Good Days: Chronic Myeloid Leukemia
Not Funded
About
The Good Days: Chronic Myeloid Leukemia program offers valuable assistance to patients requiring access to essential drugs like Gleevec, Iclusig, Sprycel, Tasigna, Cyclophosphamide, and Imatinib. By providing financial support, the Good Days program ensures that patients with valid insurance facing high treatment costs can receive their prescribed medications, offering relief from financial burdens associated with chronic myeloid leukemia treatments.
Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured
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
•Completed applications may be submitted online, via mail (Good Days Attn: Enrollment 2611 Internet Blvd, Suite 105, Frisco, TX 75034), or fax (2145703621)
•A copy of insurance cards is required. Once the application is received, patients can call 8779687233 to check on the status. If patient qualifies and funding is available, financial assistance will be provided from the date of funding approval through the remainder of the calendar year or upon exhaustion of funding
•Patients approved during the first three quarters of the year (JanuarySeptember) must reapply to be considered for funding in the next calendar year. Patients that are approved during the last quarter of the year (OctoberDecember) do not have to reapply and will be automatically enrolled for funding in the next calendar year. Enrollment for the following calendar year does not guarantee funding availability. New copies of household income documentation are required for each new enrollment
•Call 8779687233, MondayFriday, 8:00am5:00pm CST, for assistance or additional information
Enrollment Forms
Enrollment Form