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

This program provides brand name medications at no or low cost

Provided by: Bayer HealthCare Pharmaceuticals Inc.


TEL: Closed Program


Languages Spoken:

English

 

Patient Assistance Applications

 

Generic Name

 
 

Eligibility Requirements   

Insurance Status Must have no prescription insurance, be ineligible for any state and federal programs
Those with Part D Eligible? No
Income Not disclosed
Diagnosis/Medical Criteria Not specified
US Residency Required? Must be residing in the US or Puerto Rico
   

Application

Obtaining Call
Receiving Sent to doctor or patient
Returning Fax or mail
Doctor's Action Complete section and sign
Applicant's Action Complete section, sign, attach a copy of proof of income
Decision Communicated Doctor notified via mailed letter
Decision Timeframe Not specified
   

Medication

Amount/Supply Up to 90 day supply
Sent To Doctor's office or patient's home
Delivery Time Within 7-10 business days
Refill Process Doctor/Doctor's office must complete replacement form
Limit Not specified
Re-application New application, new documentation yearly
   

Additional Information

Closed Program: Now known as the Bayer US Patient Assistance Foundation.

Eligibility determined on a case-by-case basis.


Updated October 11, 2018