CareASSIST Patient
Assistance Program

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Providing Medication at No Cost to Eligible Patients

CareASSIST is committed to helping patients access their medication. If you meet eligibility requirements for the CareASSIST Patient Assistance Program (PAP) below, you may be able to receive your medication at no cost.

Eligibility Requirements

In order to be eligible for the program, you must meet the following requirements:

  • You must be a resident of the US or its territories or possessions and be under the care of a licensed healthcare provider authorized to prescribe, dispense, and administer medicine in the US
  • You must have no insurance coverage or lack coverage for prescribed therapy
  • You may be eligible if you have Medicare Part B with no supplemental insurance coverage
  • You must have an annual household income that does not exceed the greater of $100,000 or 500% of the current Federal Poverty Level (FPL). Additional information on financial eligibility is available below

Information About Potential Alternate Sources of Coverage

If you do not meet the eligibility criteria above and still need assistance, CareASSIST may be able to help. Visit the Alternate Sources of Coverage page to learn more about alternate coverage options and additional support.

To learn more, call 1-833-WE+CARE (1-833-930-2273), Mon – Fri, 9 AM – 8 PM ET.

Financial Eligibility for Uninsured or Functionally Uninsured Patients
Persons in family/ household Poverty guideline CareASSIST PAP eligibility (500% of FPL)
1 $12,490 $62,450
2 $16,910 $84,550
3 $21,330 $106,650
4 $25,750 $128,750
5 $30,170 $150,850
6 $34,590 $172,950
7 $39,010 $195,050
8 $43,430 $217,150

For families/households with more than 8 persons, add $4420 for each additional person. Source: The poverty guidelines updated periodically in the Federal Register by the US Department of Health and Human Services under the authority of 42 U.S.C. 9902(2). Accessed February 15, 2019. Available at https://aspe.hhs.gov/poverty-guidelines.

Persons in family/ household Poverty guideline CareASSIST PAP eligibility (500% of FPL)
1 $15,600 $78,000
2 $21,130 $105,650
3 $26,660 $133,300
4 $32,190 $160,950
5 $37,720 $188,600
6 $43,250 $216,250
7 $48,780 $243,900
8 $54,310 $271,550

For families/households with more than 8 persons, add $5530 for each additional person. Source: The poverty guidelines updated periodically in the Federal Register by the US Department of Health and Human Services under the authority of 42 U.S.C. 9902(2). Accessed February 15, 2019. Available at https://aspe.hhs.gov/poverty-guidelines.

Persons in family/ household Poverty guideline CareASSIST PAP eligibility (500% of FPL)
1 $14,380 $71,900
2 $19,460 $97,300
3 $24,540 $122,700
4 $29,620 $148,100
5 $34,700 $173,500
6 $39,780 $198,900
7 $44,860 $224,300
8 $49,940 $249,700

For families/households with more than 8 persons, add $5080 for each additional person. Source: The poverty guidelines updated periodically in the Federal Register by the US Department of Health and Human Services under the authority of 42 U.S.C. 9902(2). Accessed February 15, 2019. Available at https://aspe.hhs.gov/poverty-guidelines.

How to Apply for the CareASSIST Patient Assistance Program

To get started, you or your healthcare provider can download and print an application.

If you do not have access to a computer and printer, you may start the application process by calling CareASSIST at 1-833-WE+CARE (1-833-930-2273), Mon – Fri, 9 AM – 8 PM ET. A CareASSIST Patient Access Specialist will assist you with the next steps.

Your healthcare provider must also fill out and sign portions of your application form. Once completed, your healthcare provider must submit the application by mail or fax (1-855-411-9689).

After Applying for the CareASSIST Patient Assistance Program

Shortly after your application is submitted, you can expect to receive a letter from CareASSIST informing you of the status of your application. A copy of that letter will also be sent to your healthcare provider. Complete applications are usually processed within 2 business days.

Approved patients may remain enrolled for up to 12 months. If longer assistance is required, you may reapply on a yearly basis. Patients with Medicare Part B with no supplemental insurance coverage who qualify for the CareASSIST Patient Assistance Program will need to reapply at the beginning of each calendar year.