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Exocrine Pancreatic Insufficiency

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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.

 

The PAN Foundation’s Exocrine Pancreatic Insufficiency fund is currently fully allocated. As of May 24, 2017, Patient Services, Inc. is accepting applications.

 

 

Assistance Amount

$4,000 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  
  • Adult Tussin Cough Congest Dm (guaifenesin/dextromethorphan hbr)
  • Aquadeks (multivitamin with min no.51/folic acid/phytonadione/ubidecar)
  • Aquadeks (multivitamin with min no.52/folic acid/phytonadione/ubidecar)
  • Aquadeks (pediatric multivit comb no.40/phytonadione)
  • Aquasol A (vitamin a palmitate)
  • Aquasol E (vitamin e)
  • Baby Ddrops (cholecalciferol (vitamin d3))
  • Baby Vitamin D3 (cholecalciferol (vitamin d3))
  • Calcidol (ergocalciferol (vitamin d2))
  • Calciferol (ergocalciferol (vitamin d2))
  • Children'S Replesta (cholecalciferol (vitamin d3))
  • Children'S Vitamin D3 (cholecalciferol (vitamin d3))
  • Cough Control Dm (guaifenesin/dextromethorphan hbr)
  • Creon (lipase/protease/amylase)
  • D3 Dots (cholecalciferol (vitamin d3))
  • D3-2000 (cholecalciferol (vitamin d3))
  • D3-50 (cholecalciferol (vitamin d3))
  • Daytime-Nighttime (dextromethorphan hbr/phenylephrine/acetaminophen/doxylamine)
  • Daytime-Nighttime Cold-Flu (dextromethorphan hbr/phenylephrine/acetaminophen/doxylamine)
  • Daytime-Nitetime (dextromethorphan hbr/phenylephrine/acetaminophen/doxylamine)
  • Ddrops (cholecalciferol (vitamin d3))
  • Decara (cholecalciferol (vitamin d3))
  • Delta D3 (cholecalciferol (vitamin d3))
  • Diabetic Tussin Dm (guaifenesin/dextromethorphan hbr)
  • Dialyvite Vitamin D (cholecalciferol (vitamin d3))
  • Dialyvite Vitamin D3 Max (cholecalciferol (vitamin d3))
  • Drisdol (ergocalciferol (vitamin d2))
  • D-Vi-Sol (cholecalciferol (vitamin d3))
  • D-Vita (cholecalciferol (vitamin d3))
  • E-200 (vitamin e (dl-alpha tocopheryl acetate))
  • Ergocalciferol (ergocalciferol (vitamin d2))
  • Ergocalciferol (Vitamin D2) (ergocalciferol (vitamin d2))
  • Just D (cholecalciferol (vitamin d3))
  • Kids Vitamin D3 (cholecalciferol (vitamin d3))
  • Liqui-E (tocophersolan)
  • Maximum D3 (cholecalciferol (vitamin d3))
  • Mephyton (phytonadione)
  • Optimal D3 (cholecalciferol (vitamin d3))
  • Pancreaze (lipase/protease/amylase)
  • Pancrelipase 5,000 (lipase/protease/amylase)
  • Pertzye (lipase/protease/amylase)
  • Replesta (cholecalciferol (vitamin d3))
  • Replesta Nx (cholecalciferol (vitamin d3))
  • Safetussin Dm (guaifenesin/dextromethorphan hbr)
  • Super Daily D3 (cholecalciferol (vitamin d3))
  • Thera-D (cholecalciferol (vitamin d3))
  • Tussin Cough (guaifenesin/dextromethorphan hbr)
  • Tussin Cough Dm (guaifenesin/dextromethorphan hbr)
  • Tussin Cough-Chest Congestion (guaifenesin/dextromethorphan hbr)
  • Tussin Dm (guaifenesin/dextromethorphan hbr)
  • Tussin Dm Max (guaifenesin/dextromethorphan hbr)
  • Ultra Dm Free & Clear (guaifenesin/dextromethorphan hbr)
  • Ultresa (lipase/protease/amylase)
  • Viokace (lipase/protease/amylase)
  • Vitamin A (vitamin a)
  • Vitamin A (vitamin a palmitate)
  • Vitamin A Palmitate (vitamin a palmitate)
  • Vitamin D (ergocalciferol (vitamin d2))
  • Vitamin D2 (ergocalciferol (vitamin d2))
  • Vitamin D3 (cholecalciferol (vitamin d3))
  • Vitamin D-400 (cholecalciferol (vitamin d3))
  • Vitamin E (vitamin e)
  • Vitamin E (vitamin e (dl-alpha tocopheryl acetate))
  • Vitamin E (vitamin e acetate)
  • Vitamin E (vitamin e acid succinate)
  • Vitamin E (vitamin e mixed)
  • Vitamin E Natural Blend (vitamin e mixed)
  • Vitamin E-Oil (vitamin e (dl-alpha tocopheryl acetate))
  • Vitamin K (phytonadione)
  • Zenpep (lipase/protease/amylase)

Diagnosis Codes:

ICD-10: K86.81