Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
 

Good Days Program

This is a copay assistance program

Provided by: Good Days from CDF

Attn: Enrollment
6900 Dallas Parkway
Suite #200
Plano, TX 75024

TEL: 877-968-7233


FAX: 214-570-3621
Languages Spoken:

English

Program Website

 

Patient Assistance Applications

Good Days Program Patient Enrollment Application (pages: 3-5)

Good Days Program Enrollment Information Pages (pages: 1 & 2)

 

Brand Name Medications Covered

 
  • Abraxane
  • Matulane
  • Actimmune
  • Mekinist
  • Adcetris
  • Moderiba
  • Adcirca
  • Nascobal spray; nasal
  • Adempas tablet
  • Navelbine
  • Adriamycin
  • Nexavar
  • Afinitor
  • Ninlaro
  • Agrylin
  • Norditropin
  • Alecensa
  • Nutropin
  • Alimta
  • Ocrevus
  • Alunbrig
  • Olysio
  • Arimidex
  • Omnitrope
  • Aromasin
  • Onmel
  • Aubagio
  • Opdivo
  • Avastin
  • Opsumit
  • Avonex
  • Orenitram
  • Bactrim
  • Ozurdex
  • Baraclude
  • Pegasys
  • Betaseron
  • PegIntron
  • Blincyto
  • PegIntron-Rebetol combo pack
  • Buphenyl
  • Perjeta
  • Camptosar
  • Plegridy
  • Caprelsa
  • Pomalyst
  • Cimzia
  • Portrazza
  • Clolar
  • Procysbi
  • Cometriq
  • Proleukin
  • Copaxone
  • Provenge
  • Cotellic
  • Purinethol
  • Cyramza
  • Ravicti liquid
  • Cystagon
  • Rebetol
  • Cystaran
  • Rebif
  • Cytovene
  • Remicade
  • Cytoxan
  • Remodulin
  • Dacogen
  • Revatio
  • Daklinza
  • Revlimid
  • Darzalex
  • Ribasphere
  • Desferal
  • Roferon-A
  • Docefrez
  • Saizen
  • Droxia
  • Serostim
  • DTIC-Dome
  • Signifor
  • Eloxatin
  • Soltamox
  • Empliciti
  • Sovaldi
  • Entocort EC
  • Sporanox
  • Epclusa
  • Sprycel
  • Epivir
  • Stivarga
  • Erbitux
  • Sutent
  • Exjade
  • Synribo
  • Extavia
  • Tafinlar
  • Eylea
  • Tagrisso
  • Fareston
  • Tarceva
  • Faslodex
  • Tasigna
  • Ferriprox
  • Taxol
  • Firmagon
  • Taxotere
  • Flolan
  • Tecentriq
  • Foscavir
  • Tecfidera
  • Gemzar
  • Tev-Tropin
  • Genotropin
  • Thalomid
  • Gilenya
  • Tracleer
  • Gilotrif
  • Tykerb
  • Glatopa
  • Tysabri
  • Gleevec
  • Tyvaso
  • Halaven
  • Tyzeka
  • Harvoni
  • Uptravi
  • Hepsera
  • Valtropin
  • Herceptin
  • Vectibix
  • Humatrope
  • Velcade
  • Humira
  • Veletri
  • Hydrea
  • Ventavis
  • Ibrance
  • Victrelis
  • Iclusig
  • Vidaza
  • Iluvien implant
  • Viekira Pak
  • Incivek
  • Viread
  • Increlex
  • Vistide
  • Infergen
  • Visudyne
  • Intron A
  • Xalkori
  • Isordil
  • Xeloda
  • Ixempra
  • Xofigo
  • Jadenu
  • Xolair
  • Jakafi
  • Xtandi
  • Jetrea
  • Yervoy
  • Kadcyla
  • Zaltrap
  • Keytruda
  • Zanosar
  • Korlym
  • Zelboraf
  • Kyprolis
  • Zepatier
  • Lemtrada
  • Zinbryta
  • Letairis
  • Zorbtive
  • Lonsurf
  • Zortress
  • Lucentis
  • Zykadia
  • Macugen
  • Zytiga
  • Marqibo Kit
 

Generic Name

 
  • abiraterone acetate
  • ixabepilone
  • adalimumab
  • ixazomib
  • adefovir dipivoxil
  • lamivudine
  • ado-trastuzumab emtansine
  • lapatinib ditosylate
  • afatinib
  • ledipasvir/sofosbuvir
  • aflibercept
  • lenalidomide
  • aldesleukin
  • letrozole tablet
  • alectinib
  • leucovorin calcium
  • alemtuzumab
  • macitentan
  • ambrisentan
  • mecasermin
  • anagrelide
  • mercaptopurine
  • anastrozole
  • methotrexate sodium
  • atezolizumab
  • methylprednisolone
  • azacitidine
  • mifepristone
  • bevacizumab
  • mitomycin
  • blinatumomab
  • natalizumab
  • boceprevir
  • necitumumab
  • bortezomib
  • nilotinib monohydrate
  • bosentan
  • nivolumab
  • brentuximab vedotin
  • ocrelizumab
  • brigatinib
  • ocriplasmin
  • budesonide
  • omacetaxine mepesuccinate
  • cabozantinib s-malate
  • omalizumab
  • calcitriol
  • ombitasvir/paritaprevir/ritonavir and dasabuvir
  • capecitabine
  • osimertinib
  • carboplatin
  • oxaliplatin
  • carfilzomib
  • paclitaxel
  • ceritinib
  • palbociclib
  • certolizumab pegol
  • panitumumab
  • cetuximab
  • pasireotide diaspartate
  • cidofovir
  • pegaptanib sodium
  • clofarabine
  • peginterferon alfa-2a
  • cobimetinib
  • peginterferon alfa-2b
  • cortisone acetate
  • peginterferon beta-1a
  • crizotinib
  • pembrolizumab
  • cyanocobalamin spray; nasal
  • pemetrexed
  • cyclophosphamide
  • pertuzumab
  • cysteamine
  • pomalidomide
  • cysteamine bitartrate
  • ponatinib
  • dabrafenib
  • posaconazole
  • dacarbazine
  • prednisolone
  • daclatasvir
  • procarbazine
  • daclizumab
  • radium ra-223 dichloride
  • daratumumab
  • ramucirumab
  • dasatinib
  • ranibizumab
  • decitabine
  • regorafenib
  • deferasirox
  • ribavirin
  • deferiprone
  • ribavirin/peginterferon alfa-2b combo pack
  • deferoxamine
  • riociguat tablet
  • degarelix acetate
  • ruxolitinib
  • dexamethasone
  • selexipag
  • dimethyl fumarate
  • sildenafil citrate
  • docetaxel
  • simeprevir sodium
  • doxorubicin
  • sipuleucel-T
  • elbasvir/grazoprevir
  • sodium benzoate
  • elotuzumab
  • sodium phenylbutyrate
  • entecavir
  • sofosbuvir
  • enzalutamide
  • sofosbuvir/velpatasvir
  • epoprostenol sodium
  • somatropin
  • eribulin
  • somatropin (rDNA origin)
  • erlotinib
  • somatropin recombinant
  • everolimus
  • sorafenib
  • exemestane
  • streptozocin
  • fingolimod
  • sulfamethoxazole/trimethoprim
  • fluocinolone acetonide implant
  • sunitinib malate
  • foscarnet sodium
  • tadalafil
  • fulvestrant
  • tamoxifen citrate
  • ganciclovir
  • telaprevir
  • gemcitabine
  • telbivudine
  • glatiramer acetate
  • tenofovir disoproxil fumarate
  • glycerol phenylbutyrate liquid
  • teriflunomide
  • hydrochloride
  • thalidomide
  • hydroxyurea
  • toremifene citrate
  • iloprost
  • trametinib dimethyl sulfoxide
  • imatinib
  • trastuzumab
  • infliximab
  • treprostinil
  • interferon alfa-2a
  • treprostinil diolamine
  • interferon alfa-2b
  • trifluridine and tipiracil
  • interferon alfacon-1
  • valganciclovir
  • interferon beta-1a
  • vandetanib
  • interferon beta-1b
  • vemurafenib
  • interferon gamma-1b
  • verteporfin
  • ipilimumab
  • vinblastine
  • irinotecan
  • vincristine
  • isosorbide dinitrate
  • vinorelbine tartrate
  • itraconazole
  • voriconazole
  • itraconzazole
  • ziv-aflibercept
 

Eligibility Requirements   

Insurance Status Not specified
Those with Part D Eligible? Not specified
Income Not disclosed
Diagnosis/Medical Criteria Not specified
US Residency Required? Not specified
   

Application

Obtaining Call, download or apply online
Receiving Faxed, mailed or downloaded from website
Returning Fax, mail or submit online
Doctor's Action Give prescription to patient
Applicant's Action Complete section, sign, attach required documents
Decision Communicated Patient and/or Doctor are notified
Decision Timeframe Varies
   

Medication

Amount/Supply Not specified
Sent To Not specified
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application Must re-enroll at end of calendar year
   

Additional Information

Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
Updated July 14, 2017