![]() Note: All new enrollment is now done electronically or over the phone. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.Ĭall for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Patient presents voucher/card to pharmacy for each refill Patient is sent savings card to be used at pharmacy *See Additional Information section belowįDA Approved Diagnosis - See Program Website for DetailsĬall for information or inform doctor that he/she is in need Patient Access Network Foundation (PAN) Application: Contact program Provided by: Patient Access Network Foundation J&J, the filing said, did just that when it recently cut its allotted amount of copay assistance for psoriasis drugs Stelara and Tremfya from 20,000 to 6,000 per participant annually. Patient Access Network Foundation (PAN) This is a copay assistance program Patients with prescription drug coverage may be eligible on exception basis. Eligibility determined on a case-by-case basis. Must reside in the US and be under the direct care of a US physicianĬomplete online, download from website or faxed.Ĭomplete section, sign, attach required documentsĬompany contacts patient or doctor to arrangeĪny patient who requires the medication and are in need should call the company. Humira injection subcutaneous (adalimumab).MyAbbVie Assist for Humira Application (Spanish) Maximum Program Benefit or your Patient Total Program Benefit amount by. MyAbbVie Assist for Humira Application (Large Font) Save with a copay savings card Regardless of your financial situation, you. The program may be changed or discontinued without notice. ![]() myAbbVie Assist does not have any obligation to provide the program services to you and is not liable in the provision of these services. MyAbbVie Assist for Humira This program provides brand name medications at no or low costĮnglish, Spanish, Others By Translation Service Medication assistance is dependent on your ability to meet the eligibility criteria for the program as determined by myAbbVie Assist.
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