Assistance Fund: Lupus: Waitlist
Funded
About
The Assistance Fund: Lupus: Waitlist program offers valuable financial support for patients prescribed Benlysta, Acthar Gel, Lupkynis, Betamethasone Sodium Phosphate & Betamethasone Acetate, Saphnelo, Purified Cortrophin Gel, and Acthar Selfject. By aiding with copays, coinsurance, deductibles, and other eligible out-of-pocket costs, the program ensures that patients can afford their prescribed FDA-approved treatments, promoting better health outcomes. The Assistance Fund: Lupus: Waitlist is specifically designed to support eligible U.S. citizens or permanent residents diagnosed with lupus and caters to their specific financial needs based on household income and size.
Insurance requirements: Commercially insured, Medicare / Medicaid
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•Please note the following:
•1. Copay grant programs provide assistance for copays, coinsurance, and deductibles for FDAapproved treatment for the disease named in the disease program ONLY
•2. Financial assistance grant programs provide assistance for other eligible outofpocket costs, such as health insurance premiums and incidental medical expenses, in addition to copay, coinsurance, and deductible assistance on FDAapproved treatment for the disease named in the disease program
•3. This fund may cover offlabel drugs
•Copay and Financial assistance can be utilized by any innetwork pharmacy or site of care able to dispense the medication or provide treatment
•Program offers conditional approval of 30 days of immediate assistance for open programs where funding is available
•Patients will be asked to provide and verify demographic, insurance, and financial information (additional documentation may be requested)
•Approved patients will be granted assistance through the end of the calendar year unless otherwise specified for the applicable program
Enrollment Forms
Enrollment Form