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Idiopathic Thrombocytopenic Purpura Co-Pay Assistance

Get Help with Your Treatment

Apply Online or call 1-866-316-7263

 

Program Status

Program Open

Open - We are accepting applications for new and renewal patients. If your application for assistance is approved you can begin receiving funding immediately.

Maximum Award Level

$5,000 per year.

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 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 400% 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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  • A-Hydrocort (hydrocortisone)
  • A-Methapred (methylprednisolone)
  • Asmalpred (prednisolone)
  • Baycadron (dexamethasone)
  • Bivigam (immune globulin, intravenous)
  • Carimune Nanofiltered (immune globulin, intravenous)
  • Celestone (betamethasone)
  • Cortef (hydrocortisone)
  • Cortone (cortisone)
  • Decadron (dexamethasone)
  • Deltasone (prednisone)
  • Dexpak (dexamethasone)
  • Doubledex (dexamethasone)
  • Flebogamma (immune globulin, intravenous)
  • Flebogamma Dif (immune globulin, intravenous)
  • Flo-Pred (prednisolone)
  • Gamastan S/D (immune globulin, intravenous)
  • Gammagard Liquid (immune globulin, intravenous)
  • Gammagard S/D (immune globulin, intravenous)
  • Gammagard S/D Iga Less Than (immune globulin, intravenous)
  • Gammaked (immune globulin, intravenous)
  • Gammaplex (immune globulin, intravenous)
  • Gamunex (immune globulin, intravenous)
  • Gamunex-C (immune globulin, intravenous)
  • Medrol (methylprednisolone)
  • Millipred (prednisolone)
  • Nplate (romiplostim)
  • Octagam (immune globulin, intravenous)
  • Orapred (prednisolone)
  • Pediapred (prednisolone)
  • Prelone (prednisolone)
  • Privigen (immune globulin, intravenous)
  • Promacta (eltrombopag)
  • Rayos (prednisone)
  • Rhophylac (Rho D Immune Globulin)
  • Rituxan (rituximab)
  • Solu-Cortef (hydrocortisone)
  • Solu-Medrol (methylprednisolone)
  • Veripred (prednisolone)
  • Vivaglobin (immune globulin, intravenous)
  • WinRho SDF (Rho D Immune Globulin)
  • Zema-Pak (dexamethasone)

Diagnosis Codes:

ICD-10: D69.3

Related Organizations: