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Venous Leg Ulcers

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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

$1,500  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 venous leg ulcers.
  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 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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  • Actiform Cool (n/a)
  • Affinity (n/a)
  • Alloderm (n/a)
  • Alloskin (n/a)
  • Allowrap Ds Or Dry (n/a)
  • Amnioband, Guardian (n/a)
  • Amnioexcel/Bio D Excel (n/a)
  • Amniomatrix/Biodmatrix (n/a)
  • Amniopro Flow, Bioskin Flow, Biorenew Flow, Wound Ex Flow, Amniogen-A Amniogen-C (n/a)
  • Amniopro, Bioskin, Biorenew, Woundex, Amniogen-45, Amniogen-2 (n/a)
  • Apligraf (cultured skin substitute,human and bovine)
  • Architect Ecm (n/a)
  • Artacent Flex (human amniotic membrane)
  • Artacent Wound (human amniotic membrane)
  • Arthroflex (n/a)
  • Aurix (n/a)
  • Bio-Connekt Wound Matrix (n/a)
  • Biodfence (n/a)
  • Biodfence Dryflex (n/a)
  • Biovance (Amniotic Membrane Allograft (Human) Sheet 6 CM X 6 CM)
  • Clarixflo (n/a)
  • Cymetra Injectable (n/a)
  • Dermacell (n/a)
  • Dermagraft (cultured skin substitute,human and bovine)
  • Dermapure (n/a)
  • Dermavest And Plurivest (n/a)
  • EpiCord (umbilical cord allograft)
  • Epifix Amniotic Membrane (human regenerative tissue matrix)
  • Epifix, Inj, 1Mg (n/a)
  • Excellagen (n/a)
  • Ez-Derm (n/a)
  • Flexhd/Allopatch Hd/Matrix Hd (n/a)
  • Fortaderm (Collagen Fenestrated (Porcine) Sheet)
  • Gammagraft (n/a)
  • Grafix Core (human regenerative tissue matrix)
  • Grafix Prime (human regenerative tissue matrix)
  • Graftjacket (n/a)
  • Granuflex (n/a)
  • Helicoll (n/a)
  • Hyalomatrix (n/a)
  • Integra Bmwd (n/a)
  • Integra Drt (n/a)
  • Integra Flowable Wound Matrix (n/a)
  • Integra Meshed Bil Wound Mat (n/a)
  • Iodosorb (cadexomer iodine)
  • Keramatrix, Per Sq. Cm (n/a)
  • Matristem Burn Matrix (n/a)
  • Nu Derm (n/a)
  • Nugel (n/a)
  • NuShield (Sterilized Dehydrated Placental Allograft)
  • Oasis Burn Matrix (Collagen Matrix Meshed (Porcine) Sheet 7 X 2 CM)
  • Oasis Ultra (porcine acell submucosa,meshed)
  • Oasis Ultra (porcine acellular small intestine submucosa, fenestrated)
  • Primatrix (n/a)
  • Promogran (n/a)
  • PuraPly (n/a)
  • Purilon Gel (n/a)
  • Santyl (collagenase clostridium histolyticum)
  • Talymed (n/a)
  • Theraskin (n/a)
  • Unite Biomatrix (n/a)
  • Wound Matrix (porcine acellular small intestine submucosa, fenestrated)

Diagnosis Codes:

ICD-10:  97.804, I83.001, I83.002, I83.003, I83.004, I83.005, I83.008, I83.009, I83.011, I83.012, I83.013, I83.014, I83.015, I83.018, I83.019, I83.021, I83.022, I83.023, I83.024, I83.025, I83.028, I83.029, I83.201, I83.202, I83.203, I83.204, I83.205, I83.208, I83.209, I83.211, I83.212, I83.213, I83.214, I83.215, I83.218, I83.219, I83.221, I83.222, I83.223, I83.224, I83.225, I83.228, I83.229, I87.011, I87.012, I87.013, I87.019, I87.031, I87.032, I87.033, I87.039, I87.311, I87.312, I87.313, I87.319, I87.331, I87.332, I87.333, I87.339, L97.101, L97.102, L97.103, L97.104, L97.105, L97.106, L97.108, L97.109, L97.111, L97.112, L97.113, L97.114, L97.115, L97.116, L97.118, L97.119, L97.121, L97.122, L97.123, L97.124, L97.125, L97.126, L97.128, L97.129, L97.201, L97.202, L97.203, L97.204, L97.205, L97.206, L97.208, L97.209, L97.211, L97.212, L97.213, L97.214, L97.215, L97.216, L97.218, L97.219, L97.221, L97.222, L97.223, L97.224, L97.225, L97.226, L97.228, L97.229, L97.801, L97.802, L97.803, L97.805, L97.806, L97.808, L97.809, L97.811, L97.812, L97.813, L97.814, L97.815, L97.816, L97.818, L97.819, L97.821, L97.822, L97.823, L97.824, L97.825, L97.826, L97.828, L97.829, L97.901, L97.902, L97.903, L97.904, L97.905, L97.906, L97.908, L97.909, L97.911, L97.912, L97.913, L97.914, L97.915, L97.916, L97.918, L97.919, L97.921, L97.922, L97.923, L97.924, L97.925, L97.926, L97.928, L97.929

 

About the Disease:

A venous leg ulcer (VLU), also known as chronic venous leg ulcer, is an ulcer that develops when there is higher than normal pressure within the veins. VLU is a chronic disease that affects the circuluatory system.

 

Source: National Institutes of Health

 

Related Organizations: