Programs Available to Help Pay for Treatment
Many resources exist to help Hep C patients and their families get the proper medical and treatment assistance they need. It is important to understand the potential out of pocket expenses for treatment. Check with your insurance company regarding coverage. There is help for you if you don’t have insurance or need help with co-pays with your insurance coverage, or if you have been denied treatment from your insurance company. You can contact the pharmaceutical companies and patient assistance programs, to find out which assistance is right for your needs.
If one resource isn’t right for you, keep going until you find the resource you need. Be proactive and persistent. The right help is out there for you.
Gilead the pharmaceutical company that makes Harvoni (sofosbuvir, ledipasvir) and Epclusa (sofosbuvir, velpatasvir) and Sovaldi (sofosbuvir), for Hep C Treatment have stated in their press release and on their website that they will assist those who cannot afford Hep C treatment through their program, Support Path.
Support Path assists eligible hepatitis C patients in the United States who do not have insurance, are underinsured or who otherwise need financial assistance to gain coverage for or access to Harvoni, Epclusa or Sovaldi (sofosbuvir). The program consists of an integrated offering of support services for patients and providers. Services include:
- Access to dedicated case managers to help patients and their providers with insurance-related needs.
- Education and support, including a 24/7 nursing support service line.
- The Sovaldi Co-pay Coupon Program, which provides co-pay assistance for eligible patients with private insurance who need assistance paying for out-of-pocket medication costs. Most patients will pay no more than $5 per co-pay.
- Gilead will provide support to the Patient Access Network (PAN) Foundation, an independent non-profit organization that provides assistance for eligible federally-insured and privately-insured patients who need help covering out-of-pocket medication costs.
- The Support Path Patient Assistance Program will provide Harvoni, Epclusa or Sovaldi at no charge for eligible patients with no other insurance options.
Janssen/Johnson & Johnson, the makers of Olysio (simprevir) provide Hep C patients with assistance through OLYSIO Savings Program. Olysio is used in combination with other drugs for Hep C Treatment.
For Patients with commercial insurance the program states:
*Once eligible patients qualify and activate their OLYSIO Savings Program, they pay only $25 per fill.
*For eligibility requirements and restrictions, visit www.OLYSIO.com or call 1-855-5-OLYSIO (1-855-565-9746).
*Subject to a $25,000 annual benefit, 12 months after activation, or 3 fills (12-week supply), whichever comes first.
*Not valid for patients enrolled in Medicare, such as Medicare Part D, or Medicaid. Other restrictions apply. See OLYSIO for more detail. For Patients with Medicare, Medicaid, TriCare, or commercial insurance assistance and support are available through: Patient Access Network Foundation: 1-866-316-7263/panfoundation.org Additional Resources for Olysio: Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is committed to providing access to medicines for uninsured patients who lack the financial resources to pay for them. If you need OLYSIO and uninsured and unable to pay for your medicine, contact a Johnson & Johnson Patient Assistance program specialist at 1-800-652-6227 between 9:00am-6:00pm ET, or visit the foundation website at JJPAF.org for information on qualifying for assistance.
Visit JanssenPrescriptionAssistance.com/OLYSIO for a comprehensive list of affordability programs.
Viekira Pak by AbbVie: Viekira.com, ProCeed assists with resources and tools for VIEKIRA. ProCeed is a personalized program, designed with you in mind. It’s about getting to know you as an individual so we can help build a plan that fits your needs throughout treatment. To get started and enroll see the link for the ProCeed Program or Call 1-844-2proCeed or 1-844-277-6223. For Financial treatment assistance and information contact the ProCeed Program.
Technivie by AbbVie: contact AbbVie’s ProCeed assistance program 844-484-3547.
The proCeed program can be accessed at www.technivie.com or by calling 1-844-2-PROCEED.
AbbVie also supports independent nonprofit organizations that assist eligible patients enrolled in federal and private insurance plans with their out-of-pocket medication costs.
AbbVie Patient Assistance: The AbbVie Patient Assistance Foundation believes that people who need AbbVie medicines should be able to get them.We understand the challenges people face and are here to help. The Foundation provides AbbVie medicines at no cost to people experiencing financial difficulties. Contact: abbviepaf.org/index.cfm or Call 1-800-222-6885 Monday through Friday 8am-5pm CST.
Bristol-Myers Squibb, the makers of Daklinza: SUPPORT AND FINANCIAL HELP
Patient Support Connect™
Bristol-Myers Squibb is pleased to offer you the support you need, when you need it
- Care Counselors available Monday through Friday 8 am to 8 pm ET at 844-44-CONNECT (844-442-6663)
- Get more information about a co-pay program for eligible patients and help with insurance
- Pharmacist and nurse* assistance answering general questions about Daklinza™ (daclatasvir)
- Additional after-hours support
*The nurse or pharmacist cannot provide medical advice. Your healthcare provider is the best source for information about your health.
Merck the makers of Zepatier: Notice to Qualified Health Plans:
After careful consideration and deliberation, including analysis of the October 30, 2013, and February 6, 2014, letters from former Secretary Sebelius to Representative McDermott (D-WA) and Senator Grassley (R-IA), respectively, Merck has decided to make a co-payment assistance program for this Product available to enrollees of a health insurance exchange established by a state government or the federal government who are not eligible for Medicaid. The terms and conditions of our patient co-payment assistance program are set forth below.
*Researching medical insurance and prescription plan benefits.
MULTIUSE SAVINGS COUPON
Eligible privately insured patients may pay as little as $5 per qualifying prescription of ZEPATIER. The maximum benefit is 25% of the catalog price of ZEPATIER (as set by the manufacturer at the time of purchase) per prescription.
The coupon is not insurance.
ZEPATIER is a prescription medication. Only your health care provider can decide whether ZEPATIER is right for you.
If eligible, follow these steps to save on each qualifying prescription of ZEPATIER:
- If your doctor thinks that ZEPATIER is right for you, he or she will write a prescription for ZEPATIER.
- Patient must pay the first $5 on each prescription (up to 28 tablets per prescription). Savings are limited to the amount of the patient’s actual out-of-pocket cost over $5 on each qualifying prescription, up to a maximum benefit of 25% of the catalog price of ZEPATIER (as set by the manufacturer at the time of purchase) per prescription. Coupon savings may not exceed the patient’s actual out-of-pocket cost. Coupon may be redeemed on qualifying prescriptions (up to 28 tablets per prescription) for up to 112 tablets of ZEPATIER in total prior to the coupon expiration date.
- Review the Terms and Conditions below and then click on the “Activate & Print a New Coupon” button below and follow the activation instructions.
- Print the coupon.
- Present the activated coupon and your insurance card with a valid signed prescription at any participating eligible retail or mail-order pharmacy (certain restrictions apply).
- If you are unable to redeem the coupon at your eligible retail or mail-order pharmacy, please keep your receipt and call McKesson Corporation at 877-264-2454 within 30 days of purchase to request a Direct Member Reimbursement (DMR) form. Please note: Not all patients will be eligible for Direct Member Reimbursement. Merck may discontinue Direct Member Reimbursement at any time without notice.
- If you lose the coupon, please visit zepatier.com to obtain a replacement coupon. Regardless of the number of replacement coupons received, the coupon offer is limited to savings on qualifying prescriptions for up to 112 tablets of ZEPATIER in total before the expiration date.
- Not all patients are eligible to use the coupon. Please see Coupon Terms and Conditions.
Genentech: Genentech-access.com/patients. We are committed to helping people get access to Genentech medicines whenever possible. Genentech Access Solutions offers coverage support, patient assistance, and other useful information to help you along the way.
We offer a full range of programs and services to meet the needs of patients and are here to help when one of our medicines is prescribed.
Genentech Access Solutions can help you manage payments for your prescribed Genentech medicines. We can work with you if:
- You have no health care plan
- Your health care plan turned down paying for your medicine
- You have a high co-pay or co-insurance
GENENTECH ACCESS SOLUTIONS SUPPORT LINE
6 a.m.-5 p.m. PT, Monday through Friday Call (866) 4Access or (866) 422-2377.
Kadmon Pharmaceuticals (Keys Program)for Ribasphere RibaPak (ribavirin, USP) in combination with peginterferon alfa-2a is indicated for the treatment of adults with chronic hepatitis C virus infection who have compensated liver disease and have not been previously treated with interferon alpha. Contact: hcvadvocate.org/community/community_pdf/Riba_CoPay_Cards.pdf or Call: 1-888-668-3393.
American Liver Foundation For additional Financial Assistance Resources see American Liver Foundation Support Guide. Click on American Liver Foundation Support and look for the Financial Assistance Resource Booklet to download.
The Bonnie Morgan Foundation for HCV (Not Without a Fight) The Bonnie Morgan Foundation is here to help you gain knowledge of what Hepatitis C is and give you the encouragement to face this diagnosis head on. We also give you various forms of information you will need to seek out treatment and direct you to co-pay assistance programs like The Bonnie Morgan Foundation along with many others so you can receive this life saving curing treatment. Our goal is to assist patients living with chronic Hepatitis C and patients post transplant through Charitable donations in paying their share of prescription drug co payments and deductibles. We want to reduce the financial stress the patients needs to deal with and then they can pay more attention on their heath. Click on: notwithoutafight.org for more information regarding patient assistance.
Clinical Trials are another way to obtain treatment and care. To find out information about clinical trials in your location visit: Clinical Trials.gov
Diplomat Specialty Pharmacy: See: Diplomat.is or Call toll-free:877-977-9118. Dedicated funding specialists ready to help you find financial assistance. There are many external foundations and grants that exist to help patients afford their medications. In 2013, Diplomat secured more than $24 million for patients in prescription co-pay assistance from external partners.
Good Days from CDF (Chronic Disease Fund): Good Days from Chronic Disease Fund.org. Good Days from CDF, formerly known as Chronic Disease Fund, exists to improve the health and quality of life of patients with chronic disease, cancer, or other life-altering conditions. The cost of medications to treat chronic disease can be staggering, adding to the despair and suffering of these patients. At Good Days, our mission is to ensure no one has to choose between getting the medication they need and affording the necessities of everyday living.
We help patients suffering from chronic medical conditions who have limited financial means get access to the medications they need. Our program helps qualified patients pay their insurance co-pays so they can get immediate access to prescription medications that will give them relief from pain and suffering. We know you have many questions and hope you find some comfort and answers here.
To contact Good Days (Chronic Disease Fund)
firstname.lastname@example.org Toll-Free Patient Information: (877) 968-7233 Main Number: (972) 608-7141
Healthwell Foundation: The HealthWell Foundation provides financial assistance to eligible individuals to cover coinsurance, copayments, health care premiums and deductibles for certain medications and therapies. If you’ve been prescribed a medication and your insurance company covers it, but you still cannot afford the coinsurance or copayment required, we may be able to assist you by paying for part of your costs associated with the medication. Also, if you are eligible for health insurance, but cannot afford the insurance premium, we may be able to assist with your insurance premium. Phone: (800) 675-8416.
Hepatitis A & B Vaccines Assistance Programs: There is no vaccine for protection against Hepatitis C but patients with Hepatitis C need to be protected with the vaccines for Hepatitis A and Hepatitis B virus. The makers of HAV (Hepatitis A Virus) and HBV (Hepatitis B Virus) vaccines offer patient assistance programs with low-cost and free vaccines.
Contact: Merck.com/merckhelps/vaccines/home.html Merck-VAQTA-Hepatitis A vaccine; RECOMBRIVAX HB-Hepatitis B vaccine. Or Call 1-800-293-3881.
Contact: GSK Vaccines Access Program is a patient assistance program sponsored by GlaxoSmithKline that provides GlaxoSmithKline vaccines to adult applicants who meet eligibility requirements. This program does not constitute health insurance. For GSK-HAVRIX-Hepatitis A vaccine; ENGERIX-B Hepatitis B vaccine; TWINRIX-combination of Hepatitis A and Hepatitis B vaccine. GSK-vap.com/ or Call 1-877-822-2911.
Hepatitis Foundation International For extensive list of Financial help resources, websites, and help organizations. Click here for Hepatitis Foundation International.
Needy Meds is a nonprofit organization that assists individuals who cannot afford medicine or health care costs.Program: Free or low cost clinic locator is an online locator to find clinics that offer free or low cost health services and offer sliding scale fees based on the individuals income.
Office of Disease Prevention & Health Promotion (ODPHP): Health.gov The Office of Disease Prevention and Health Promotion (ODPHP) plays a vital role in keeping the Nation healthy. Learn more about our work by exploring our national health initiatives.
Patient Access Network Foundation: 1-866-316-7263/panfoundation.org
Patient Advocate Foundation: Patient Advocate.org The Process is Simple. Patient Advocate Foundation’s Patient Services provides patients with arbitration, mediation and negotiation to settle issues with access to care, medical debt, and job retention related to their illness. Phone: (800) 532-5274.
Patient Advocate Foundation for Co-Pay Relief: Copays.org/diseases/hepatitis-c or Call 1-866-512-3861.
Patient Assistance Program (PAP)
Other programs are listed for patient assistance. See additional Financial and Medication Assistant Programs under Support and Resource Listing on this website for additional information and help.
Partnership for Prescription Assistance Our mission is to increase awareness of patient assistance programs and boost enrollment of those who are eligible. We offer a single point of access to more than 475 public and private programs, including nearly 200 offered by biopharmaceutical companies. We have already helped millions of Americans get free or reduced-cost prescription medicines. Phone: 1-888-477-2669 or website: www.pparx.org/en Free or low cost clinic locator is an online locator to find clinics that offer free or low cost health services and offer sliding scale fees based on the individuals income.
Rx Assist: Rx Assist.org. Patient assistance programs are run by pharmaceutical companies to provide free medications to people who cannot afford to buy their medicine. RxAssist offers a comprehensive database of these patient assistance programs, as well as practical tools, news, and articles so that health care professionals and patients can find the information they need. All in one place.
Rx Outreach: Rxoutreach.org. We are a nonprofit charity that provides critical medicine for people who can’t afford it. We offer more than 500 medications through our mail order pharmacy delivered to all 50 states, Puerto Rico and the Virgin Islands. With support of generous donors, we help more than 85,000 people each year get the medications they need to stay healthy. Call: 1-800-769-3880
Social Security Disability Other resources are available if you need to apply for Social Security Medical Disability. Click on www.ssa.gov/disability/ Be sure to type in Hepatitis C and see additional information for qualifying. Put on your investigator hat and dive into the many resources that are offered. Never give up until you find the right doors open for you.
The Simple Dollar: Article on Social Security Disability Benefits Guide: Social Security Disability Benefits Guide.
Social Security disability benefits can provide for your family when an injury, illness, or disability prevents you from working and earning an income. Applying for these benefits is often seen as a cumbersome process, however, requiring several steps, a slew of complicated paperwork, and even in-person hearings.
This guide will explain how Social Security disability benefits work while helping you determine whether your disability, illness, or chronic condition is enough to qualify. We’ll walk you through each step of the process, and tell you what to expect during each stage of your Social Security disability application. Meanwhile, our disability benefits calculator will help you get an estimate of how much you might collect from Social Security disability or SSI if your case is approved.