PRESCRIPTION FINANCIAL ASSISTANCE PROGRAM …

1 PRESCRIPTION FINANCIAL ASSISTANCE PROGRAM . AND OTHER FOUNDATION RESOURCES. Background: The following information has been aggregated as a reference document for patients and stakeholders contacting UCBC ares and/or partners requesting additional PRESCRIPTION FINANCIAL aid with a scope extending beyond what is available from UCB. General Disclaimer: The information below is provided as a courtesy; however, please remember to visit the organization's specific website for terms, conditions and criteria for qualification, as these are subject to change. UCB does not endorse the following third parties and cannot guarantee any ASSISTANCE . This is not an exhaustive list of FINANCIAL ASSISTANCE resources; however, it represents publicly available sources as well as those organizations where there is no conflict of interest for UCB (eg.)

2 UCB vendor). GENERAL PROGRAMS. Partnership for PRESCRIPTION ASSISTANCE (PPA). 888-477-2669. Background: PPA offers a single point of access to more than 475 public and private patient ASSISTANCE programs, including more than 150 programs offered by pharmaceutical companies (includes ASSISTANCE for the uninsured). 2016 Partnership for PRESCRIPTION ASSISTANCE . Families USA. 1201 New York Avenue NW, Suite 1100. Washington, DC 20005. 202-628-2417. Background: Families USA is a national nonprofit, non-partisan organization dedicated to the achievement of high-quality, affordable healthcare for all Americans. They have navigators to help patients choose the right plan for them. They do not offer any FINANCIAL ASSISTANCE . 2016 Families USA. All Rights Reserved. Phone: (2273) Email: Modest Needs Foundation 115 E 30th St, FL 1.

3 New York, NY 10016. 844-667-3776. Background: Modest Needs is an award-winning public charity with a simple but critical mission: they work to stop the cycle of poverty BEFORE it starts for the low-income workers whom conventional philanthropy has forgotten. Patients can apply for a short-term emergency grant. 2002-2016 Modest Needs . Foundation. All Rights Reserved. Modest Needs is a 501(c)(3) not-for-profit corporation. Needy Meds Box 219. Gloucester, MA 01931. 800-503-6897. Background: Needy Meds is a non-profit with the mission of helping people who cannot afford medicine or healthcare costs. The information at Needy Meds is available anonymously and free of charge. 2016. by NeedyMeds, Inc. Healthwell Foundation Box 4133. Gaithersburg, MD 20885. 800-675-8416. Background: The fund addresses the needs of individuals who cannot afford their insurance copayments, premiums, coinsurance or other out-of-pocket health care costs.

4 This PROGRAM is disease focused, and it also offers pediatric ASSISTANCE funds designed to assist with copays for children with chronic disease. 2012 HealthWell Foundation. GoodRx 233 Wilshire Blvd Suite 990. Santa Monica, CA 90401. 888-799-2553. Background: GoodRx features a drug price comparison tool. They do not sell the medications; however, GoodRx will show prices, coupons, discounts and savings tips for prescriptions at pharmacies near you. 2016 GoodRx, Inc. Benefits Checkup-National Council on Aging 251 18th Street South, Ste 500. Arlington, VA 22202. 571-527-3900. Background: This website is a resource for Medicare Part D beneficiaries to determine if they can qualify for the low income subsidy. BenefitsCheckUp is a registered trademark of the National Council on Aging (NCOA), a nonprofit service and advocacy organization in Washington, DC.

5 SPECIFIC DISEASE/THERAPY AREA GROUPS. EPILEPSY. Epilepsy Foundation 8301 Professional Place East, Ste 200. Landover, MD 20785. 800-332-1000. Background: The Epilepsy Foundation, a national non-profit with nearly 50 local organizations throughout the United States, has led the fight against seizures since 1968. The Foundation is an unwavering ally for individuals and families impacted by epilepsy and seizures. The Foundation works to prevent, control, and cure epilepsy through community services; public education; federal and local advocacy; and supporting research into new treatments and therapies. The Foundation works to ensure that people with seizures have the opportunity to live their lives to their fullest potential. The website can direct patients to their local epilepsy affiliate that may provide an emergency medication fund.

6 1996-2014 Epilepsy Foundation of America, Inc. Landover, MD. All Rights Reserved. Caring Voice Coalition *Complex partial onset seizures or Lennox-Gastaut Syndrome indications only 8249 Meadowbridge Road Mechanicsville, VA 23116. 888-267-1440. Background: Provides comprehensive outreach programs to services aimed at FINANCIAL , emotional and educational support for patients as well as friends, family and those who care for them. In addition, for FINANCIAL ASSISTANCE , they provide insurance education and counseling, and patient support programs for insured or underinsured patients. Please note: Complex partial onset seizures (POS) or Lennox-Gastaut Syndrome are covered;. however, the medication covered with this service must be FDA approved for the indication. The patient must be insured but cannot afford copay, and meet income guidelines.

7 2007-2016, All Rights Reserved. ARTHRITIS, CROHN'S DISEASE, AND parkinson 'S DISEASE. Arthritis Foundation 1355 Peachtree St NE, 6th floor Atlanta, GA 30309. 404-872-7100. Background: What They Do: Conquer Arthritis Leading the fight for the arthritis community, the Arthritis Foundation helps conquer everyday battles through life-changing information and resources, access to optimal care, advancements in science and community connections. Their goal is to chart a winning course, guiding families in developing personalized plans for living a full life and making each day another stride towards a cure. They also publish Arthritis Today, the award-winning magazine that reaches million readers. 2016, All Rights Reserved. Crohn's & Colitis Foundation of America 733 Third Ave, Suite 510. New York, NY 10017. 800-932-2423.

8 Background: Their mission is curing Crohn's disease and ulcerative colitis, and to improve the quality of life of children and adults affected by these diseases. They serve more than 300,000 patients annually through their 40 chapters as well as national education and support programs. 2016 Crohn's & Colitis Foundation of America. parkinson 's Disease Foundation 1359 Broadway, Suite 1509. New York, NY 10018. 212-923-4700. Background: Website directs patients or caregivers to resources that can help address matters such as employment, insurance issues, FINANCIAL ASSISTANCE and more. 2016 parkinson 's Disease Foundation, Inc. Davis Phinney Foundation for parkinson 's 4730 Table Mesa Dr. Suite J-200. Boulder, CO 80305. 866-358-0285. Background: The Foundation provides essential information, practical tools and inspiration to people living with parkinson 's and funds research closely aligned with our mission improving the lives of people living with parkinson 's.

9 2008-2016 Davis Phinney Foundation. All Rights Reserved. Gooddays (formerly Chronic Disease Fund). 6900 Dallas Pkwy, Suite 200. Plano, TX 75024. 877-968-7233. Background: The fund provides FINANCIAL support to patients who cannot afford their medication. Patients can often be approved in minutes. They also assist patients in finding the insurance coverage that best fits their needs. Patients who need to travel in order to receive treatment may also be eligible for travel ASSISTANCE . The following is a list of the chronic diseases that Good Days is currently able to support: ankylosing spondylitis, rheumatoid arthritis, and Crohn's disease. Please note: Disease state funds may open and close throughout the year as funds are diminished or more funds become available. Contact Gooddays for more details. 2016 Gooddays Gooddays is an independent 501(c)(3) non-profit organization.

10 The ASSISTANCE Fund 4700 Millenia Blvd, Suite 310. Orlando, FL 32839. 855-845-3663. Background: The ASSISTANCE fund offers FINANCIAL ASSISTANCE programs to children and adults diagnosed with critical or chronic illnesses. Copay ASSISTANCE Programs provide eligible underinsured individuals with FINANCIAL ASSISTANCE to cover all or part of the individuals' out-of pocket cost for the supported medications. FINANCIAL ASSISTANCE Programs provide FINANCIAL ASSISTANCE for medication copays, health insurance premiums, and basic healthcare needs to children and adults. Health Insurance Premium ASSISTANCE Programs assist those who have health insurance but need help paying for their premiums. Notes: Primary insurance required, commercial or government sponsored. Patient must be diagnosed with a PROGRAM -related illness, including: ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, Crohn's disease, or parkinson 's disease.