866-728-4368

The patient must have no prescription coverage for the requested medication and have an income at or below 250% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. Bridges to Access has new enrollment instructions. It's no longer required to enroll via an advocate unless the patient requires immediate access to their medicine. Applicants can enroll by mailing a completed application, a current prescription and income documentation. An advocate, however, must call to enroll Bridges to Access applicants who need immediate access to medicine (please see web page http://www.bridgestoaccess.com/ for further details about the two methods of enrollment). The application can be filled out and printed from the website, but each application need an individual number (which the website does automatically.)

Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application can be faxed, mailed out or downloaded from website. The completed application must be mailed back.  The patient is notified in writing of acceptance or denial.  

Not applicable.

Up to a 90-day supply is sent to the patient's home. The patient must contact the company to arrange for refills. Once a year the application process must be repeated.

866-518-4357

The patient must have Medicare Part D, and have a low income based on the Federal Poverty Guidelines. Medical diagnosis necessary for this program is not specified. The patient must also be residing in the US. The patient must also have spent $600 dollars on medications through the Medicare Part D plan in the current year.

Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application will be faxed out. The completed application can be faxed or mailed back.  The patient is notified of eligibility for the program.  

Not applicable.

The patient is sent a pharmacy card. The pharmacy card is good for one year. Every year a new application is needed.

866-699-8239

Applicants with insurance are eligible. Not applicable Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. This program is non-need based. Some medications may be offered for less than a 30 day supply .Check the program's website as the medications change frequently.

Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application can be faxed, mailed out or downloaded from website. The completed application should be faxed back from the doctor's office.    Once the application is received, the medication will be shipped within 24 hours.

The doctor must fill out a section and sign the application. 

Up to a 30-day supply is sent to the patient's home.  

866-699-8239

 This program does not have income limitations. Medical diagnosis is not necessary This program is not valid in Massachusetts, so MA residents are not eligible. This is a copay assistance program that covers all or part of the applicant's copay for the medication. The amount of the copay assistance varies by medication, check the program's website for the exact amount. The application does not require a HCP signature, however the applicant must send the prescription(s) in with the application.

Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application can be either faxed or mailed out upon request. The completed application can be faxed or mailed back.    

Not applicable.

The medication is sent to the patient's home.