Application Assistance
There are many local programs and individuals that help people use pharmaceutical company patient assistance programs. They help with such things as finding a program for your prescription medication, completing of the application forms and working with physicians who must sign the forms.You can find local programs in two ways:
- Enter the ZIP code to find program in your area:
Click on the name of the program for more information.
We need your assistance in finding these helpful programs. Please email us if you can help.
National Programs
Guam
Puerto Rico
If you or your organization helps people navigate the PAP system, send us your information so we can add you to this list. There are several ways to do this:
- Complete an ONLINE FORM
- Download a PDF FORM, fill it out, and send it to us.
- Download a WORD FORM, fill in the information, and send it back to us.
If you have changes or corrections concerning these programs, email us.