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Philadelphia Chromosome Negative Myeloproliferative Neoplasms

Get Help with Your Treatment

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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

$8,500 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 Philadelphia chromosome negative myeloproliferative neoplasms.
  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
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  • Agrylin (anagrelide hcl)
  • Alkeran (melphalan)
  • Anagrelide Hcl (anagrelide hcl)
  • Aranesp (darbepoetin alfa in polysorbate 80)
  • Bosulif (bosutinib)
  • Busulfex (busulfan)
  • Cladribine (cladribine)
  • Danazol (danazol)
  • Deltasone (prednisone)
  • Droxia (hydroxyurea)
  • Exjade (deferasirox)
  • Gleevec (imatinib mesylate)
  • Hydrea (hydroxyurea)
  • Hydroxyurea (hydroxyurea)
  • Iclusig (ponatinib hcl)
  • Imatinib Mesylate (imatinib mesylate)
  • Intron A (interferon alfa-2b,recomb.)
  • Jakafi (ruxolitinib phosphate)
  • Leukeran (chlorambucil)
  • Melphalan Hcl (melphalan hcl)
  • Myleran (busulfan)
  • Pegasys (peginterferon alfa-2a)
  • Pomalyst (pomalidomide)
  • Prednisone (prednisone)
  • Procrit (epoetin alfa)
  • Retacrit (epoetin alfa-epbx)
  • Revlimid (lenalidomide)
  • Solu-Medrol (methylprednisolone sodium succinate/pf)
  • Sprycel (dasatinib)
  • Sylatron (peginterferon alfa-2b)
  • Synribo (omacetaxine mepesuccinate)
  • Tasigna (nilotinib hcl)
  • Thalomid (thalidomide)

Diagnosis Codes:

ICD-10: C94.40-C94.42, D45, D46.0-D46.Z, D47.1-D47.Z1