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Co-Pay Relief Program | Patient Advocate Foundation

421 Butler Farm Road, Hampton, VA 23666

Eligibility

See notes for list of eligible diseases; must have insurance that covers part of the prescription cost; see notes for more details

Required documents

Call for information

Hours

Mon-Fri 8:30 am-5 pm EST online patient portal Mon-Sun 24 hours
(866) 512-3861
Voice·

Toll-Free

Application process

Call or apply online

Fees

None

Service area

United States
Co-pay relief program (CPR) currently provides direct financial support to insured patients, including Medicare Part D beneficiaries, who must financially and medically qualify to access pharmaceutical co-payment assistance.  The program offers personal service to all patients through the use of call counselors, personally guiding patients through the enrollment process. Eligible Diseases: Acromegaly Alzheimer's Asthma Bladder Cancer Breast Cancer Cervical Cancer Coronary Artery Disease Covid 19 Cystic Fibrosis Diabetes Electrolyte Imbalance Gaucher Disease Hemophilia Hepatitis B Hepatitis C HIV, AIDS and Prevention Homozygous Familial Hypercholesterolemia Inherited or Acquired Lipodystrophy Lupus Melanoma Metastatic Breast Cancer Metastatic Colorectal Cancer Metastatic Gastric Cancer Metastatic Prostate Cancer Multiple Myeloma Multiple Sclerosis Myelodysplastic Syndrome Non-Small Cell Lung Cancers Osteoporosis Ovarian Cancer Pancreatic Cancer Periodic Paralysis Peripheral Vascular Disease Prostate Cancer Pulmonary Hypertension Renal Cell Carcinoma Rheumatoid Arthritis  Spinal Muscular Atrophy Ulcerative Colitis Uterine Cancers Eligibility Requirements:
  • Patient must be currently insured and have coverage for the medication(s) for which they seek financial assistance
  • Patient must have a physician confirmed diagnosis of the disease under which they are requesting financial assistance
  • Patient must reside and receive treatment in the United States
  • Patient's income must fall at or below the income guidelines of the fund under which they are requesting financial assistance.  All funds have income guidelines of either 300% or 400% or less of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and the number in the household
  • Patient will be informed immediately upon application if they qualify for assistance

Date of Last Formal Update

02/24/2026

Data provided by

United Way of the Midlands

Providing organization

Patient Advocate Foundation
Provides direct services to patients with chronic, life threatening and debilitating diseases to help access care and treatment recommended by their doctor.