triamcinolone acetonide/dimethicone/silicone, adhesive)
  • Sandimmune (cyclosporine)
  • Scalacort (hydrocortisone)
  • Scalacort Dk (hydrocortisone/salicylic acid/sulfur/shampoo no. 1)
  • Scalp Relief (hydrocortisone)
  • Scalpicin (hydrocortisone)
  • Sernivo (betamethasone dipropionate)
  • Silazone-Ii (triamcinolone acetonide/silicones)
  • Skin Treatment (ammonium lactate)
  • Solu-Cortef (hydrocortisone sod succinate)
  • Solu-Cortef (hydrocortisone sodium succinate/pf)
  • Solu-Medrol (methylprednisolone sodium succinate)
  • Solu-Medrol (methylprednisolone sodium succinate/pf)
  • Soothing Care (hydrocortisone)
  • Sure Result Tac Pak (triamcinolone acetonide/dimethicone/silicone, adhesive)
  • Synalar (fluocinolone acetonide)
  • Synalar (fluocinolone acetonide/emollient combination no.65)
  • Synalar Ts (fluocinolone acetonide/skin cleanser comb no.28)
  • Tacrolimus (tacrolimus)
  • Temovate (clobetasol propionate)
  • Temovate Emollient (clobetasol propionate/emollient base)
  • Texacort (hydrocortisone)
  • Topicort (desoximetasone)
  • Trexall (methotrexate sodium)
  • Triamcinolone Acetonide (triamcinolone acetonide)
  • Trianex (triamcinolone acetonide)
  • Triderm (triamcinolone acetonide)
  • Tridesilon (desonide)
  • Tri-Sila (triamcinolone acetonide/dimethicone/silicone, adhesive)
  • Ultravate (halobetasol propionate)
  • Ultravate X (halobetasol propionate/lactic acid)
  • Vanos (fluocinonide)
  • Verdeso (desonide)
  • Veripred 20 (prednisolone sod phosphate)
  • Vistaril (hydroxyzine pamoate)
  • Westcort (hydrocortisone valerate)
  • Whytederm Tdpak (triamcinolone acetonide/dimethicone/silicone, adhesive)
  • Whytederm Trilasil Pak (triamcinolone acetonide/dimethicone/silicone, adhesive)
  • Xilapak (fluocinolone acetonide/skin cleanser no.10/silicone, tape)

Diagnosis Codes:

ICD-10:  L20.0, L20.81-L20.84; L20.89; L20.9

Related Organizations: