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Parkinson's Disease

Get Help with Your Treatment

Apply Online or call 1-866-316-7263

 

Program Status

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

 

 

 

Assistance Amount

$4,400 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 $50 is required for PAN to process the claim. You may combine multiple prescriptions to meet the minimum claim threshold.

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 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
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  • Amantadine (amantadine hcl)
  • Apokyn (apomorphine hcl)
  • Azilect (rasagiline mesylate)
  • Benztropine Mesylate (benztropine mesylate)
  • Bromocriptine Mesylate (bromocriptine mesylate)
  • Carbidopa (carbidopa)
  • Carbidopa-Levodopa (carbidopa/levodopa)
  • Carbidopa-Levodopa-Entacapone (carbidopa/levodopa/entacapone)
  • Carbidopa-Levodopa Er (carbidopa/levodopa)
  • Cogentin (benztropine mesylate)
  • Comtan (entacapone)
  • Duopa (carbidopa/levodopa)
  • Eldepryl (selegiline hcl)
  • Entacapone (entacapone)
  • Exelon (rivastigmine)
  • Exelon (rivastigmine tartrate)
  • Lodosyn (carbidopa)
  • Mirapex (pramipexole di-hcl)
  • Mirapex Er (pramipexole di-hcl)
  • Neupro (rotigotine)
  • Nuplazid (pimavanserin tartrate)
  • Parcopa (carbidopa/levodopa)
  • Parlodel (bromocriptine mesylate)
  • Pramipexole Dihydrochloride (pramipexole di-hcl)
  • Pramipexole Er (pramipexole di-hcl)
  • Rasagiline Mesylate (rasagiline mesylate)
  • Requip (ropinirole hcl)
  • Requip Xl (ropinirole hcl)
  • Rivastigmine (rivastigmine)
  • Rivastigmine (rivastigmine tartrate)
  • Ropinirole Er (ropinirole hcl)
  • Ropinirole Hcl (ropinirole hcl)
  • Rytary (carbidopa/levodopa)
  • Selegiline Hcl (selegiline hcl)
  • Sinemet 10-100 (carbidopa/levodopa)
  • Sinemet 25-100 (carbidopa/levodopa)
  • Sinemet 25-250 (carbidopa/levodopa)
  • Sinemet Cr (carbidopa/levodopa)
  • Stalevo 100 (carbidopa/levodopa/entacapone)
  • Stalevo 125 (carbidopa/levodopa/entacapone)
  • Stalevo 150 (carbidopa/levodopa/entacapone)
  • Stalevo 200 (carbidopa/levodopa/entacapone)
  • Stalevo 50 (carbidopa/levodopa/entacapone)
  • Stalevo 75 (carbidopa/levodopa/entacapone)
  • Tasmar (tolcapone)
  • Tolcapone (tolcapone)
  • Trihexyphenidyl Hcl (trihexyphenidyl hcl)
  • Xadago (safinamide mesylate)
  • Zelapar (selegiline hcl)