Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
Program 1 of 2.
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Patient Access Network Foundation (PAN)

This is a copay assistance program

Provided by: Patient Access Network Foundation


TEL: 866-316-7263


FAX: 866-316-7261
Languages Spoken:

English, Spanish, Others By Translation Service

Program Website

 

Program Applications and Forms

Patient Access Network Foundation (PAN) Application: Contact program

 

Medications

  • apomorphine film; sublingual (Kynmobi) Film; Sublingual
  • apomorphine injection; subcutaneous (Apokyn) Injection; Subcutaneous
 

Eligibility Requirements   

Insurance Status *See Additional Information section below
Those with Part D Eligible? Determined case by case
Income Between 400-500% of FPL
Diagnosis/Medical Criteria FDA Approved Diagnosis - See Program Website for Details
US Residency Required? Must reside and receive treatment in US
   

Application

Obtaining Call or complete online
Receiving Complete online or by phone
Returning Not applicable
Doctor's Action Varies
Applicant's Action Call for information or inform doctor that he/she is in need
Decision Communicated Patient and Doctor are notified
Decision Timeframe Within 48 hours
   

Medication

Amount/Supply Not applicable
Sent To Patient is sent savings card to be used at pharmacy
Delivery Time Once approved; shipped same day
Refill Process Patient presents voucher/card to pharmacy for each refill
Limit None
Re-application New application every 12 months
   

Additional Information

*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.

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.

Note: All new enrollment is now done electronically or over the phone. Contact program for details.

Updated November 28, 2022


Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
Program 2 of 2.
 

Supernus Support

Provided by: Supernus Pharmaceuticals, Inc.


TEL: 866-398-0833


Languages Spoken:

English, Others By Translation Service

Program Website

 

Program Applications and Forms

Supernus Support Enrollment: Contact program

 

Medications

  • apomorphine injection; subcutaneous (Apokyn) Injection; Subcutaneous
 

Eligibility Requirements   

Insurance Status Determined case by case
Those with Part D Eligible? Determined case by case
Income Varies
Diagnosis/Medical Criteria Varies
US Residency Required? Not specified
   

Application

Obtaining Call
Receiving Varies
Returning Varies
Doctor's Action Determine if patient is truly in need
Applicant's Action Call for information or inform doctor that he/she is in need
Decision Communicated Not specified
Decision Timeframe Varies
   

Medication

Amount/Supply Varies
Sent To Varies
Delivery Time Varies
Refill Process Not specified
Limit Not specified
Re-application Varies
   

Additional Information

Call for most recent medications as the list is subject to change.

Any patient who requires the medication and are in need should contact the program. Eligibility determined on a case-by-case basis.

Updated November 01, 2022