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Rheumatoid Arthritis

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Program Status

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

 

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Assistance Amount

$4,600 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 rheumatoid arthritis.
  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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  • Actemra (tocilizumab)
  • Actemra Actpen (tocilizumab)
  • Active Injection Kit D (dexamethasone sodium phosphate/pf)
  • A-hydrocort (hydrocortisone sod succinate)
  • Anaprox Ds (naproxen sodium)
  • Arava (leflunomide)
  • Arthrotec 50 (diclofenac sodium/misoprostol)
  • Azasan (azathioprine)
  • Azathioprine (azathioprine)
  • Azulfidine (sulfasalazine)
  • Betamethasone Acetate-sod Phos (betamethasone acetate and sodium phos in sterile water/pf)
  • Betamethasone Sod Phos-acetate (betamethasone acetate/betamethasone sodium phosphate)
  • Cambia (diclofenac potassium)
  • Celebrex (celecoxib)
  • Celecoxib (celecoxib)
  • Celestone (betamethasone acetate/betamethasone sodium phosphate)
  • Cimzia (certolizumab pegol)
  • Cortef (hydrocortisone)
  • Cortisone Acetate (cortisone acetate)
  • Cuprimine (penicillamine)
  • Cyclosporine (cyclosporine)
  • Cyclosporine Modified (cyclosporine, modified)
  • Daypro (oxaprozin)
  • Decadron (dexamethasone)
  • Deltasone (prednisone)
  • Depen (penicillamine)
  • Dexamethasone Intensol (dexamethasone)
  • Dexamethasone Sodium Phosphate (dexamethasone sodium phosphate)
  • Dexpak (dexamethasone)
  • Diclofenac Potassium (diclofenac potassium)
  • Diclofenac Sodium Er (diclofenac sodium)
  • Diclofenac Sodium-misoprostol (diclofenac sodium/misoprostol)
  • Diflunisal (diflunisal)
  • Doubledex (dexamethasone sodium phosphate/pf)
  • D-penamine (penicillamine)
  • Duexis (ibuprofen/famotidine)
  • Dxevo (dexamethasone)
  • Enbrel (etanercept)
  • Enbrel Mini (etanercept)
  • Enbrel Sureclick (etanercept)
  • Etodolac (etodolac)
  • Etodolac Er (etodolac)
  • Feldene (piroxicam)
  • Fenoprofen Calcium (fenoprofen calcium)
  • Fenortho (fenoprofen calcium)
  • Flector (diclofenac epolamine)
  • Flurbiprofen (flurbiprofen)
  • Gengraf (cyclosporine, modified)
  • Humira (adalimumab)
  • Humira Pen (adalimumab)
  • Humira(cf) (adalimumab)
  • Humira(cf) Pen (adalimumab)
  • Hydrocortisone (hydrocortisone)
  • Hydroxychloroquine Sulfate (hydroxychloroquine sulfate)
  • Ibu (ibuprofen)
  • Ibuprofen (ibuprofen)
  • Imuran (azathioprine)
  • Indocin (indomethacin)
  • Indomethacin (indomethacin)
  • Indomethacin Er (indomethacin)
  • Inflectra (infliximab-dyyb)
  • Kenalog-40 (triamcinolone acetonide)
  • Ketoprofen (ketoprofen)
  • Kevzara (sarilumab)
  • Kineret (anakinra)
  • Klofensaid Ii (diclofenac sodium)
  • Leflunomide (leflunomide)
  • Lodine (etodolac)
  • Meclofenamate Sodium (meclofenamate sodium)
  • Meloxicam (meloxicam)
  • Methotrexate (methotrexate sodium)
  • Mobic (meloxicam)
  • Nabumetone (nabumetone)
  • Nalfon (fenoprofen calcium)
  • Naprelan (naproxen sodium)
  • Naprosyn (naproxen)
  • Naproxen (naproxen)
  • Naproxen Sodium Cr (naproxen sodium)
  • Naproxen Sodium Ds (naproxen sodium)
  • Naproxen Sodium Er (naproxen sodium)
  • Neoral (cyclosporine, modified)
  • Olumiant (baricitinib)
  • Orencia (abatacept/maltose)
  • Orencia Clickject (abatacept)
  • Otrexup (methotrexate/pf)
  • Oxaprozin (oxaprozin)
  • Penicillamine (penicillamine)
  • Pennsaid (diclofenac sodium)
  • Piroxicam (piroxicam)
  • Plaquenil (hydroxychloroquine sulfate)
  • Prednisone (prednisone)
  • Qmiiz Odt (meloxicam)
  • Rasuvo (methotrexate/pf)
  • Rayos (prednisone)
  • Relafen Ds (nabumetone)
  • Remicade (infliximab)
  • Renflexis (infliximab-abda)
  • Ridaura (auranofin)
  • Rinvoq Er (upadacitinib)
  • Rituxan (rituximab)
  • Sandimmune (cyclosporine)
  • Simponi (golimumab)
  • Simponi Aria (golimumab)
  • Solu-cortef (hydrocortisone sodium succinate/pf)
  • Sulfasalazine (sulfasalazine)
  • Sulindac (sulindac)
  • Tivorbex (indomethacin, submicronized)
  • Tolmetin Sodium (tolmetin sodium)
  • Triamcinolone Acetonide (triamcinolone acetonide)
  • Triamcinolone Diacetate (triamcinolone diacetate in 0.9 % sodium chloride)
  • Vimovo (naproxen/esomeprazole magnesium)
  • Voltaren (diclofenac sodium)
  • Voltaren-xr (diclofenac sodium)
  • Xatmep (methotrexate)
  • Xeljanz Xr (tofacitinib citrate)
  • Zipsor (diclofenac potassium)
  • Zorvolex (diclofenac submicronized)

Diagnosis Codes:

ICD-10: M05.60, M05.611, M05.612, M05.619, M05.621, M05.622, M05.629, M05.631, M05.632, M05.639, M05.641, M05.642, M05.649, M05.651, M05.652, M05.659, M05.661, M05.662, M05.669, M05.671, M05.672, M05.679, M05.69, M05.70, M05.711, M05.712, M05.719, M05.721, M05.722, M05.729, M05.731, M05.732, M05.739, M05.741, M05.742, M05.749, M05.751, M05.752, M05.759, M05.761, M05.762, M05.769, M05.771, M05.772, M05.779, M05.79, M05.80, M05.811, M05.812, M05.819, M05.821, M05.822, M05.829, M05.831, M05.832, M05.839, M05.841, M05.842, M05.849, M05.851, M05.852, M05.859, M05.861, M05.862, M05.869, M05.871, M05.872, M05.879, M05.89, M05.9, M06.00, M06.011, M06.012, M06.019, M06.021, M06.022, M06.029, M06.031, M06.032, M06.039, M06.041, M06.042, M06.049, M06.051, M06.052, M06.059, M06.061, M06.062, M06.069, M06.071, M06.072, M06.079, M06.08, M06.09, M06.4, M06.80, M06.811, M06.812, M06.819, M06.821, M06.822, M06.829, M06.831, M06.832, M06.839, M06.841, M06.842, M06.849, M06.851, M06.852, M06.859, M06.861, M06.862, M06.869, M06.871, M06.872, M06.879, M06.88, M06.89, M06.9, M08.00, M08.011, M08.012, M08.019, M08.021, M08.022, M08.029, M08.031, M08.032, M08.039, M08.041, M08.042, M08.049, M08.051, M08.052, M08.059, M08.061, M08.062, M08.069, M08.071, M08.072, M08.079, M08.09, M08.20, M08.211, M08.212, M08.219, M08.221, M08.222, M08.229, M08.231, M08.232, M08.239, M08.241, M08.242, M08.249, M08.251, M08.252, M08.259, M08.261, M08.262, M08.269, M08.271, M08.272, M08.279, M08.28, M08.29, M08.40, M08.411, M08.412, M08.419, M08.421, M08.422, M08.429, M08.431, M08.432, M08.439, M08.441, M08.442, M08.449, M08.451, M08.452, M08.459, M08.461, M08.462, M08.469, M08.471, M08.472, M08.479

 

About the Disease:

Rheumatoid arthritis (RA) is an inflammatory disorder in which the immune system attacks its own tissues. RA is a chronic disease that affects the immune system.

 

Source: National Institutes of Health