xApply NowDonate NowTalk Nowx

Apply Now

Thank you for your interest in The Assistance Fund.

Copay Assistance Program

The Assistance Fund Copay Assistance program provides eligible patients with financial assistance to cover certain out-of-pocket costs associated with their drug therapy.

Premium Assistance Program

The Assistance Fund Premium Assistance Program assists those who have health insurance but need help with the cost of their individual insurance premiums. The program is designed to assist patients who elect to pay out-of-pocket for private, independent or COBRA insurance coverage.

Patient Advocates are available by phone or Chat Now, Monday through Friday, 9:00am – 6:00pm EST, excluding holidays.

Programs Open to New Applicants

  • Multiple Sclerosis Premium Assistance
  • Idiopathic Parkinson’s Disease Copay Assistance
  • Cystic Fibrosis Copay Assistance

Ways to Apply

You can apply online now by clicking here
You can call and speak with one of our Patient Advocates at (855) 845-3663
You can Chat Live with one of our Patient Advocates by clicking here
You can download a program application and mail or fax it to The Assistance Fund