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    1. www.rxassist.org

    2. Many reasons why people might need assistance Ineligible for LIS because of income or asset test Premium and co-pays might be too high Drugs or supplies might not be on plan’s formulary Coverage gap or doughnut hole Drugs might be prescribed for off label use

    3. Understand the situation Patients can be confused Advocates may give wrong information Prescribers may be unaware Insurers may be unclear

    4. Basic options for assistance Pharmaceutical company patient assistance programs Discount generic drug programs State pharmaceutical assistance programs Disease specific assistance programs

    5. Pharmaceutical company patient assistance programs More than half state that Medicare Part D enrollees are ineligible for their PAPs Only 4 have programs specifically for Part D enrollees Of those that do allow Part D enrollees to apply there is little standardization Programs are highly changeable

    6. Discount generic drug programs RxOutreach, Xubex generic PAP programs Retail store generic programs RxOutreach generics range from $20-$40 for 3 months Retail store generics range from $4 for 30 day supply to $15 for 3 month supply

    7. State sponsored prescription assistance programs 20 states have “wraparound” Part D services All have income requirements Some have age requirements Cover all or part of premiums, deductibles, co-pays, drugs in doughnut hole, drugs not covered by Part D 4 states have state-sponsored discount cards

    8. Disease specific assistance programs Non-profit organizations offering financial assistance towards co-pays, insurance premiums, other out of pocket expenses for specific diseases Payment models vary Certain disease funds may run out of money May be waiting lists

    9. Disease specific assistance programs American Kidney Foundation Caring Voice Coalition* Chronic Disease Fund Healthwell Foundation Patient Access Network Patient Advocate Foundation Patient Services Incorporated*

    10. Keys to helping patients Understand the environments in which prescribers, insurers and assistance programs operate Familiarize yourself with content of key web sites and other sources of information Develop or borrow tools to help manage information and streamline assistance process

    11. RxAssist tools Database of patient assistance program information and applications Chart with rx company Part D/PAP eligibility policies Combined RxOutreach/Xubex generics list List of diseases and organizations that provide co-pay and other financial assistance for each Sources of low cost diabetic and other medical supplies State specific pharmaceutical assistance programs

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