Open - We are accepting applications for new and renewal patients. If your application for assistance is approved you can begin receiving funding immediately.
$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.
- 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 500% 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
- 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)
- Cogentin (benztropine mesylate)
- Comtan (entacapone)
- Duopa (carbidopa/levodopa)
- Eldepryl (selegiline hcl)
- Entacapone (entacapone)
- Exelon (rivastigmine)
- Lodosyn (carbidopa)
- 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 Xl (ropinirole hcl)
- Rivastigmine (rivastigmine tartrate)
- Ropinirole Hcl (ropinirole hcl)
- Rytary (carbidopa/levodopa)
- Selegiline Hcl (selegiline hcl)
- Sinemet (carbidopa/levodopa)
- Stalevo 50 (carbidopa/levodopa/entacapone)
- Tasmar (tolcapone)
- Tolcapone (tolcapone)
- Trihexyphenidyl Hcl (trihexyphenidyl hcl)
- Xadago (safinamide mesylate)
- Zelapar (selegiline hcl)