Assistance Fund: Heart Failure: Waitlist
Funded
About
The Assistance Fund: Heart Failure: Waitlist program offers vital financial support for individuals prescribed FDA-approved treatments such as Farxiga, Xigduo XR, Jardiance, and Inpefa. By covering copays, coinsurance, deductibles, and certain out-of-pocket expenses, this program ensures patients with heart failure can afford necessary medications while meeting eligibility criteria. The Assistance Fund provides an essential lifeline, enabling access to crucial treatments under the Assistance Fund: Heart Failure: Waitlist program.
Insurance requirements: Commercially insured, Medicare / Medicaid
Enrollment Forms
Assistance Fund: Heart Failure: Waitlist
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•Please note the following:
•1. Copay grant programs provide assistance for copays, coinsurance, and deductibles for FDAapproved treatment for the disease named in the disease program ONLY
•2. Financial assistance grant programs provide assistance for other eligible outofpocket costs, such as health insurance premiums and incidental medical expenses, in addition to copay, coinsurance, and deductible assistance on FDAapproved treatment for the disease named in the disease program
•3. This fund may cover offlabel drugs
•Copay and Financial assistance can be utilized by any innetwork pharmacy or site of care able to dispense the medication or provide treatment
•Program offers conditional approval of 30 days of immediate assistance for open programs where funding is available
•Patients will be asked to provide and verify demographic, insurance, and financial information (additional documentation may be requested)
•Approved patients will be granted assistance through the end of the calendar year unless otherwise specified for the applicable program
Enrollment Forms
Enrollment Form
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