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Chronic Lymphocytic Leukemia

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

$7,600 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 chronic lymphocytic leukemia.
  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 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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  • Adriamycin (doxorubicin hcl)
  • A-Methapred (methylprednisolone sodium succinate)
  • Arzerra (ofatumumab)
  • Bendamustine Hcl (bendamustine hcl)
  • Bendeka (bendamustine hcl)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate and sodium phos in sterile water/pf)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate/betamethasone sodium phosphate)
  • Calquence (acalabrutinib)
  • Campath (alemtuzumab)
  • Copiktra (duvelisib)
  • Cyclophosphamide (cyclophosphamide)
  • Cytarabine (cytarabine/pf)
  • Deltasone (prednisone)
  • Doxorubicin Hcl (doxorubicin hcl)
  • Eloxatin (oxaliplatin)
  • Fludarabine Phosphate (fludarabine phosphate)
  • Gazyva (obinutuzumab)
  • Imbruvica (ibrutinib)
  • Leukeran (chlorambucil)
  • Methylprednisolone (methylprednisolone)
  • Nipent (pentostatin)
  • Oxaliplatin (oxaliplatin)
  • Pentostatin (pentostatin)
  • Prednisone (prednisone)
  • Rayos (prednisone)
  • Revlimid (lenalidomide)
  • Rituxan (rituximab)
  • Rituxan Hycela (rituximab/hyaluronidase, human recombinant)
  • Solu-Medrol (methylprednisolone sodium succinate/pf)
  • Treanda (bendamustine hcl)
  • Triamcinolone Acetonide (triamcinolone acetonide)
  • Triamcinolone Diacetate (triamcinolone diacetate in 0.9 % sodium chloride)
  • Venclexta (venetoclax)
  • Vincasar Pfs (vincristine sulfate)
  • Vincristine Sulfate (vincristine sulfate)
  • Zydelig (idelalisib)

Diagnosis Codes:

ICD-10: C91.10-C91.12