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.
In order to be eligible for the program, you must meet the following requirements:
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.
Please refer to the US Federal Poverty Guidelines used by CareASSIST to determine the financial eligibility of uninsured or functionally uninsured patients living in the 48 contiguous states, the District of Columbia, Alaska, Hawaii, Puerto Rico, Guam, and other US territories.
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).
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.