Patient Assistance Programs

With the uncertainty of healthcare, many in the bleeding disorders community are concerned about the future of cost and access to factor products. Co-payments and out-of-pocket expenses can be devastating on a family’s budget. Many manufacturers of factor products have co-pay assistance programs that can provide a source of relief.

Manufacturer Co-Pay Programs
Manufacturer
Co-pay/Co-insurance Program Name & Contact Information
Limit total
Notes:
Baxter Baxter Hemophilia Co-Pay/Co-Insurance Assistance Program1-888-BAXTER9
(1-888-229-8379)
$12,000
  • Must have a current prescription for an eligible Baxter factor or bypass product
  • Must have a diagnosis of Hemophilia A or B or have an inhibitor
  • Must have commercial insurance
  • No income requirements
Bayer Bayer Factor Solutions Kogenate FS Co-Pay/Co-Insurance Program1-800-288-8374 $12,000
  • Must have a diagnosis of Hemophilia A
  • Must have a private health insurance plan
  • No income requirements
  • Must first contact Bayer’s Factor Solutions to apply
Biogen Idec ALPROLIX Co-Pay Program1-855-692-5776ELOCTATE Co-Pay Program1-855-693-5628 $12,000
  • Must have a valid prescription for ALPROLIX or ELOCTATE
  • Must have private insurance
  • US prescriber and pharmacy required
  • No income requirements or caps
CSL Behring MyAccess Cost-Share Program1-800-676-4266 $12,000
  • Must take a CSL Behring product for the treatment of von Willebrand Disease or hemophilia A
  • Must currently have a private insurance plan (federal or state insurance programs are not eligible)
  • Annual enrollment
CSL Behring Corifact Co-Pay Program
(Facilitated by Caring Voice Coalition)1-888-267-1440
No limit
  • Must take an FDA approved therapy for the treatment of Factor XIII deficiency
  • Must currently have insurance coverage
  • Annual enrollment
Grifols AlphaNine SD Savings Card Program1-855-355-2574 $6,000
($500 each month max)
  • Must have a valid prescription for AlphaNine SD
  • Must not have a state or federally funded healthcare plan
  • Card is available for one year from date of enrollment. Eligible patients may re-enroll.
Grifols ALPHANATE Savings Card Program1-855-831-2090 $6,000
($500 each month max)
  • Must have a valid prescription for ALPHANATE
  • Must not have a state or federally funded healthcare plan
  • Card is available for one year from date of enrollment. Eligible patients may re-enroll.
Kedrion Biopharma No co-pay program currently available N/A N/A
Novo Nordisk Co-pay Assistance Program
(facilitated by Patient Services, Inc.)1-800-366-7741
$12,000
  • Must be using a Novo Nordisk product for an FDA approved diagnosis
  • Must have a commercial insurance plan
Octapharma No co-pay program currently available N/A N/A
Pfizer Pfizer Factor Savings Program1-888-240-9040 $5,000
  • Must have a prescription for Xyntha or BeneFIX
  • Must not be enrolled in any public insurance programs

*HFA makes every attempt to provide accurate information regarding patient assistance programs and resources. However, since program policies often change, please contact the manufacturer directly for the most updated information. This chart has been updated on December 17, 2014.

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For those in the bleeding disorder community who are uninsured, underinsured, or experiencing lapses in insurance coverage, there are also assistance programs to help families facing financial strain get access to factor products:

Manufacturer Product Assistance Programs
Manufacturer
Product Assistance Program Name & Contact Information
Baxter CARE ProgramFor patients who currently do not have insurance coverage. Must show proof of income.1-888-229-8379
Bayer GAP Coverage Card ProgramTemporary insurance coverage if become unemployed or have a loss or lapse in private insurance coveragePatient Assistance ProgramFor patients that are completely uninsured. Must show proof of income.1-800-288-8374
Biogen Idec Factor Access ProgramFor patients using ALPROLIX or ELOCTATE who are currently uninsured or facing a gap in coverage.1-855-692-5776
CSL Behring Patient Assistance ProgramTo be eligible, patients must be underinsured or uninsured. When enrolled, must actively be seeking insurance.1-800-676-4266Assurance ProgramMust currently have private health insurance coverage; a certificate program that helps with potential future lapses in private health insurance plans

1-866-415-2164

Grifols Grifols PatientCare ProgramThis program is for patients using ALPHANATE or AlphaNine SD who are uninsured or experiencing a temporary lapse of insurance coverage.1-888-325-8579
Kedrion Biopharma No program currently available
Novo Nordisk SevenASSISTA factor assistance program for people who currently use NovoSeven RT and are currently uninsured or have a gap in coverage.1-877-668-6777TrettenASSISTFor patients with factor XIII deficiency who are currently uninsured, have a gap in coverage, or have no options for alternate coverage.

1-844-873-8836

Octapharma No program currently available
Pfizer Pfizer Rx Pathways1-866-706-2400

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This section is designed specifically for the bleeding disorders community living with the Hepatitis C Virus (HCV). This chart provides information for available co-pay programs for HCV prescription drugs as well as product assistance programs to provide access to prescriptions for those with no insurance coverage.

Hepatitis C Virus Co-Pay & Patient Assistance Programs
Program Name & Contact Information
Limit total
Notes:
Genentech/Roche
Co-Pay AssistancePEGASYS Co-Pay Card1-888-202-9939
$1,500-$2,400 per year (Depending on income)Card covers 80% of your co-pay for PEGASYS after the first $25 has been paid
  • Patient must have a prescription for PEGASYS to treat chronic hepatitis B or C
  • Patient must be 18 years of age or older
  • Patient must not reside or receive treatment in Vermont
  • Patient must not participate in any federal or state-funded health care programs (e.g. Medicaid, Medicare)
  • Patient must not participate in other charitable funding sources (e.g. Genentech Access to Care Foundation)
Genentech/Roche
Product AssistanceGenentech Access to Care Foundation1-888-941-3331
Call for further details
  • Provides assistance for eligible patients without coverage for Genentech medicines and underinsured patients whose out-of-pocket costs for Genentech medicines account for greater than or equal to 10% of their annual household adjusted gross income
  • Certain financial and medical criteria must also be met
Gilead
Co-Pay AssistanceHarvoni Support Path
Sovaldi Support Path1-855-769-7284
Co-Pay coupon program will cover out-of-pocket costs of Harvoni or Sovaldi after you pay the first $5 per prescription fill, up to a maximum of 25% of the catalog price of a 12-week regimen of Harvoni or Solvaldi
  • For residents of USA, Puerto Rico, Guam, and the Virgin Islands
  • Co-pay coupon not valid for prescriptions eligible for reimbursement in whole or part by federal/state health care programs (e.g. Medicaid/Medicare) or for commercial health coverage that will cover entire cost of prescription
Gilead
Product AssistanceSupport Path Patient Assistance Program1-855-769-7284
Call for further details
  • Provides Sovaldi or Harvoni at no charge for eligible patients with no insurance coverage
Good Days from Chronic Disease Fund
Co-Pay Assistance1-877-968-7233
Call for further details
  • Provides assistance with out-of-pocket costs for Hepatitis C Virus prescriptions
    (Note: Program may open and close throughout the year depending on funding)
Olysio
Co-Pay AssistanceOlysio Savings Program
Pay no more than $5 per fill. $50,000 annual maximum benefit or 12 months from card activation date, whichever comes first
  • Must have commercial insurance coverage
  • Not valid for patients enrolled in Medicare or Medicaid
Olysio
Product AssistanceJohnson & Johnson Patient Assistance Foundation1-800-652-6227
Call for further details
  • Provides Olysio for patients that are uninsured
  • Household income must be under 500% of Federal Poverty Level
  • Not valid for patients covered by Medicare/Medicaid
Merck & Co
Co-Pay AssistanceVictrelis Savings Coupon1-866-939-4372
Up to a maximum benefit of 20% of the catalog price of each Victrelis prescription on up to 12 prescriptions
  • Coupon is only valid for patients with commercial insurance plans
  • Not valid for Medicare/Medicaid or any other federal/state health plans
  • Not valid for patients living in Massachusetts
  • Valid only for patients residing in USA or Puerto Rico
Merck & Co
Co-Pay AssistancePegIntron Savings Coupon1-866-939-4372
Up to $200 savings off of the copayment for each PegIntron prescription up to 12 prescriptions
  • Coupon is only valid for patients with commercial insurance plans
  • Not valid for Medicare/Medicaid or any other federal/state health plans
  • Not valid for patients living in Massachusetts
  • Valid only for patients residing in USA or Puerto Rico
Merck & Co
Product AssistanceMerck Patient Assistance Program-ACT Program1-866-363-6379
Call for further details
  • For patients with prescriptions for PegIntron or Victrelis
  • Must be a US resident
  • Must be uninsured or have no coverage for Merck prescription medicine
  • Must meet income guidelines
Patient Access Network (PAN) Foundation
Co-Pay AssistancePAN Foundation Hepatitis C Program1-866-316-7263
$10,000 per year
  • Patient must be insured
  • Medication must treat HCV directly
  • Patient must reside and receive treatment in USA
  • Patient’s income must fall below 500% of Federal Poverty Level
  • Sovaldi, Harvoni, Ribavirin, Olysio, PegIntron, Pegasys, Incivek, and Victrelis are all elgigible medictions.Call PAN if you take another medication to treat your HCV
Patient Advocate Foundation
Co-Pay AssistanceHepatitis C Virus Co-Pay Program1-866-512-3861
Up to $7,500 per year
  • Patient should be insured and insurance must cover the medication for which patient seeks assistance
  • Patient must have a confirmed diagnosis of Hepatitis C
  • Patient must reside and receive treatment in the USA
  • Patient’s income must fall below 400% of the Federal Poverty Guideline (FPG) with consideration of the Cost of Living Index (COLI) and the number in the household

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Additional Resources
Program Name
Program Description
Novo Nordisk
SevenSECURE
1-877-668-6777
Assists with educational grants and scholarships, health and fitness memberships, and reimbursement assistance for medical and dental expenses. Must have hemophilia A or B with inhibitors, factor VII deficiency, factor XIII deficiency, acquired hemophilia, or Glanzmann’s thrombasthenia. $1500/yr limit
Patient Services, Inc
1-800-366-7741Legal Support Hotline:
1-877-851-9065
Provides assistance with premiums and co-payments for patients with eligible chronic conditions. Helps families navigate state and federal entitlement programs and provides a legal support hotline for individuals with bleeding disorders to speak with an attorney.
Colburn-Keenan Foundation
1-800-966-2431
Provides financial assistance programs to individuals and families living with chronic conditions.
Healthcare Hospitality Network
1-800-542-9730
Provides guest housing for families when a loved one is receiving medical treatment away from home.
Silver Cross
1-800-572-9310
Provides assistance in accessing recycled and new healthcare equipment.
The Wheelchair Foundation
1-877-378-3839
Provides free wheelchairs for individuals without the means to obtain one.
United Healthcare Children’s Foundation
1-855-698-4223
Provides medical grants to help children gain access to health related services not covered, or not fully covered, by a commercial health insurance plan. Do not need to have UnitedHealthcare to be eligible.
Rx Hope A web-based information resource to help low-income US residents access patient assistance programs.
Rx Outreach
1-800-769-3880
A patient assistance program that provides discounts on prescription drugs.
Needy Meds
1-800-503-6897
Provides assistance in accessing patient assistance programs for medications and health care costs.
Patient Advocate Foundation
1-800-532-5274
Provides case management and assistance in accessing health insurance. Co-pay assistance programs are available.
United Way 211
Dial 211
Provides free and confidential information and referrals to local services including housing, food, employment, healthcare, counseling, and more.Check the website or call your local United Way to see if your state offers this service.
Safelink Wireless
1-800-723-3546
Provides a free cell phone and limited number of free minutes to income qualifying households. Not available in every state, please check website or call for state specific information.
Assurance Wireless
1-888-898-4888
Provides a free cell phone and limited number of free minutes to income qualifying households. Not available in every state, check website or call for state specific information.
AT&T Mobility Lifeline Service
1-800-377-9450
Provides discounted cell phone service to income eligible customers. Not available in every state. Call for more information. Certain Tribal Lands also eligible.
Verizon Wireless Lifeline Program
1-800-256-4646
Provides discounted cell phone service to income eligible customers and residents of Tribal Lands. Not available in every state, check website or call for state specific information.
Internet Essentials from Comcast
1-855-846-8376
Provides low cost internet service and computers for income eligible households.