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Program 1 of 3 Scroll down to see them all.

This program provides brand name medications at no or low cost.
Pharmaceutical Company Abbott
Program Name Abbott Patient Assistance Foundation (HUMIRA)
Program Address PO Box 789
San Bruno, CA 94066
Phone Number

800-222-6885

Fax Number 866-250-2803
Medications on Program Humira Injection  (adalimumab)
Application Forms Abbott Patient Assistance Foundation (HUMIRA)
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

The patient must not have any private nor public insurance and meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. US residency requirements are not specified.  Patients with prescription drug coverage, including enrollment in a Medicare Part D Prescription Drug Plan, who have difficulty accessing their Abbott medications may be eligible for assistance by obtaining a Pharmaceutical Assistance Program exception based on health-related expenditures and household income.

Application Process

The patient or doctor should call for an application. The application can be either faxed or mailed out upon request. The completed application can be faxed or mailed back.  Both the patient and health care professional are notified of acceptance into the program. The decision is usually made within 24-48 hours. The medication is shipped within 3-5 business days.

Application Requirements

The doctor must fill out a section and sign the application. The patient must fill out a section, sign the application and attach proof of income and any insurance information.

Program Details

Up to a 90-day supply is sent to the doctor's office or the patient's home. The patient or doctor must contact the company for refills. Once a year a new application with financial documentation is needed.

Last Updated May 11, 2010


                                         

Program 2 of 3 Scroll down to see them all.

This program provides help in applying for assistance with the cost of this drug.
Pharmaceutical Company Diplomat Specialty Pharmacy
Program Name Diplomat's Co-Pay Assistance Navigator Program
Program Address Attn: Funding Department
2029 S. Elms Rd., Suite D,
Swartz Creek, MI 48473
Phone Number

877-977-9118 ext. 10184

Fax Number 866-418-2650
Medications on Program Humira Injection  (adalimumab)
Humira injection  (adalimumab injection)
Application Forms Not Applicable
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

Individual eligibility and level of financial support is determined on a case by case basis.  Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. The Co-Pay Navigator is a full service program to help patients seek funding assistance for the co-pay portion of their required medications. There is no charge for this service. Physicians/physicians' offices may submit an application online at the website indicated above, or fax information as directed below.

Application Process

The physician/physician's office should fax the prescription, diagnosis, patient demographics and any insurance information to 866-418-2650 Attn: Sandy/Funding.  A Patient Care Coordinator will contact the patient within 24-48 business hours.     

Application Requirements

Will be discussed with the patient and physician after the initial request to the program is received. 

Program Details

Not applicable.

Last Updated May 07, 2010


                                         

Program 3 of 3.

This company does not offer a patient assistance program.
Pharmaceutical Company HealthWell Foundation
Program Name HealthWell Foundation Copay Program
Program Address P.O Box 4133
Gaithersburg, MD 20878
Phone Number

800-675-8416

Fax Number 800-282-7692
Medications on Program Humira   (adalimumab)
Application Forms Not Applicable
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

Applicants with insurance are eligible. The Foundation considers an individual's financial, medical, and insurance situation when determining who is eligible for assistance. Families with incomes below 400% of the Federal Poverty Level may qualify. Cost of living in a particular city or state is also taken into account. Medication must be used for medically appropriate condition. The patient must also reside in the US. This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.

Application Process

Anyone can call to get the application sent out or it may be completed online. The application is sent out or it may be completed online.     

Application Requirements

Not applicable.

Program Details

Not applicable.

Last Updated April 28, 2010