Am I eligible for a Patient Assistance Program?

Patient assistance programs (PAPs) provide free or low-cost medications to those who qualify—no insurance? High prescriptions? You may be eligible!

Fast Criteria

  • Income eligibility (usually shown through tax returns)

  • Proof of no insurance or inadequate insurance

  • US Citizenship or residency

    Other(less common) PAP eligibility requirements may include:

  • Federal poverty level(FPL) determination

  • Prior authorization

  • Valid diagnosis

Other Criteria to Consider

  1. Valid medical diagnosis or FDA-approved indication
    — Many PAPs require documentation that the prescribed medication is for an FDA-approved condition AssistRX.

  2. Prescription from a U.S.-licensed outpatient provider
    — The prescribing doctor must be licensed in the U.S. and treating the patient outside a hospital setting Janssen Care Path.

  3. Inability to afford the medication
    — Some PAPs require applicants to attest that they cannot afford the drug based on their current insurance or income GSK.

  4. No conflicting coverage from other programs
    — Applicants can't be enrolled in overlapping federal or government-funded programs (like Medicaid or Medicare Extra Help/LIS) unless they’ve been denied NovoCare.

  5. Prior authorization completed (if required)
    — For some treatments (especially specialty drugs), PAPs require proof that all payer-side authorizations and denials are already done Celltrion Connect.

How Does Pharmacy5 Help?

Applying for a Patient Assistance Program (PAP) can feel like navigating a maze—forms, eligibility guidelines, doctor signatures, faxed documents, and follow-up calls. That’s where Pharmacy5 comes in. We simplify and streamline the process, helping you save not just money on medications, but also hours of time and unnecessary stress.

Previous Client Story: Martha, for example—a 63-year-old retiree who tried applying to a PAP on her own. Despite meeting the income requirements, her application was rejected because she forgot to attach her most recent tax document. It took her two months to reapply. With Pharmacy5, that wouldn’t have happened—we walk you through every requirement, ensure no documents are missed, and even help follow up so you get your meds faster and with confidence. Why do it alone when we can help you get it right the first time?

Final Takeaways

You have a few options to truly determine your eligiblity:

1) Apply! Find your specific medication’s PAP and go through the steps

2) Email Pharmacy5 today to get started

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What is a Patient Assistance Program(PAP)?