The Partnership for Prescription Assistance of Pennsylvania
The Partnership for Prescription Assistance is a nationwide program bringing together America’s biopharmaceutical research companies, health care providers, patient advocacy organizations, and community groups to help qualifying patients who lack prescription coverage get the medicines they need through the public or private program that’s right for them.
The Partnership for Prescription Assistance of Pennsylvania is the state
chapter of this unprecedented nationwide initiative.
Through a toll free number and user-friendly Web site, the Partnership for
Prescription Assistance offers a single point of access to more than 275
public and private
patient assistance programs, including more than 150 programs offered by
pharmaceutical companies.
Many patients are eligible for public programs based on their age or income. Some patients in need qualify for private programs that offer prescription medicines for free or nearly free. The mission of the Partnership for Prescription Assistance is to increase awareness of these programs and boost enrollment of those who are eligible.
What the Partnership for Prescription Assistance of Pennsylvania Offers
Help
for Those in Need
Many people have difficulty affording health care, including prescription medicines.
Though qualifications vary by program, a number of patient assistance programs
provide help to patients who lack prescription drug coverage and earn less
than 200% of the federal poverty level (approximately $19,000 for an individual
or $31,000 for a family of three). [Qualifications vary by program. Income
levels vary by state]
•
More than 29 million people in the United States make less than 200% of the
federal poverty level and are uninsured.
•
In Pennsylvania, more than 850,000 people make less than 200% of the federal
poverty level and are uninsured.
Access to Medicines for Those Who Qualify
Patients will be directed to the public or private program that’s right
for them. The Partnership for Prescription Assistance of Pennsylvania helps
patients who lack prescription drug coverage:
•
Enroll in more than 150 company patient assistance programs
•
Access more than 1,200 medicines for free or nearly free
•
Learn how to contact government programs for which they may qualify, such as
Medicaid, Medicare, or the State Children’s Health Insurance Program
Easy Enrollment
Finding the right program can be complicated. That’s why this initiative
is making the process much easier for patients by offering:
• A single toll-free number:
1-888-4PPA-NOW
(1-888-477-2669) and
Web site www.pparx.org
• Information
about all available programs
• Trained specialists to help identify programs and help fill out forms.
•
Assistance at the call center in English and Spanish – and more than
150 other languages.
Partnership for Prescription Assistance Frequently Asked Questions
Q: What is the Partnership for Prescription Assistance?
A: The Partnership for Prescription Assistance is a nationwide program bringing
together America’s biopharmaceutical research companies, doctors, other
health care providers, patient advocacy organizations, and community groups
to help qualifying patients who lack prescription coverage get the medicines
they need through the public or private program that’s right for them.
Through a toll free number and user-friendly Web site, the Partnership for Prescription Assistance offers a single point of access to more than 275 public and private patient assistance programs, including more than 150 programs offered by pharmaceutical companies.
Many patients are eligible for public programs based on their age or income. Some patients in need qualify for private programs that offer prescription medicines for free or nearly free. The mission of the Partnership for Prescription Assistance is to increase awareness of these programs and boost enrollment of those who are eligible.
Q: Who are the partners in the Partnership for Prescription
Assistance?
A: America’s biopharmaceutical research companies have partnered with
doctors, other heath care providers, patient advocacy organizations, and community
groups to launch the Partnership for Prescription Assistance. The list of partners
is growing and already includes well-known national organizations and a fast-growing
list of state-based partners.
Q: How does the Partnership for Prescription Assistance relate to the Partnership
for Prescription Assistance of Pennsylvania?
A: The Partnership for Prescription Assistance of Pennsylvania is the state-based
chapter of the nationwide program. The initiative is being brought to all 50
states, and has the support of partners at both the national and state level.
Every state is different and we want to find the best way to reach people who
need help in every state. That’s why our local partners here in Pennsylvania
are taking the lead in introducing the Partnership for Prescription Assistance
to the citizens of Pennsylvania.
Q: Why was the Partnership for Prescription Assistance of Pennsylvania created?
A: A growing number of patients in Pennsylvania do not have insurance coverage
for prescription medicines and other health care services. In order to boost
awareness and enrollment in existing patient assistance programs, America’s
biopharmaceutical research companies and doctors, other health care providers,
patient advocacy organizations, and community groups who help eligible patients
enroll in patient assistance programs decided that much more is needed to be
done.
Q: Why do patients in Pennsylvania need the Partnership for Prescription Assistance?
A: Many people lack health insurance coverage and have trouble affording the
prescription medicines and health care services they need. In Pennsylvania,
more than 850,000 people make less than 200% of the federal poverty level and
are uninsured. The Partnership for Prescription Assistance is dedicated to
helping patients like these receive the prescription medicines they need through
the private or public program that’s right for them.
Q: Who qualifies for assistance?
A: Many people in Pennsylvania are already benefiting from patient assistant
programs – but we know there are so many more who could be helped. Each
patient assistance program available through the Partnership for Prescription
Assistance has its own eligibility information about application processes
and can begin filling out applications online.
Q: What happens next if a patient appears to qualify for one or more assistance
programs?
A: A patient who may qualify will receive information about application processes
and appropriate applications by mail. The applications will show the information
the patient provided on the phone. Web site visitors can print out their applications
after providing information online. The patient must provide any remaining
required information and bring the forms to his or her doctor’s office.
The doctor must sign the form and provide specific prescription information
(or simply attach the prescriptions themselves). Depending on the program,
either the patient or the doctor should mail the forms to the company sponsoring
the specific program.
Q: How long does it take for qualified patients to receive their medicines?
A: Although each patient assistance program has its own timeline, the companies
involved in the Partnership for Prescription Assistance are committed to getting
medicines to eligible patients as quickly as possible. Patients may contact
the organization sponsoring a specific patient assistance program to ask when
they will receive their medicines. Trained specialists at the Partnership for
Prescription Assistance call center may provide patients with program-specific
contact information and, in some cases, may transfer patients directly to the
company sponsoring a particular program.
Q: How should patients expect to receive their medicines?
A: Depending on the program, the prescription medicines are either sent to
the health care provider’s office or to the patient’s home. Some
patient assistance programs mail a pharmacy card to patients. Patients can
use these cards to get their medicines at local pharmacies.
Q: How long can patients expect to get free or nearly free medication from
programs available through the Partnership for Prescription Assistance?
A: Each specific patient assistance program accessed through the Partnership
for Prescription Assistance has its own enrollment renewal requirements. The
specifics of each program will be included in the information packet sent to
the patient in the mail. Many programs require patients to reapply periodically.
Q: Can Medicare and Medicaid beneficiaries qualify?
A: Each patient assistance program has its own eligibility criteria. Some programs
provide prescription assistance for Medicare beneficiaries who do not have
full prescription drug benefits. People who are enrolled in other publicly
and privately sponsored programs that include prescription coverage may not
be eligible for assistance. There are some instances in which Medicaid beneficiaries
may be eligible for certain patient assistance programs.
Q. How does this relate to the new Medicare drug discount card?
A. Medicare-eligible patients who call or visit the Web site are provided information
on how they can apply for the interim Medicare-Approved Drug Discount Card
that is the first phase in the implementation of the new drug benefit for Medicare
beneficiaries.
Q. What happens when the full Medicare drug benefit becomes available?
A. Later in 2005, as enrollment begins for the new Medicare prescription drug
benefit, the Partnership for Prescription Assistance of Pennsylvania plans to
provide Medicare-eligible patients who call or visit the Web site with information
on how they can apply for this new benefit, which is available to all 40 million
Medicare beneficiaries.
Q: Are non-citizens eligible?
A: Each patient assistance program has its own eligibility criteria. In addition
to prescription benefits status, household income, and household size, some programs
may ask for citizenship status. All responses to these questions are completely
confidential.
Q: What role do health care providers play in the Partnership for Prescription
Assistance of Pennsylvania?
A: Doctors and other health care professionals play a crucial role in spreading
the word that qualifying patients who lack prescription coverage can get the
medicines they need though the public or private program that’s right for
them.
Doctors and other health care providers may also be responsible for signing
patient application forms, adding prescription information or an actual prescription,
and, depending on the program, potentially mailing or faxing the application
to the sponsoring company on the patient’s behalf.
Q: How does the Partnership for Prescription Assistance spread the word about
the program in Pennsylvania?
A: The Partnership for Prescription Assistance is sponsoring an unprecedented
campaign to get the message out to patients who may be eligible. This effort
includes local events in states across the country; national television, radio
and print advertising; and state-specific brochures and posters that educate
patients about the program.
Q: How long will this program last?
A: The Partnership for Prescription Assistance is an ongoing, nationwide initiative
that is committed to helping qualifying patients who lack prescription coverage
get the medicines they need through the public or private program that’s
right for them.
Q: How many people living in Pennsylvania are eligible?
A: Each patient assistance program has its own eligibility criteria. The
Partnership for Prescription Assistance encourages people who do not have
prescription
drug coverage and are having trouble paying for their medicines to call 1-888-4PPA-NOW
(1-888-477-2669) or visit www.pparx.org to see if they may be eligible for
one
or more programs. (Note: there are some instances in which Medicaid beneficiaries
may be eligible for certain patient assistance programs.)
More than 850,000 people in Pennsylvania are uninsured and below 200% of the federal poverty level. Many of these people may qualify for prescription assistance.
200% Federal Poverty Level Income Allocation by Household Size
| Household Size | Yearly household Income |
| Single | Under $19,000 |
| Two-person | Under $25,000 |
| Three-person | Under $31,000 |
| Four-person | Under $38,000 |