Assistance Fund: Head and Neck Cancer: Waitlist
Funded
About
The Assistance Fund: Head and Neck Cancer: Waitlist provides essential support for patients diagnosed with head and neck cancer. This program helps cover the costs of critical treatments such as Erbitux, Keytruda, Opdivo, Taxotere, Trexall, Methotrexate, Docetaxel, Bleomycin, Vitrakvi, and Docivyx, including copays, coinsurance, and out-of-pocket expenses. With its comprehensive financial assistance, the Assistance Fund ensures eligible patients can access necessary FDA-approved therapies, alleviating the financial burden for U.S. citizens or permanent residents meeting specified criteria.
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