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Cutaneous T-cell Lymphoma

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Program Status

Program Fully Allocated

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

 

 

 

 

 

 

Maximum Award Level

$20,000 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
View List  
  • 8-Mop (methoxsalen)
  • Absorica (isotretinoin)
  • Acitretin (acitretin)
  • Actimmune (interferon gamma-1b,recomb.)
  • Active Injection Kit D (dexamethasone sodium phosphate/pf)
  • Adcetris (brentuximab vedotin)
  • Aldara (imiquimod)
  • A-Methapred (methylprednisolone sodium succinate)
  • Amnesteem (isotretinoin)
  • Beleodaq (belinostat)
  • Bendeka (bendamustine hcl)
  • Bexarotene (bexarotene)
  • Campath (alemtuzumab)
  • Carboplatin (carboplatin)
  • Cisplatin (cisplatin)
  • Claravis (isotretinoin)
  • Cyclophosphamide (cyclophosphamide)
  • Cytarabine (cytarabine)
  • Cytarabine (cytarabine/pf)
  • Depo-Medrol (methylprednisolone acetate)
  • 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)
  • Doxil (doxorubicin hcl pegylated liposomal)
  • Doxorubicin Hcl Liposome (doxorubicin hcl pegylated liposomal)
  • Eloxatin (oxaliplatin)
  • Etopophos (etoposide phosphate)
  • Etoposide (etoposide)
  • Folotyn (pralatrexate)
  • Gemcitabine Hcl (gemcitabine hcl)
  • Gemzar (gemcitabine hcl)
  • Ifex (ifosfamide)
  • Ifosfamide (ifosfamide)
  • Ifosfamide-Mesna (ifosfamide/mesna)
  • Imiquimod (imiquimod)
  • Intron A (interferon alfa-2b,recomb.)
  • Istodax (romidepsin)
  • Leukeran (chlorambucil)
  • Lipodox (doxorubicin hcl pegylated liposomal)
  • Lipodox 50 (doxorubicin hcl pegylated liposomal)
  • Medrol (methylprednisolone)
  • Mesna (mesna)
  • Mesnex (mesna)
  • Methotrexate (methotrexate sodium)
  • Methotrexate (methotrexate sodium/pf)
  • Methoxsalen (methoxsalen, rapid)
  • Methylprednisolone (methylprednisolone)
  • Methylprednisolone Acetate (methylprednisolone acetate)
  • Methylprednisolone Sod Succ (methylprednisolone sodium succinate)
  • Mustargen (mechlorethamine hcl)
  • Myorisan (isotretinoin)
  • Navelbine (vinorelbine tartrate)
  • Nipent (pentostatin)
  • Oxaliplatin (oxaliplatin)
  • Oxsoralen-Ultra (methoxsalen, rapid)
  • Pentostatin (pentostatin)
  • Revlimid (lenalidomide)
  • Solu-Medrol (methylprednisolone sodium succinate)
  • Solu-Medrol (methylprednisolone sodium succinate/pf)
  • Soriatane (acitretin)
  • Targretin (bexarotene)
  • Tazorac (tazarotene)
  • Temodar (temozolomide)
  • Temozolomide (temozolomide)
  • Toposar (etoposide)
  • Treanda (bendamustine hcl)
  • Tretinoin (tretinoin)
  • Valchlor (mechlorethamine hcl)
  • Velcade (bortezomib)
  • Vinorelbine Tartrate (vinorelbine tartrate)
  • Zenatane (isotretinoin)
  • Zolinza (vorinostat)

Diagnosis Codes:

ICD-10: C84.00-C84.19, C84.A0-C84.A9