Program Eligibility Criteria

To qualify for a program, applicants must meet certain eligibility criteria. The criteria varies by program. If you are eligible based on this criteria, go to AssistFund eEnroll to apply.

Copay Assistance Program Eligibility:

  • US Citizen or permanent resident
  • Meet financial criteria based on household size and household income
  • Diagnosed with a program related illness
  • Prescribed one of the supported medications
  • Insurance coverage for the prescribed medication

 

Financial Assistance Program Eligibility:

  • US Citizen or permanent resident
  • Meet financial criteria based on household size and household income
  • Diagnosed with a program related illness
  • Prescribed one of the supported medications (Specific to receiving copay assistance.)
  • Insurance coverage for the prescribed medication (Specific to receiving copay assistance.)
  • Has, or is in the process of securing private, independent, COBRA, or government health insurance (Specific to receiving health insurance premium assistance.)

 

Premium Assistance Program Eligibility:

  • US Citizen or permanent resident
  • Meet financial criteria based on household size and household income
  • Diagnosed with a program related illness
  • Has, or is in the process of securing private, independent, COBRA, or government health insurance