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Receive $100 in free transportation to your medical appointments if you qualify. Check Eligibility

 
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Short Bowel Syndrome Premium

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

$4,500 per year. Patients may apply for a second grant during their eligibility period subject to availability of funding.

 

Premium Assistance Information

Eligibility Criteria

  1. The patient must be getting treatment for short bowel syndrome.
  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  
  • Gattex (teduglutide)
  • Nutrestore (glutamine)
  • Total Parenteral Nutrition Formulation (n/a)
  • Zorbtive (somatropin)

Diagnosis Codes:

ICD-10: K90.49, K90.89, K90.9, K91.2

 

About the Disease:

Short bowel syndrome (SBS), also known as short gut syndrome, is a disorder that occurs after the small intestine is removed or when there is extensive disease of the small intestine. SBS is a rare disease that affects the digestive system.

 

Source: National Institutes of Health

 

Related Organizations: