What are Patient Assistance Programs (PAPs)?
Patient Assistance Programs (PAPs) are programs set up by drug companies that offer free or low cost drugs to individuals who are unable to pay for their medication. Most of the best known and most prescribed drugs can be found in these programs. All of the major pharmaceutical companies have patient assistance programs, although every company has different eligibility and application requirements.
Who qualifies for PAPs?
- Uninsured patients
- Insured patients without prescription coverage
- Medicare patients that do not have Part D
- Medicare Part D patients in the 'Doughnut Hole'
- Low income patients
Who does not qualify for PAPs?
- Patients with prescription coverage through any private or public insurance company
- Patients with an income above 300% the Federal Poverty Limit
Do Medicare Part D patients qualify for PAP?
This will vary depending on the particular patient assistance program that carries the needed medication and that company's policy. In general, companies do not allow Part D enrollees who are eligible to receive the full Low Income Subsidy (LIS or Extra Help) to apply for their programs. If you have Part D, it is a good idea to obtain a letter from Social Security stating that you are not eligible for the LIS before beginning the PAP application process.
I think I qualify for a PAP, how do I apply?
A great place to begin the process is to visit www.RXAssist.org. This is a great resource for finding the appropriate PAP application quickly. Simply click on the 'Learn More' button and type in the name of the medication you need help affording. The website will guide you to the appropriate application and provide more information on the eligibility requirements for that particular medication.
The PAP application process can be confusing and tedious. PCP has trained staff and volunteers who are experts on completing and submitting these applications. PCP help you complete and submit your PAP applications, please follow these steps:
1) Review your medications and write down the names, prescribing physicians and costs of each.
2) Call ahead and request an appointment with a PCP Specialist. You may call (706) 208-9700. You may also stop by our offices located at 2005 Prince Avenue for a walk-in appointment. PCP staff is available from 8:00 AM to 5:00 PM Monday through Friday.
3) You will need to bring in all current insurance or government health/RX plan cards, and proof of income, such as your federal tax return, social security benefits letter or bank statements. Proof of income is required by the drug companies we will submit your applications to.
4) At your appointment your Eligibility Specialist will have you sign the applications and help you complete them. You will complete all necessary applications and submit them as soon as possible. If you are eligible for assistance, there will be an annual administrative fee of $30.
5) It is helpful to have the physical prescription and information of the prescribing physician as well. For example, if Dr. Smith in Winder prescribes your Brilinta, please bring in the written prescription from Dr. Smith. We will have to have the written prescription from the prescribing physician in order to complete your application. We will work with the prescriber if you do not have the written prescription.
These are basic information sheets that require completion in order for your application to be completed. If you are able to complete these prior to meeting with a PCP staff member then please take advantage of the opportunity to expedite your application process.
We work in full cooperation with all area assistance organizations. If you have information on an organization that provides non-profit prescription medication services and you do not see their name on this list, please email us at firstname.lastname@example.org.