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Genvoya copay card11/14/2023 Provides necessary healthcare treatments to the underinsured population. Provides access to free medications for uninsured people living with chronic illnesses administers AIDS Drug Assistance Program (ADAP) Waiting List Program. Information in this article and the following tables is adapted from NASTAD’s “HIV Pharmaceutical Company HIV Patient Assistance Programs and Cost-Sharing Assistance Programs”: /resource/pharmaceutical-company-hiv-patient-assistance-programs-and-cost-sharing-assistance-programs.įoundations providing access to care assistance for people living with HIV This “one stop shop” portal provides a streamlined, online process to qualify individuals and deliver the donated medications of the participating pharmaceutical companies through a mail-order pharmacy. HarborPath creates a single place for application and medication fulfillment. In addition to serving as a special PAP for ADAP waiting list clients, HarborPath operates as a streamlined, online portal for PAP access. Once the form is completed, case managers or individuals then submit the single form to each individual company, reducing the overall amount of paperwork necessary to apply for a patient assistance program. This combines common information collected on each individual company’s form to allow individuals to fill out just one. In 2012, the Department of Health and Human Services (DHHS), along with seven pharmaceutical companies, the National Alliance of State and Territorial AIDS Directors (NASTAD), and community stakeholders developed a common patient assistance program application form that can be used by both providers and patients. An individual is eligible for the HarborPath ADAP waiting list program only if he or she has been deemed eligible for ADAP in his or her state and is verified to be on an ADAP waiting list in that state. HarborPath, a non-profit organization that helps uninsured individuals living with HIV gain access to brand-name prescription medicines at no cost, operates a special patient assistance program for individuals on ADAP waiting lists. Each individual company has different eligibility criteria for application and enrollment in their patient assistance program. When choosing your healthcare plan, make sure your drug is covered (on the plan formulary) and know which drug tier it is in (your cost for the drug co-pay is based on which tier, or category, it falls under).Ī patient assistance program (PAP) is a program run through pharmaceutical companies to provide free or low-cost medications to people with low incomes who do not qualify for any other insurance or assistance programs, such as Medicaid, Medicare, or AIDS Drug Assistance Programs (ADAPs). Unfortunately many big health insurers have now introduced co-pay accumulators to their plans, and no longer allow the amount of the co-pay cards to be applied towards their deductible or out-of-pocket maximum, or steer them towards other cost-containing measures such as step therapy or individual generics that break up an STR. State AIDS Drug Assistance Programs (ADAPs), several non-profit organizations, and the pharmaceutical companies themselves have programs in place to help you pay for the treatment you need.Ī cost-sharing assistance program (CAP, also known as a co-pay program) is a program operated by pharmaceutical companies to offer cost-sharing assistance (including deductibles, co-payments, and co-insurance) to people with private health insurance to obtain HIV drugs at the pharmacy. While in the past these increases usually haven’t directly affected someone who has drug coverage through their health insurance plan, increasingly individuals have to pay co-insurance (a percentage of the cost of the medication). The prices of HIV drugs continue to rise every year at an average of 7–9 percent. Today’s therapies are vastly improved over the first drugs used to treat HIV, but these advancements come at a cost.
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