Prescription Assistance Program - What is the Criteria and Process

Aug. 7, 2015 - PRLog -- Do PAP generic medications offer free drugs?

No, the drugs are always branded. The companies that are associated with PAP offers what they make and the drugs are brand name medications. These medications are the same branded medications that your doctor prescribes and you would pay the full price to get these at a local pharmacy.

What is the Criteria and Process of receiving the free medication?

Every PAP has planned on how its enrolled patients will be getting its medications. Out of one of these 3 ways, most medications are delivered to patients:

1.       The medications are mailed directly to your home or the address that you have provided for delivery.

2.       Medications are directly delivered to your doctor who will dispense to you without any extra charges.

3.       PAP can dispense your medications at local pharmacy for a little or no cost while you are using the ‘pharmacy card’ given to you by a drug company.

1.       The speed with which you and your doctor(s) provide the related information to the company.

2.        Depending on the nature of PAP.

Who is eligible to get enrolled in a PAP?

Different Patient Assistance programs have their own eligibility criteria. Although, each PAP vary to a greater extent but they also have common things as:

1.       Sources of income and the income in the household based on number of people.

2.        Patients are citizen of US or not. Some PAP’s require patients to be citizen of US to avail the free or low cost medications.

3.       If there’s a lack of any other source of help for drug costs like Medicaid, state programs that usually covers prescriptions or insurance on prescriptions.

You can only qualify for the Patient Assistance program if:

1.       If you have the health insurance but  don’t have  prescription insurance

2.       You have got the prescription insurance but only have received annual maximum benefit, so in most cases you are eligible.

3.        You already have Medicare part D but have reached to the ‘gap’ or commonly called as ‘donut hole’. You can get help if you have ‘gap’ of Medicare Part D.

4.        You don’t have as much income as now but your federal 1040 income is too high. Then you can qualify for such program based on your current income.


What necessary information is required by the company to enroll a person in a PAP?

Usually, most of the programs require the following information:

1.       Names, Phone number and Address

2.       Your date of Birth

3.       Federal ID Number or your social security number

4.       List of medication allergies (if any)

5.       Proof of income for the entire household.

6.       How many people in the household are supported by the income

7.       Your Doctor’s name, phone number and address.

8.       Name of each medications, its strength, dosage and name of the prescriber.

What type of income proof does the company requires for PAP enrollment?

1.       If you order up to 5 medications     $55 per month

2.       6-8 medications          $80 per month

3.       9-15 medications          $105 per month

4.       16+ medication          $155 per month

The monthly cost described is not based on ‘per medication’ but the total monthly cost. For your understanding, if the company enrolls you for 3 medications then you have to pay a total sum of $55 per month same goes if you are enrolled for 5 medications. If the company enrolls you for 7 medications then you have to pay the monthly charges of $80.

According to research, our average client in 2008 received free medications valued about $7000 at retail cost.

There are no hidden fees or costs. Some additional costs may be required only if:

1.       A small co-payment for a person’s medications is required by the PAP. Majority of the medications are free of cost.

2.        The payment you pay doesn’t clear your bank.

When and how one should pay the company for a PAP management?

The company offers Easy payment options such as:

1.       Transfer from your bank accounts (saving or checking) automatically. If a person chooses this method, the company doesn’t bill you until and unless your complete application have been sent to the PAP. The minimum enrollment period is 3 months, after which enrollment is done on a monthly basis.

2.       One can also pay the payment prior to work being done. You can make 3 months of pre payment that can be made by Money order, Cashier’s Check or Credit Card (Via, MasterCard or Discover). The enrollment is only to the period of the pre-payment and no additional services will be provided until one makes another payment. The discount on pre payment is as follow:

5% Discount for Pre-payment of 6 months service

10% Discount for Pre-Payment of 12 months service

No refunds will be made on the pre-payment services except stated in the guarantee of the company: If one doesn’t qualify for enrollment in any PAP’s based on the provided information, the payment will be refunded promptly. The company holds the rights to deny any applications prior to refund.

What if a person makes a pre-payment but never avails or gets medications?

According to the guarantee of the company:  If one doesn’t qualify for enrollment in any PAP’s based on the provided information, the payment will be refunded promptly. The company holds the rights to deny any applications prior to refund.

Without the company, can a person enroll in PAP’s?

Yes, patients are able to access the applications of many companies. Some drugs companies prefer or require that a patient seeks help of an advocate to get himself enroll that company’s program. The benefit of using a professional advocate increases your chances of success to get enroll and manage the enrollment in a PAP.

If a person moves to somewhere else, then what should he do?

In such cases, it is recommended to inform the company immediately about any change of address. Informing the company promptly will reduce the chances of any sort of interruption in the service to a greater extent. The company will take the required steps to update your address with the PAP’s that you are enrolled with.

The Prescription Assistance Program provides patients access to their medications throughout the US as long as one has the doctor that is prescribing the medications for the patient.

View the company’s Privacy Policy. https://www.prescriptionsassistance.org/