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Myelodysplastic Syndromes

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Program Status

Currently Closed – We are no longer accepting or processing applications for new or renewal patients.

 

The PAN Foundation’s Myelodysplastic Syndromes fund is currently closed. As of February 13, 2019, Patient Advocate Foundation and the Leukemia & Lymphoma Society are accepting applications.

 

For current information, log in to FundFinder.

Assistance Amount

$5,000 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 myelodysplastic syndromes.
  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  
  • Atgam (lymphocyte immune globulin, antithymocyte (equine))
  • Azacitidine (azacitidine)
  • Cyclosporine Modified (cyclosporine, modified)
  • Dacogen (decitabine)
  • Decitabine (decitabine)
  • Deferoxamine Mesylate (deferoxamine mesylate)
  • Desferal (deferoxamine mesylate)
  • Exjade (deferasirox)
  • Gengraf (cyclosporine, modified)
  • Gleevec (imatinib mesylate)
  • Granix (tbo-filgrastim)
  • Imatinib Mesylate (imatinib mesylate)
  • Jadenu (deferasirox)
  • Jakafi (ruxolitinib phosphate)
  • Leukine (sargramostim)
  • Methotrexate (methotrexate sodium)
  • Neoral (cyclosporine, modified)
  • Neupogen (filgrastim)
  • Revlimid (lenalidomide)
  • Sandimmune (cyclosporine)
  • Vidaza (azacitidine)
  • Zarxio (filgrastim-sndz)

Diagnosis Codes:

ICD-10: C93.10, C93.11, C93.12, D46.0, D46.1, D46.20, D46.21, D46.22, D46.4, D46.9, D46.A, D46.B, D46.C, D46.Z