•Fund type: CoPay, Coinsurance & Deductible (medications and office visits), Over the Counter Medications, Medical Insurance Premiums
•Specific drug coverage is not indicated on program website; drug coverage must be verified by calling program at 18665123861
•Patients may complete the application online or by phone; once approved, patients will begin receiving funding immediately
•All patients approved for assistance are required to have their diagnosis and treatment verified by a member of the patient’s care team within 30 days of approval
•The CoPay Relief Program will confirm the patient's reported income to ensure that it is within the income eligibility guidelines for the program through an income verification screening process
•Once the application and attestation forms are completed, applicants will be notified of their eligibility for assistance immediately upon application to the program