Prescription Drug Patient Assistance Programs

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Pharmaceutical companies or pharmacies that make brand name or generic prescription drugs available to patients who are uninsured or underinsured or, for other reasons, cannot afford to pay the market price. Also included are organizations that help qualifying patients complete and file paperwork for submission to drug manufacturers to request such medication or which maintain lists of these types of programs for referral purposes. (AIRS LH-6700.6300)

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Note: Service listings do not represent a recommendation or endorsement by the Medical Home Portal staff or its sponsoring organizations; nor do they reflect any assessment of the quality or value of a listed Service.

Nationwide Provider
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
Nationwide Provider
Organization Name: Prescription Benefits, Inc.
(Show others in Organization)
Address:
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
Fax: 205-980-2354
Email: generalinfo@rxbenefits.com
Source: MHP-Nationwide
Last Updated: 4/8/2020
Nationwide Provider
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
Nationwide Provider
Organization Name: National Alliance on Mental Illness
(Show others in Organization)
Address:
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
Source: MHP-Nationwide
Last Updated: 8/19/2021
GSKForYou View on Map
Nationwide Provider
PO Box 29038
Phoenix, AZ 85038-9038
Nationwide Provider
Address:
PO Box 29038
Phoenix, AZ 85038-9038
Toll Free Phone: 866-728-4368
Source: MHP-Nationwide
Last Updated: 10/9/2022
GoodRx.com View on Map
Nationwide Provider
2701 Olympic Blvd.
Santa Monica, CA 90404
Nationwide Provider
Address:
2701 Olympic Blvd.
Santa Monica, CA 90404
Toll Free Phone: 855-268-2822
Email: info@goodrx.com
Source: MHP-Nationwide
Last Updated: 8/15/2022
Nationwide Provider
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Nationwide Provider
Organization Name: National Organization for Rare Disorders
(Show others in Organization)
Address:
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Toll Free Phone: 800-999-6673
Fax: 203-263-9938
Source: MHP-Nationwide
Last Updated: 6/17/2021
RxAssist.org View on Map
Nationwide Provider
1500 Rosecrans Ave. #500
Manhattan Beach, CA 90266
Nationwide Provider
Address:
1500 Rosecrans Ave. #500
Manhattan Beach, CA 90266
Email: info@rxassist.org
Source: MHP-Nationwide
Last Updated: 8/15/2022
Nationwide Provider
7500 Security Boulevard
Baltimore, MD 21244
Nationwide Provider
Organization Name: U.S. Centers for Medicare and Medicaid Service
(Show others in Organization)
Address:
7500 Security Boulevard
Baltimore, MD 21244
Source: MHP-Nationwide
Last Updated: 4/22/2022
Nationwide Provider
99 High Street, Suite 2800
Boston, MA 02129
Phone: 866-810-3784
Nationwide Provider
Organization Name: SingleCare
(Show others in Organization)
Address:
99 High Street, Suite 2800
Boston, MA 02129
Phone: 866-810-3784
Toll Free Phone: 800-222-2818
Email: info@familywize.org
Source: Nationwide Suggest Providers Queue
Last Updated: 2/23/2022
Good Days View on Map
Nationwide Provider
2611 Internet Boulevard Ste 105
Frisco, TX 75034
Phone: 972-608-7141
Nationwide Provider
Address:
2611 Internet Boulevard Ste 105
Frisco, TX 75034
Phone: 972-608-7141
Toll Free Phone: 877-968-7233
Fax: 214-570-3621
Email: info@mygooddays.org
Source: Nationwide Suggest Providers Queue
Last Updated: 4/22/2022
Nationwide Provider
20440 Century Blvd, Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
Nationwide Provider
Address:
20440 Century Blvd, Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
Fax: 800-282-7692
Email: support@healthwellfoundation.org
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
NeedyMeds View on Map
Nationwide Provider
50 Whittemore Street
Gloucester, MA 01930
Phone: 800-503-6897
Nationwide Provider
Address:
50 Whittemore Street
Gloucester, MA 01930
Phone: 800-503-6897
Fax: 206-260-8850
Email: info@needymeds.org
Source: Nationwide Suggest Providers Queue
Last Updated: 6/17/2021
Nationwide Provider
421 Butler Farm Road
Hampton, VA 23666
Phone: 757-952-0118
Nationwide Provider
Organization Name: Patient Advocate Foundation
(Show others in Organization)
Address:
421 Butler Farm Road
Hampton, VA 23666
Phone: 757-952-0118
Toll Free Phone: 866-512-3861
Fax: 757-952-0119
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
Nationwide Provider
3104 E Boundary Ct
Midlothian, VA 23112
Phone: 800-366-7741
Nationwide Provider
Address:
3104 E Boundary Ct
Midlothian, VA 23112
Phone: 800-366-7741
Toll Free Phone: 800-366-7741
Fax: 804-744-9388
Email: psiops@uneedpsi.org
Source: MHP-Nationwide
Last Updated: 4/7/2022
Nationwide Provider
127 Main Street 2nd Floor
Black Hawk, CO 80422
Nationwide Provider
Address:
127 Main Street 2nd Floor
Black Hawk, CO 80422
Toll Free Phone: 844-234-3057
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
Nationwide Provider
Nationwide Provider
Address:
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
Nationwide Provider
9700 Health Care Lane
MN017-W400
Minnetonka, MN 55343
Nationwide Provider
Address:
9700 Health Care Lane
MN017-W400
Minnetonka, MN 55343
Toll Free Phone: 855-698-4223
Email: customerservice@uhccf.org
Source: Nationwide Suggest Providers Queue
Last Updated: 6/2/2021
Nationwide Provider
805 15th Street NW Suite 500
Washington, DC 20005
Phone: 866-316-7263
Nationwide Provider
Address:
805 15th Street NW Suite 500
Washington, DC 20005
Phone: 866-316-7263
Toll Free Phone: 800-394-0161
Fax: 866-316-7261
Email: contact@panfoundation.org
Source: Nationwide Suggest Providers Queue
Last Updated: 9/18/2022
SingleCare View on Map
Nationwide Provider
99 High Street Ste 2800
Charlestown, MA 02129
Phone: 844-234-3057
Nationwide Provider
Address:
99 High Street Ste 2800
Charlestown, MA 02129
Phone: 844-234-3057
Email: pr@singlecare.com
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
Nationwide Provider
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
Nationwide Provider
Organization Name: Rx Outreach
(Show others in Organization)
Address:
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
Toll Free Phone: 800-769-3880
Fax: 800-875-6591
Email: questions@rxoutreach.org
Source: Nationwide Suggest Providers Queue
Last Updated: 7/10/2021
Nationwide Provider
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
Nationwide Provider
Address:
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
Source: MHP-Nationwide
Last Updated: 10/13/2020
Nationwide Provider
4700 Millenia Boulevard, Suite 410
Orlando, FL 32839
Nationwide Provider
Address:
4700 Millenia Boulevard, Suite 410
Orlando, FL 32839
Toll Free Phone: 855-845-3663
Source: MHP-Nationwide
Last Updated: 5/7/2022
Nationwide Provider
Organization Name: Parapharma Tech
(Show others in Organization)
Address:
Source: MHP-Nationwide
Last Updated: 9/16/2021
Levemir View on Map
Nationwide Provider
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
Nationwide Provider
Address:
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
Source: Nationwide Suggest Providers Queue
Last Updated: 10/29/2020
Nationwide Provider
PO Box 630858
Irving, TX 75063
Nationwide Provider
Address:
PO Box 630858
Irving, TX 75063
Toll Free Phone: 877-321-2652
Source: Nationwide Suggest Providers Queue
Last Updated: 9/18/2022