PATIENT ADVOCATE FOUNDATION: Co-Pay Relief Program information provided by: United Way of Connecticut

Co-Pay Relief program provides direct co-payment assistance for pharmaceutical products for insured patients who have specific diseases/disorders. Funds are currently (1/10/18) available for the following diseases/disorders: Bladder Cancer, Breast Cancer, Cervical Cancer, Chronic Pain, Electrolyte Imbalance, Hepatitis B, Hepatitis C, HIV, AIDS and Prevention, Homozygous Familial Hypercholesterolemia,  Inherited or Acquired Lipodystrophy, Metastatic Breast Cancer, Metastatic Colorectal Cancer, Metastatic Gastric Cancer, Metastatic Prostate Cancer, Multiple Myeloma, Multiple Sclerosis, Myelodysplastic Syndrome, Non-Small Cell Lung Cancers, Osteoporosis, Ovarian Cancer, Periodic Paralysis, Pulmonary Hypertension, and Renal Cell Carcinoma.


M-F: 8am-5:30pm

Area(s) Served:

Application Process:
Online application is available at the website; Call to speak with an Approval Specialist for help with the application

Eligibility Requirements:
Must be currently insured and have coverage for the medication(s) for which financial assistance is being requested; Must have a physician confirmed diagnosis of the disease under which financial assistance is being requested; Must reside and receive trea

Record last updated: Jan 2 2019 11:41AM
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    421 Butler Farm Road
    Hampton, VA 23666
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