Currently Closed – We are no longer accepting or processing applications for new or renewal patients.
$3,500 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 $25 is required for PAN to process the claim. You may combine multiple prescriptions to meet the minimum claim threshold.
- The patient must be getting treatment for the disease named in the assistance program to which he or she is applying.
- The patient must have Medicare health insurance that covers his or her qualifying medication or product.
- The patient’s medication or product must be listed on PAN’s list of covered medications.
- The patient’s income must fall at or below 400% of the Federal Poverty Level.
- The patient must reside and receive treatment in the United States or U.S. territories. (U.S. citizenship is not a requirement.)
See the list of medications covered in this program
- Advicor (niacin/lovastatin)
- Altoprev (lovastatin)
- Amlodipine-Atorvastatin (amlodipine besylate/atorvastatin calcium)
- Antara (fenofibrate,micronized)
- Atorvastatin Calcium (atorvastatin calcium)
- Caduet (amlodipine besylate/atorvastatin calcium)
- Cholestyramine (cholestyramine (with sugar))
- Colestid (colestipol hcl)
- Colestipol Hcl (colestipol hcl)
- Crestor (rosuvastatin calcium)
- Ezetimibe (ezetimibe)
- Fenofibrate (fenofibrate nanocrystallized)
- Fenofibric Acid (fenofibric acid (choline))
- Fenoglide (fenofibrate)
- Fibricor (fenofibric acid)
- Fluvastatin Er (fluvastatin sodium)
- Gemfibrozil (gemfibrozil)
- Juxtapid (lomitapide mesylate)
- Kynamro (mipomersen sodium)
- Lescol (fluvastatin sodium)
- Lipitor (atorvastatin calcium)
- Lipofen (fenofibrate)
- Liptruzet (ezetimibe/atorvastatin calcium)
- Livalo (pitavastatin calcium)
- Lofibra (fenofibrate,micronized)
- Lopid (gemfibrozil)
- Lovastatin (lovastatin)
- Mevacor (lovastatin)
- Niacin Er (niacin)
- Niacor (niacin)
- Niaspan (niacin)
- Praluent (alirocumab)
- Pravachol (pravastatin sodium)
- Pravastatin Sodium (pravastatin sodium)
- Prevalite (cholestyramine/aspartame)
- Questran (cholestyramine (with sugar))
- Repatha Sureclick (evolocumab)
- Rosuvastatin Calcium (rosuvastatin calcium)
- Simcor (niacin/simvastatin)
- Simvastatin (simvastatin)
- Tricor (fenofibrate nanocrystallized)
- Triglide (fenofibrate nanocrystallized)
- Trilipix (fenofibric acid (choline))
- Vytorin (ezetimibe/simvastatin)
- Welchol (colesevelam hcl)
- Zetia (ezetimibe)
- Zocor (simvastatin)