Education for Healthcare Professionals about Patient Assistance Programs
- Pharmaceutical manufacturers offer programs that provide medications to eligible patients at no or at a reduced cost.
- These programs are promoted by pharmaceutical manufacturers as one of their philanthropic efforts.
- Pharmaceutical manufacturers’ patient assistance programs (PAPs):
- aid indigent patients
- reduce bad debt associated with uncompensated medication assistance at institutions serving large indigent populations.
- PAPs have varying eligibility criteria and requirements for enrollment:
- The criteria is established by the pharmaceutical manufacturer who sponsors the program.
- Income limitations typically have a range that are program specific.
- Many will not accept individuals who have medication coverage (insurance, etc), however, some will.
- Each manufacturer has its own processes for patient enrollment that typically require the completion of an application and reporting of the patient’s health insurance coverage, assets, salary, and liabilities.
- Many manufacturers require verification of patients’ financial status by certain documents including tax returns, W-2 forms, social security benefits, bank statements, and other asset reports.
- Once verification is received by the manufacturer it is then evaluated and patient’s eligibility is determined.
- Prescription for the medication is usually required.
- Prescribing physician’s signature and other involvement by the physician is required.
- Tips for Success When Implementing a Pharmacy Based PAP [PDF]
- Example Job Description for a pharmacy technician working in the PAP [PDF]
- Comparison Chart for PAP Software
- Internet sites that have information about PAPs programs include:
- Internet sites that have forms for PAPs include: