Need Help With U.S. Diabetes Supplies and Medications? UPDATED!

 

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This is a current list of currently available programs, co-pay cards, organizations and manufacturers that may help, and the requirements to participate in the programs.

Included in this update is a large expansion in the co-pay card program, which is helpful for individuals with insurance (but high co-pays!). You can now scroll quickly through this list, as medications are now bolded in RED.  It is also separated into insulin/injectable meds and oral meds to help make your medications easier to find. 

These links are up to date as of 23 August 2015. (If you have links or resources, please list them in the comment section and if they’re legitimate, I’ll add them.)

Why did I create this?

Every other “diabetes financial assistance/resource” page that I would visit would give you a link to supposed help – but you had to dig deep to find out if there were exclusions or restrictions. Some of the resource pages had links that no longer exist. Others had a single page that said: “We no longer offer a program.”

This page will give you the restrictions/exclusions I’ve found and the contact information and site to get yourself started if you qualify. (And in some cases, all of us will qualify!)

Hope this helps you.

Share this information – no one should be “sick” with diabetes from a lack of medication or supplies – let’s help each other by getting the word out. 


Got Twitter? Help spread the word easily by clicking here:

Tweet: Need help with U.S. #diabetes supplies and meds? Click here: http://ctt.ec/q2s85+ Includes co-pay help for insulin, oral meds.


 

Insulin, Injectable Diabetes Medication, & Needles

Astra-Zeneca Prescription Savings Program – NO insurance

If you take BYDUREON, BYETTA, or SYMLIN, you may be eligible for free medications mailed to your home or provider. Requirements include:

  • You must be resident of the US, or have a Work Visa or Green Card.
  • You aren’t currently receiving prescription drug coverage under a private insurance or government program, or receiving any other assistance to help pay for medicine.
  • Your annual income* should be at or below:
    • $35,000 for a single person
    • $48,000 for a family of two
    • $60,000 for a family of three
    • $70,000 for a family of four
    • $80,000 for a family of five
      • *Income limits may be higher in Alaska and Hawaii

If you are a Medicare Part D Beneficiary:

  • You aren’t eligible for or enrolled in Limited Income Subsidy (LIS) for Medicare Part D

If you have experienced a life changing event in the past year, and your financial documentation does not accurately reflect your current situation, we encourage you to apply for the AZ&Me Prescription Savings Program. You may still meet the criteria to enroll. Some examples of this type of event would be:

  • Loss of employment
  • Change in income
  • Loss of, or change in, prescription drug coverage
  • Marriage
  • Change in household number

For assistance and additional information, you can call  1-800-AZandMe (292-6363).

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

There is also a MySavingsRX Card for BYDUREON, BYETTA, or SYMLINThe cost would be reduced to $25 per month.

You may be eligible for the Savings Card if:

  • You are insured by commercial insurance and your insurance does not cover the full cost of your prescription, or you are not insured and are responsible for the cost of your prescriptions.
  • Patients who are enrolled in a state or federally funded prescription insurance program are not eligible for this offer. This includes patients enrolled in Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD) programs or TriCare, and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees.
  • You are enrolled in a state or federally funded prescription insurance program, you may not use this Savings Card even if you elect to be processed as an uninsured (cash-paying) patient.
  • You are 18 years of age or older.
  • This offer is not insurance and is restricted to residents of the United States and Puerto Rico.

Eli Lilly – Lilly Cares – NO insurance

Eli Lilly offers Glucagon, Trulicity, Humalog, Humalin, and Humalog Mix under the Lilly Cares program.

  • You must be a U.S. resident. (This program is not available in Puerto Rico or the US Virgin Islands.)
  • You must not have prescription coverage.
  • You must meet the household guidelines:

Household Income Guidelines:

  • The total number of people in the household includes yourself and each of your dependents.
  • Total yearly income includes incomes from all earners in your household before taxes and deductions.
  • To qualify, your total yearly income cannot exceed the values listed below.
Number of People in Your Home 1 2 3 4 5 6 7 8
Total Yearly Income
(48 Contiguous States and DC)
$35,310 $47,790 $60,270 $72,750 $85,230 $97,710 $110,190 $122,670
Alaska $44,160 $59,760 $75,360 $90,960 $106,560 $122,160 $137,760 $153,360
Hawaii $40,650 $54,990 $69,330 $83,670 $98,010 $112,350 $126,690 $141,030

For additional information about Lilly Cares, call at 1-800-545-6962.

*A 120-day supply of medicine will be shipped to your health care provider’s office. Prescription refills will be available during your 1-year enrollment period.

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

There is a Prescription Copay Card for the Humalog U-200 Kwikpen, but you must ask your physician for it. You must have commercial insurance through your employer or independent insurance that is not a government-sponsored plan (for example, Medicaid or Medicare).  If eligible, you’ll pay as little as $25 for your prescription.

Trulicity has a savings card, giving you this medication for $25 per month for up to two years. You must meet the following criteria:

  • 18 or older and currently living in the United States or Puerto Rico.
  • Have commercial health insurance (insurance other than Medicare, Medicaid, etc)
  • Not have your prescription paid in part or full by any government funded program, including but not limited to, Medicare, Medicare Part D, Medicaid, Medigap, VA, CHAMPUS, DOD, TRICARE® or any State Patient or Pharmaceutical Assistance Program.
  • This offer is invalid for patients without commercial insurance coverage.

Eli Lilly Lilly MedicareAnswers

For those individuals on Medicare, you have an option!

Eli Lilly offers Glucagon, Trulicity,  Humalog, Humalin, and Humalog Mix under the Eli Lilly LillyMedicareAnswers program.

  • You must be enrolled in a Medicare Part D prescription plan.
  • You must be denied or ineligible for Low Income Subsidy.
  • You must be a United States resident.(This program includes Puerto Rico.)
  • You must meet the household guidelines:

Household Income Guidelines:

  • The total number of people in the household includes yourself and each of your dependents.
  • Total yearly income includes incomes from all earners in your household before taxes and deductions.
  • To qualify, your total yearly income cannot exceed the values listed below.
Number of People in Your Home 1 2 3 4 5 6 7 8
Total Yearly Income
(48 Contiguous States and DC)
$35,310 $47,790 $60,270 $72,750 $85,230 $97,710 $110,190 $122,670
Alaska $44,160 $59,760 $75,360 $90,960 $106,560 $122,160 $137,760 $153,360
Hawaii $40,650 $54,990 $69,330 $83,670 $98,010 $112,350 $126,690 $141,030

*A 90-day supply of medicine will be shipped to your home via mail order pharmacy. Prescription refills will be available during your 1-year enrollment period.

NovoNordisk – NO insurance

Novo Nordisk Patient Assistance Program (PAP) provides free medicine (to those who qualify), including: Levemir, Novolog, Novolog Mix 70/30, Novolin, GlucaGen Hypo Kit, Victoza, and disposable needles for FlexPens and Victoza. (Please be aware that all insulin is vial only; no FlexPens.)

The application for Novo Nordisk’s medication assistance program is downloadable here. 

  • There are several restrictions to the program. Please download the application and review.
  • You must be a U.S. citizen.
  • You must have a household income less than 200% of federal poverty level. 200% FPL* $47,700
  • You cannot have private prescription coverage,VA prescription benefits, any federal, state, or local program such as Medicare or Medicaid. Exceptions include patients who have entered the coverage gap (donut hole) in Medicare Part D and patients who have applied for and been denied Medicare Extra Help/Low Income Subsidy (LIS) and are Medicare eligible.

You can get more information by calling the Novo Nordisk Patient Assistance Program toll free at 866-310-7549.

If approved, a free 120-day supply of medicine will be sent to the prescribing health care providers’ office to be picked up at the patient’s convenience. Novo Nordisk will automatically contact the health care provider 90 days later to approve the medication reorder.

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

There is an Instant Savings Card for Victoza, which brings the cost to $25 per monthly prescription for up to 2 years.

The Instant Savings Card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or government-funded benefit programs. This includes Medicare, Medicaid, Medigap, VA, DOD, and TRICARE, as well as any other state or federal employee benefit programs.

There is an Instant Savings Card for Levemir. If eligible, you will pay no more than $25 for your Levemir® prescription and each refill for up to 2 yearsa with a Novo Nordisk Instant Savings Card. The savings card can be used like a coupon when you pick up your Levemir® prescription from the pharmacy.

In addition, pay no more than $20 (maximum savings up to $100 per fill) for the next prescribed product and each refill for up to 2 years. Offer available for a 30-day supply of Victoza® (liraglutide [rDNA origin] injection), Levemir® (insulin detemir [rDNA origin] injection), NovoLog® (insulin aspart [rDNA origin] injection), and NovoLog® Mix 70/30 (70% insulin aspart protamine suspension and 30% insulin aspart, [rDNA origin] injection). Offer is valid for a maximum of $100 off your co-pay for each 30-day supply of Victoza®, Levemir®, NovoLog®, and NovoLog® Mix 70/30. Offer is valid for a maximum of 24 refills per product over 2 years. Novo Nordisk reserves the right to modify or cancel this program at any time.

There is also a  Novo Nordisk prescription savings card for other products: Offer available for a 30-day supply of Levemir® FlexPen, NovoLog® Mix 70/30 FlexPen, and NovoLog. Like the other prescription savings cards, it has restrictions, but these also give $25 per month prescription savings.

Sanofi Patient Connection Program– NO insurance

Provides Apidra, Lantus, and Toujeo at no cost to patients who meet program eligibility requirements.

Eligibility requirements include:

  • Patient must be a U.S. citizen or resident and be under the care of a licensed healthcare provider authorized to prescribe, dispense and administer medicine in the U.S.
  • Patient must have no insurance coverage or no access to the prescribed product or treatment via their insurance
  • Patient must not be eligible for Medicare or Medicaid
    • See program application for Medicare Part D eligibility criteria
  • Patient must meet the following financial criteria:
    • Annual household income of ≤250% of the current Federal Poverty Level for all non-Oncology/non-Hematology Products
Persons in family / household Poverty Guideline 2015* Maximum Annual Household Income (for uninsured or functionally uninsured patients)
250%
1 $11,770 $29,425
2 $15,930 $39,825
3 $20,090 $50,225
4 $24,250 $60,625
5 $28,410 $71,025
6 $32,570 $81,425
7 $36,730 $91,825
8 $40,890 $102,225
For families / households with more than 8 persons, add $4,160 for each individual person All products except Oncology / Hematology

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

Apidra

Those who take Apidra can use the Apidra® No Co-Pay Savings Program with their Apidra® prescription payments. Activate your card by checking this box and you can get No Co-Pay* on Apidra®. If you’re registering someone under the age of 18, please call 855-242-6938.

  • The card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or other government funded benefit programs.
  • Only patients who reside in the United States or Puerto Rico can participate in this program.
  • All commercially insured patients are eligible, even those with insurance that places Apidra® on the 3rd tier.
  • Cash-paying patients are also eligible for a benefit of up to $100 off per prescription.

Lantus

Sanofi offers a discount card for those who use Lantus SoloStar – pay no more than $25 for up to 3 prescriptions. (Maximum $100 benefit off of each prescription, for up to $300 for three prescriptions.)

  • The card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or other government funded benefit programs.
  • Only patients who reside in the United States or Puerto Rico can participate in this program.
  • All commercially insured patients are eligible.

Toujeo

Pay no more than $15 for the 12 months after activating the savings program. (Maximum benefit is $400 off per prescription depending on your out of pocket costs.)

  • The card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or other government funded benefit programs.
  • Only patients who reside in the United States or Puerto Rico can participate in this program.
  • All commercially insured patients are eligible.

Afrezza

With the Afrezza Patient Savings Card, you pay $0 for your first prescription. After that you pay no more than $30 for each prescription refill, depending on your insurance coverage. With each prescription, you get 2 inhalers and a month’s supply of Afrezza® cartridges.

  • Offer is not valid for patients if their prescriptions are paid in part or in full by any state or federally funded programs, including, but not limited to, Medicare or Medicaid, Medigap, VA, DOD or TriCare.
  • Only patients who reside in the United States, Puerto Rico, Guam or the US Virgin Islands can participate in this program.
  • If you have any questions about this program, please call 866-991-2840.

Diabetes Oral Medications

Astra-Zeneca Prescription Savings Program– NO insurance

If you take FARXIGA, KOMBIGLYZE XR, ONGLYZA, or XIGDUO XR, you may be eligible for free medications mailed to your home or provider. Requirements include:

  • You must be resident of the US, or have a Work Visa or Green Card.
  • You aren’t currently receiving prescription drug coverage under a private insurance or government program, or receiving any other assistance to help pay for medicine.
  • Your annual income* should be at or below:
    • $35,000 for a single person
    • $48,000 for a family of two
    • $60,000 for a family of three
    • $70,000 for a family of four
    • $80,000 for a family of five
      • *Income limits may be higher in Alaska and Hawaii

If you are a Medicare Part D Beneficiary:

  • You aren’t eligible for or enrolled in Limited Income Subsidy (LIS) for Medicare Part D

If you have experienced a life changing event in the past year, and your financial documentation does not accurately reflect your current situation, we encourage you to apply for the AZ&Me Prescription Savings Program. You may still meet the criteria to enroll. Some examples of this type of event would be:

  • Loss of employment
  • Change in income
  • Loss of, or change in, prescription drug coverage
  • Marriage
  • Change in household number

For assistance and additional information, you can call  1-800-AZandMe (292-6363).

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

Farxiga and Xigduo XR have a prescription Savings Card that can be $0 per month as long as your physician prescribes a dose of either medication.

You may be eligible for the Savings Card if:

  • You are insured by commercial insurance and your insurance does not cover the full cost of your prescription, or you are not insured and are responsible for the cost of your prescriptions.
  • Patients who are enrolled in a state or federally funded prescription insurance program are not eligible for this offer. This includes patients enrolled in Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD) programs or TriCare, and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees.
  • You are enrolled in a state or federally funded prescription insurance program, you may not use this Savings Card even if you elect to be processed as an uninsured (cash-paying) patient.
  • You are 18 years of age or older.
  • This offer is not insurance and is restricted to residents of the United States and Puerto Rico.

Onglyza and Kombiglyze XR has a prescription savings card as well that can be $0 per month.

You may be eligible for the Savings Card if:

  • You are insured by commercial insurance and your insurance does not cover the full cost of your prescription, or you are not insured and are responsible for the cost of your prescriptions.
  • Patients who are enrolled in a state or federally funded prescription insurance program are not eligible for this offer. This includes patients enrolled in Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD) programs or TriCare, and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees.
  • You are enrolled in a state or federally funded prescription insurance program, you may not use this Savings Card even if you elect to be processed as an uninsured (cash-paying) patient.
  • You are 18 years of age or older.
  • This offer is not insurance and is restricted to residents of the United States and Puerto Rico.

Eli Lilly – Lilly Cares – NO insurance

Eli Lilly offers Cymbalta under the Lilly Cares program.

  • You must be a U.S. resident. (This program is not available in Puerto Rico or the US Virgin Islands.)
  • You must not have prescription coverage.
  • You must meet the household guidelines:

Household Income Guidelines:

  • The total number of people in the household includes yourself and each of your dependents.
  • Total yearly income includes incomes from all earners in your household before taxes and deductions.
  • To qualify, your total yearly income cannot exceed the values listed below.

 

Number of People in Your Home 1 2 3 4 5 6 7 8
Total Yearly Income
(48 Contiguous States and DC)
$35,310 $47,790 $60,270 $72,750 $85,230 $97,710 $110,190 $122,670
Alaska $44,160 $59,760 $75,360 $90,960 $106,560 $122,160 $137,760 $153,360
Hawaii $40,650 $54,990 $69,330 $83,670 $98,010 $112,350 $126,690 $141,030

For additional information about Lilly Cares, call at 1-800-545-6962.

*A 120-day supply of medicine will be shipped to your health care provider’s office. Prescription refills will be available during your 1-year enrollment period.

Boehringer Ingelheim Cares Patient Assistance Program – NO insurance

Tradjenta, Jentadueto, Jardiance, and Glyxambi are available under the BI Cares Patient Assistance Program.

  • You must be a U.S. resident ineligible for private prescription, Medicaid, or Low Income Subsidy coverage.
  • You must meet the established financial criteria, which was not posted online.
  • You must be 18 years of age or older. Please note, while people of all ages are eligible for the program, applications can be sent only to people at least 18 years of age.

Medication is shipped directly to the patient’s home.

Applications are evaluated on a case by case basis. Current application form, valid prescription, and patient’s income documentation are required.To learn more about the Boehringer Ingelheim Patient Assistance Program, please call 1-800-556-8317 or apply online at www.bipatientassistance.com.

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

Trajenta has a prescription savings card, which can drop the price for your prescription to as little as $10 per month. Eligible patients 18 years or older may pay as little as $10/month with a maximum savings up to $150/monthly prescription.  Only valid for commercially insured patients in the 50 United States, DC, and Puerto Rico. Not eligible if prescriptions are paid for in part/full by state or federally funded program(s), like Medicare Part D, Medicaid, Vet. Aff., Dept. of Def., or TRICARE and where prohibited by law. Offer may change at any time, without notice.

Jentadueto also has a prescription savings card, which can drop the price for your prescription to as little as $10 per month. Eligible patients 18 years or older may pay as little as $10/month with a maximum savings up to $150/monthly prescription.  Only valid for commercially insured patients in the 50 United States, DC, and Puerto Rico. Not eligible if prescriptions are paid for in part/full by state or federally funded program(s), like Medicare Part D, Medicaid, Vet. Aff., Dept. of Def., or TRICARE and where prohibited by law. Offer may change at any time, without notice.

Jardiance also has a prescription savings card – eligible patients get their first year’s prescription FREE. Eligible patients 18 years or older may pay as little as $0/month with a maximum savings up to $384/monthly prescription. Only valid for commercially insured patients in the 50 United States, DC, and Puerto Rico. Not eligible if prescriptions are paid for in part/whole by state or federally funded program(s), like Medicare Part D, Medicaid, Vet. Aff., Dept. of Def., or TRICARE.

Glyxambi also has a prescription savings card and eligible patients get their first year’s prescription FREE. Eligible patients 18 years or older may pay as little as $0/month with a maximum savings up to $538/monthly prescription. Only valid for commercially insured patients in the 50 United States, DC, and Puerto Rico. Not eligible if prescriptions are paid for in part/whole by state or federally funded program(s), like Medicare Part D, Medicaid, Vet. Aff., Dept. of Def., or TRICARE. Offer may change at any time, without notice.

GlaxoSmithKline – NO insurance

Avandia is available under the Bridges to Access Program for individuals not on Medicare.

To qualify for Bridges To Access, patients must:

  • Live in one of the 50 states, District of Columbia or Puerto Rico.
  • Have no prescription drug benefits through any insurer/payer/program.
  • Not be eligible for Medicaid or Puerto Rico’s Government Health Plan Mi Salud. Puerto Rico applicants who are financially eligible for Puerto Rico’s Government Health Plan must have documentation of denial of coverage through Mi Salud before applying to a GSK Patient Assistance Program.
  • Have gross monthly household income at or below the following:
Maximum Monthly Gross Income
Household Size 
48 states and D.C.
Alaska
Hawaii
Puerto Rico
1
$2,452.08
$3,066.67
$2,822.92
$2,000.00
2
$3,318.75
$4,150.00
$3,818.75
$2,500.00
3
$4,185.42
$5,233.33
$4,814.58
$3,000.00
4
$5,052.09
$6,316.66
$5,810.41
$3,500.00
For each additional person, add
$866.67
$1,083.33
$995.83
$500.00

You can apply by mail or fax (proof of income must be provided), or call Bridges to Access at 1-866-PATIENT (1-866-728-4368) after downloading the application.

If you are on Medicare and have a Part D prescription plan, you may be able to receive Avandia through GSK Access.

To qualify for GSK Access and enroll, you must:

  • Be enrolled in a Medicare Part D Prescription Drug Plan.
  • Have spent at least $600 on prescription medicines through their Medicare Part D Prescription Drug Plan during this calendar year.
  • Live in one of the 50 states, District of Columbia or Puerto Rico. Puerto Rico applicants who are financially eligible for Puerto Rico’s Government Health Plan must have documentation of denial of coverage through Mi Salud before applying to a GSK Patient Assistance Program.
  • Have total monthly household income at or below the following:
Maximum Monthly Gross Income
Household Size 
48 states and D.C.
Alaska
Hawaii
Puerto Rico
1
$2,452.08
$3,066.67
$2,822.92
$2,000.00
2
$3,318.75
$4,150.00
$3,818.75
$2,500.00
3
$4,185.42
$5,233.33
$4,814.58
$3,000.00
4
$5,052.09
$6,316.66
$5,810.41
$3,500.00
For each additional person, add
$866.67
$1,083.33
$995.83
$500.00

Upon initial enrollment in GSK Access and with a valid prescription on file, the first 90-day supply of GlaxoSmithKline medicine(s) will be shipped to the address provided on the application. (Some medicines are only available at a retail pharmacy. Patients will be notified if their prescription is for one of these medicines.) Medicines received from this program do not count toward True Out-of-Pocket Spending Costs (TrOOP).

Fill out this application online, download and add documentation to send or fax. If you have questions about this program, call 1-866-518-HELP.

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

Tanzeum Coupons, up to 12 months free.

Tanzeum, a GSK product, has a “dollars off” coupon program. Coupon program eligibility is extended to patients with or without insurance coverage with a valid signed prescription.

  • You are NOT eligible to use this coupon if you are a government beneficiary. You are a government beneficiary if you are enrolled in any federal healthcare program, including Medicaid, Medicare (Part D or otherwise), or any similar federal or state programs, including any state pharmaceutical assistance program. Further, you CANNOT use this coupon if you are Medicare eligible.

Eligible patients without insurance can receive the dollars off amount specified on the coupon. Patients with insurance can receive up to the amount for which they are responsible for the prescription, less any amounts specified on the coupon.

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

Invokana or Invokamet CarePath Savings Program

This program offers 12 months of prescription co-pay relief (According to Invoking CarePath’s marketing material “12 months NO COST to you” for those who have been prescribed Invokana or Invokamet.) You must have commercial insurance.

After registering, you receive a savings card that you use at your retail pharmacy. It is subject to a $4,600 annual program benefit, 12 months after activation or 12 uses, whichever comes first. It is not valid for those enrolled in Medicare Part D or Medicaid, or those enrolled in a federal or state subsidized healthcare program that covers prescription drugs such as TRICARE. The offer is only valid for new enrollment until December 31, 2016.

Johnson & Johnson Patient Assistance Program– NO insurance

If you do not have prescription coverage, you may be eligible to receive Invokana or Invokamet through the Johnson & Johnson Patient Assistance Program.

Requirements are:

  • You do not have public or private prescription coverage.
  • You reside in the U.S. or a U.S. territory.
  • You are being treated as an outpatient by a U.S. healthcare provider.
  • You meet annual financial eligibility criteria:
    • Single person: $23,540 annual income or less
    • Two person family: $31,860 or less
    • Larger families: income levels are adjusted “accordingly”

You can begin the application process online by clicking here or by calling 1-800-652-6227.

Merck Helps – NO insurance

Merck Patient Assistance Program

Merck offers a prescription assistance program for Januvia, Janumet, and Janumet XR.

  • You do not have to be a US citizen. Legal residents of the United States, including US Territories, are also eligible.
  • Your prescription for a Merck medicine from a health care provider licensed in the United States.*
  • You do not have insurance or other coverage for your prescription medicine. Some examples of other insurance coverage include private insurance, HMOs, Medicaid, Medicare, state pharmacy assistance programs, veterans assistance, or any other social service agency support.
  • You may qualify for the program if you have a household income of $47,080 or less for individuals, $63,720 or less for couples, or $97,000 or less for a family of 4.

The application for this program must be downloaded, filled out, and brought to your medical provider. Click here for the Merck Helps application.  (It is also available in Spanish.)

Individuals who don’t meet the insurance criteria may still qualify for the Merck Patient Assistance Program if they attest that they have special circumstances of financial and medical hardship, and their income meets the program criteria. A single application may provide for up to 1 year of medicine free of charge to eligible individuals and an individual may reapply as many times as needed.

If you have any questions about the Merck Patient Assistance Program including the status of an application, please call 1-800-727-5400, 8 AM to 8 PM EST, Monday through Friday.

There is also the ACT Program. The ACT Program provides free reimbursement support services to help answer questions related to insurance coverage and reimbursement. If you do not meet the prescription drug coverage criteria, your income meets the program criteria, and there are special circumstances of financial and medical hardship that apply to your situation, you can request that an exception be made for you. If you have any questions, the ACT Program Specialists are available 8 AM to 8 PM EST, Monday through Friday at 1-866-363-6379.

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

If you don’t meet the criteria, you can also try and use the “Januvia copay assistance coupon”. 

Januvia’s coupon is for “as little as $5 per prescription” for up to 12 months. Here’s the information on the restrictions and what you’d need to do. 

CO-PAY Savings Card –  Private/Commercial Insurance Coverage Help

Pfizer

If you use Glucotrol, Glynase Prestab, Glyset, and Lyrica, Pfizer offers a discount card for individuals who have NO prescription coverage. You’ll need to call 866-706-2400 to apply. 

  • You must be prescribed a Pfizer medicine available at a savings.
  • Have no prescription coverage.
  • Live in the United States, Puerto Rico, or the U.S. Virgin Islands

They also offer free medication for uninsured individuals through some clinics and hospitals. You can see if there is one located near you by entering your zip code at this website

Lyrica Co-Pay Savings Card

Lyrica Co-pay of $25 per month up to 12 months. There are restrictions, but worth checking out and downloading. 

Other Savings Programs

Patient Access Network Foundation

The Patient Access Network (PAN) Foundation, an independent, national 501 (c)(3) organization dedicated to providing underinsured patients with co-payment assistance through more than 60 disease-specific programs that give them access to the treatments they need.

Diabetic Foot Ulcers

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must treat the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 400% of the Federal Poverty Level. (Here’s the handy chart showing you what that is based on how many people are in your household.)

Diabetic Macular Edema

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must fight the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 500% of the Federal Poverty Level. (You can use the chart and do the calculations for 500%. For instance, if you are a household of one, you qualify if you earn less than $48,350 gross income annually. For a household of three, you qualify if the household earns less than $98,950.)

Kidney Transplant Immunosuppressants 

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must fight the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 500% of the Federal Poverty Level. (You can use the chart and do the calculations for 500%. For instance, if you are a household of one, you qualify if you earn less than $48,350 gross income annually. For a household of three, you qualify if the household earns less than $98,950.)

Solid Organ Transplant Immunosuppressant Therapy

This will cover pancreas transplants and kidney-pancreas transplants.

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must treat the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 400% of the Federal Poverty Level. (Here’s the handy chart showing you what that is based on how many people are in your household.)

Retinal Vein Occlusion (RVO)

From the Patient Access Network Foundation website:

Central and branch retinal vein occulusions (RVO) happen when the vein at the back of the eye is blocked. This blockage causes pressure build and some of the small blood vessels in the eye may burst and cause fluid to leak into the retina. If untreated the vessels may be able to repair themselves and bypass the blockage but there may be permanent damage to the retina resulting in vision loss. 

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must fight the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 500% of the Federal Poverty Level. (You can use the chart and do the calculations for 500%. For instance, if you are a household of one, you qualify if you earn less than $48,350 gross income annually. For a household of three, you qualify if the household earns less than $98,950.)

 

Healthwell Foundation

For children under eighteen years of age

HealthWell Pediatric Assistance Fund® assists children 18 years old or younger living with a chronic or life-altering condition that their families are struggling to treat due to cost. They provide financial assistance to families so their children can start or continue critical medical treatments, including diabetes.

Families must meet HealthWell’s standard income and insurance eligibility criteria to qualify for a grant. Grants are awarded on a case by case basis. To apply for a grant, call 1-800-675-8416 anytime Monday through Friday, 9:00 a.m. to 5:00 p.m. (ET).

  • You must have some form of health insurance (major medical or prescription drug) that covers part of the cost of your medication.
  • Families with incomes up to 400 percent of the Federal Poverty Level may qualify. HealthWell also considers the cost of living in a particular city or state.
  • If you appear to be eligible for assistance through the Pediatric Assistance Fund, additional information and documentation is required for review and consideration prior to grant approval. Once all information has been received and reviewed by the committee, grant determinations will be made.
  • You will be asked to provide the Foundation with the patient’s diagnosis, which must be verified by a physician, nurse practitioner, or physician assistant’s signature. The patient must receive treatment in the United States.

Immunosuppressive Treatment for Solid Organ Transplant Recipients

HealthWell will pay for the following medications for immunosuppressive therapy:

Astagraf XL, Cellcept, Gengraf, Hecoria, Imuran, Myfortic, Neoral, Nulojix, Prograf, Rapamune, Sandimmune, and Zortress.

  • You must have some form of health insurance (major medical or prescription drug) that covers part of the cost of your medication.
  • Families with incomes up to 400 percent of the Federal Poverty Level may qualify. HealthWell also considers the cost of living in a particular city or state.

You can apply online for this medication grant here.  or call 800-675-8416. Agents are available Monday–Friday 9am–5pm EST.

Insulin Pumps

Please be aware that many insulin pump companies do not offer charitable or financial assistance to obtain insulin pumps or supplies. If you find yourself without the financial means to continue on insulin pump therapy, contact your medical team right away for alternatives.

Medtronic MiniMed

The Medtronic Financial Assistance Program offers help to those who:

  • Use an insulin pump and/or continuous glucose monitoring
  • Meet specific income guidelines
  • Have an insurance company that allows for additional assistance

It also provides temporary coverage for specific situations:

  • Unemployment within the last 12 months
  • Gap in insurance coverage because of a pre-existing condition
  • Multiple pumpers in one household
  • Permanent disability

You’ll need to call Medtronic 1-800-646-4633 and select option 4 to get specific information.

Other pump companies offer self-funding payment programs. You should call them individually to find out the particulars. (The plans may change based on what you are looking for…)

*** If you have information regarding insulin pump programs, please contact me via email at theperfectd [at] gmail.com – you’ll be helping us all out!***

Equipment

Charles Ray III Diabetes Association

The CR3 Diabetes Association, Inc. is a 501(c)3 non-profit organization. 

According to the website, the organization is currently accepting applications for insulin pumps, blood glucose meters, and blood glucose test strips. You must review the following criteria:

  • You are uninsured
  • You are under insured (which means that your yearly deductible is unattainable)
  • Household income is less than $60,000
  • Your physician has recommended insulin pump therapy for you

They will only accept online applications on their website. The link to the online application is here.

Supplies for CWD Foundation (For children aged 18 years and younger)

Supplies for CWD Foundation (SCWDF) is a branch of the Children with Diabetes Foundation, a non-profit 501(c)(3) organization, providing short-term (up to three months) diabetes supplies for children with type 1 diabetes who are in emergency situations. (An emergency situation may be defined as: loss of health insurance, loss of a parent’s job, or a local disaster, combined with the family having no other resources with which to purchase diabetes supplies.)

Diabetes supplies is defined as any of the following: blood glucose meter, blood glucose test strips, insulin, insulin pump supplies, blood or urine ketone strips, lancets, syringes, and glucose tablets.

Download and fill out this application after reviewing all the requirements on the website.

Blood Glucose Meters/Test Strips

Freestyle Promise Program – $15 copays and a free Abbott Freestyle meter.

  • Co-pay assistance is not valid for prescriptions reimbursed under Medicare, Medicaid, or similar federal or state programs or in Massachusetts.
  • Eligible patients are responsible for the first $15 of co-pay under their insurance coverage, and can receive up to a maximum of $50 in co-pay savings. Uninsured patients are also eligible for savings in most situations.

Contour Choice Program – For ContourNext test strips. Eligible patients pay the first $15 in co-pays each month. Insured patients can receive savings of up to $35 per month of co-pays using the Contour Choice Card.

Not valid for patients with prescription benefits covered by federal and/or state government programs (e.g. Medicare, Medicaid.)

Free Meter Offers

Accu-Chek Nano or Aviva

One Touch Verio or Verio IQ Meter

Low Cost Meter/Strips Offers

Abott Neo Coupon Offer – The Neo is a low-cost meter and strips option, often costing less than co-pay prescriptions.

Clinical Trials

Do not forget about participating in clinical trials, some of which provide monetary compensation in addition to supplies and medications at no cost. (Some also provide physician/medical visits!)

Please seriously consider participating in these trials – in some, you can get access to pumps or medications that would not be available to you due to cost – or FDA approval. And… you can help others (and yourself) through clinical trials.

Click here for a list of clinical trials for diabetes that are recruiting  (general, which include both Type 1, Type 2, LADA, MODY, and gestational).

Any other sites/supplies/organizations/medication programs that might be helpful to others? Help us!


Got Twitter? Help spread the word easily by clicking here:

Tweet: Need help with U.S. #diabetes supplies and meds? Click here: http://ctt.ec/q2s85+ Includes co-pay help for insulin, oral meds.


 

You Deserve More Than Roses…

1526731_10153042281067328_1047114686242280778_nI hear her laughter and my heart swells with love.

I cannot imagine my life without my daughter.

I cannot imagine my life without the insulin that keeps me alive so that I can hear her laughter.

And yet… there are children in the world who do not have access to the insulin that will keep them alive.

No laughter.

No life.

No more. 

In parts of the world (some closer to the U.S. than you think), there is a problem getting insulin to children.

Lack of access to insulin remains the most common cause of death in a child with diabetes (Gale, 2006). The estimated life expectancy of a child who has just developed diabetes could be less than a year in some areas (Beran et al, 2005). Many die undiagnosed, others through lack of insulin or lack of expert care. In some countries, expert care is available but resources are limited and so early and serious complications frequently lead to death in young adulthood. – IDF

We know that insulin is expensive in the United States, but for some families in the world, the cost of insulin is more than a family will make in an entire year. And you know what can change that?

Us. 

roseFor the past few years, the Spare A Rose, Save A Child online campaign has helped to raise funds for the International Diabetes Federation (IDF)’s Life for a Child campaign.

Life for a Child began over a decade ago and gives donor funds directly to diabetes centers around the world, getting children insulin, test strip supplies, and care to help these children live… and laugh.

How Can You Help?

Valentine’s Day is coming.

Flowers are pretty. Chocolates are nice. Perfume smells lovely (Sometimes.)

But flowers wither. Chocolates get eaten. Perfume wafts away into the air.

You deserve more than that. 

Five dollars.

The cost of a single rose. Or a very expensive piece of chocolate. Or a few spritzes of perfume. (Or even that teddy bear that gets purchased at the gas station on the way home.) Five dollars gives a child with diabetes in an underdeveloped country a month of life.

Let those who love you know that you’ll take one less rose. One less piece of chocolate. Skip the spritz. You want them to give five dollars (or more) to the Spare A Rose, Save A Child campaign.

You can have them donate once or… they can remind you that you are loved throughout the year with a monthly gift to the program. You get a sweet acknowledgment and the knowledge that you are helping people all over the world hear a child laugh.

Want to get your office in on the action? Done. Easy-peasy-give-insulin-to-kids-squeezy.

Your donation is tax-deductible. (So, for those of you who are romantic AND financially savvy… you can say I love you and write it off. It’s still sexy.)

What About People YOU Love?

And of course, think about the people YOU love. You can donate in their name, then print out this card (or the other one) to let them know you love them more than roses.

You love them more than life itself. 

Click here to give life for a child. 

full

 

Need Help With U.S. Diabetes Supplies and Medications?

159942_2191For anyone who has diabetes, the cost of staying alive is expensive.

This is a current list of currently available programs, co-pay cards, organizations and manufacturers that may help, and the requirements to participate in the programs.

Why did I create this?

Every other “diabetes financial assistance/resource” page that I would visit would give you a link to supposed help – but you had to dig deep to find out if there were exclusions or restrictions. Some of the resource pages had links that no longer exist. Others had a single page that said: “We no longer offer a program.” (And I’m talking major diabetes organizations and manufacturers… they’re not keeping their own pages up to date…)

This page will give you the restrictions/exclusions I’ve found and the contact information and site to get yourself started if you qualify. (And in some cases, all of us will qualify!)

These links are up to date and I will be adding additional resources as they are made available. (If you have links or resources, please list them in the comment section and if they’re legitimate, I’ll add them.)

Hope this helps you.

Share it if you please – no one should be “sick” with diabetes from a lack of medication or supplies – let’s help each other by getting the word out. 

Diabetes Medications & Needles

Astra-Zeneca Prescription Savings Program

If you take BYDUREON, BYETTA, FARXIGA, KOMBIGLYZE XR, ONGLYZA, SYMLIN, XIGDUO XR, you may be eligible for free medications mailed to your home or provider. Requirements include:

  • You must be resident of the US, or have a Work Visa or Green Card.
  • You aren’t currently receiving prescription drug coverage under a private insurance or government program, or receiving any other assistance to help pay for medicine.
  • Your annual income* should be at or below:
    • $35,000 for a single person
    • $48,000 for a family of two
    • $60,000 for a family of three
    • $70,000 for a family of four
    • $80,000 for a family of five
      • *Income limits may be higher in Alaska and Hawaii

If you are a Medicare Part D Beneficiary:

  • You aren’t eligible for or enrolled in Limited Income Subsidy (LIS) for Medicare Part D

If you have experienced a life changing event in the past year, and your financial documentation does not accurately reflect your current situation, we encourage you to apply for the AZ&Me Prescription Savings Program. You may still meet the criteria to enroll. Some examples of this type of event would be:

  • Loss of employment
  • Change in income
  • Loss of, or change in, prescription drug coverage
  • Marriage
  • Change in household number

For assistance and additional information, you can call  1-800-AZandMe (292-6363).

Eli Lilly – Lilly Cares

Eli Lilly offers Glucagon, Trulicity, Cymbalta, Humalog, Humalin, and Humalog Mix under the Lilly Cares program.

  • You must be a U.S. resident. (This program is not available in Puerto Rico or the US Virgin Islands.)
  • You must not have prescription coverage.
  • You must meet the household guidelines:

Household Income Guidelines:

  • The total number of people in the household includes yourself and each of your dependents.
  • Total yearly income includes incomes from all earners in your household before taxes and deductions.
  • To qualify, your total yearly income cannot exceed the values listed below.

 

Number of People in Your Home 1 2 3 4 5 6 7 8
Total Yearly Income
(48 Contiguous States and DC)
$35,310 $47,790 $60,270 $72,750 $85,230 $97,710 $110,190 $122,670
Alaska $44,160 $59,760 $75,360 $90,960 $106,560 $122,160 $137,760 $153,360
Hawaii $40,650 $54,990 $69,330 $83,670 $98,010 $112,350 $126,690 $141,030

For additional information about Lilly Cares, call at 1-800-545-6962.

*A 120-day supply of medicine will be shipped to your health care provider’s office. Prescription refills will be available during your 1-year enrollment period.

Eli Lilly Lilly MedicareAnswers

For those individuals on Medicare, you have an option!

Eli Lilly offers Glucagon, Trulicity,  Humalog, Humalin, and Humalog Mix under the Eli Lilly LillyMedicareAnswers program.

  • You must be enrolled in a Medicare Part D prescription plan.
  • You must be denied or ineligible for Low Income Subsidy.
  • You must be a United States resident.* (This program includes Puerto Rico.)
  • You must meet the household guidelines:

Household Income Guidelines:

  • The total number of people in the household includes yourself and each of your dependents.
  • Total yearly income includes incomes from all earners in your household before taxes and deductions.
  • To qualify, your total yearly income cannot exceed the values listed below.
Number of People in Your Home 1 2 3 4 5 6 7 8
Total Yearly Income
(48 Contiguous States and DC)
$35,310 $47,790 $60,270 $72,750 $85,230 $97,710 $110,190 $122,670
Alaska $44,160 $59,760 $75,360 $90,960 $106,560 $122,160 $137,760 $153,360
Hawaii $40,650 $54,990 $69,330 $83,670 $98,010 $112,350 $126,690 $141,030

*A 90-day supply of medicine will be shipped to your home via mail order pharmacy. Prescription refills will be available during your 1-year enrollment period.

Boehringer Ingelheim Cares Patient Assistance Program

Tradjenta, Jentadueto, Jardiance, and Glyxambi are available under the BI Cares Patient Assistance Program.

  • You must be a U.S. resident ineligible for private prescription, Medicaid, or Low Income Subsidy coverage.
  • You must meet the established financial criteria, which was not posted online.
  • You must be 18 years of age or older. Please note, while people of all ages are eligible for the program, applications can be sent only to people at least 18 years of age.

Medication is shipped directly to the patient’s home.

Applications are evaluated on a case by case basis. Current application form, valid prescription, and patient’s income documentation are required.To learn more about the Boehringer Ingelheim Patient Assistance Program, please call 1-800-556-8317 or apply online at www.bipatientassistance.com.

GlaxoSmithKline

Avandia is available under the Bridges to Access Program for individuals not on Medicare.

To qualify for Bridges To Access, patients must:

  • Live in one of the 50 states, District of Columbia or Puerto Rico.
  • Have no prescription drug benefits through any insurer/payer/program.
  • Not be eligible for Medicaid or Puerto Rico’s Government Health Plan Mi Salud. Puerto Rico applicants who are financially eligible for Puerto Rico’s Government Health Plan must have documentation of denial of coverage through Mi Salud before applying to a GSK Patient Assistance Program.
  • Have gross monthly household income at or below the following:
Maximum Monthly Gross Income
Household Size 
48 states and D.C.
Alaska
Hawaii
Puerto Rico
1
$2,452.08
$3,066.67
$2,822.92
$2,000.00
2
$3,318.75
$4,150.00
$3,818.75
$2,500.00
3
$4,185.42
$5,233.33
$4,814.58
$3,000.00
4
$5,052.09
$6,316.66
$5,810.41
$3,500.00
For each additional person, add
$866.67
$1,083.33
$995.83
$500.00

You can apply by mail or fax (proof of income must be provided), or call Bridges to Access at 1-866-PATIENT (1-866-728-4368) after downloading the application.

If you are on Medicare and have a Part D prescription plan, you may be able to receive Avandia through GSK Access.

To qualify for GSK Access and enroll, you must:

  • Be enrolled in a Medicare Part D Prescription Drug Plan.
  • Have spent at least $600 on prescription medicines through their Medicare Part D Prescription Drug Plan during this calendar year.
  • Live in one of the 50 states, District of Columbia or Puerto Rico. Puerto Rico applicants who are financially eligible for Puerto Rico’s Government Health Plan must have documentation of denial of coverage through Mi Salud before applying to a GSK Patient Assistance Program.
  • Have total monthly household income at or below the following:
Maximum Monthly Gross Income
Household Size 
48 states and D.C.
Alaska
Hawaii
Puerto Rico
1
$2,452.08
$3,066.67
$2,822.92
$2,000.00
2
$3,318.75
$4,150.00
$3,818.75
$2,500.00
3
$4,185.42
$5,233.33
$4,814.58
$3,000.00
4
$5,052.09
$6,316.66
$5,810.41
$3,500.00
For each additional person, add
$866.67
$1,083.33
$995.83
$500.00

Upon initial enrollment in GSK Access and with a valid prescription on file, the first 90-day supply of GlaxoSmithKline medicine(s) will be shipped to the address provided on the application. (Some medicines are only available at a retail pharmacy. Patients will be notified if their prescription is for one of these medicines.) Medicines received from this program do not count toward True Out-of-Pocket Spending Costs (TrOOP).

Fill out this application online, download and add documentation to send or fax. If you have questions about this program, call 1-866-518-HELP.

Tanzeum Coupons, up to 12 months free.

Tanzeum, a GSK product, has a “dollars off” coupon program. Coupon program eligibility is extended to patients with or without insurance coverage with a valid signed prescription.

  • You are NOT eligible to use this coupon if you are a government beneficiary. You are a government beneficiary if you are enrolled in any federal healthcare program, including Medicaid, Medicare (Part D or otherwise), or any similar federal or state programs, including any state pharmaceutical assistance program. Further, you CANNOT use this coupon if you are Medicare eligible.

Eligible patients without insurance can receive the dollars off amount specified on the coupon. Patients with insurance can receive up to the amount for which they are responsible for the prescription, less any amounts specified on the coupon.

Invokana or Invokamet CarePath Savings Program

This program offers 12 months of prescription co-pay relief (According to Invoking CarePath’s marketing material “12 months NO COST to you” for those who have been prescribed Invokana or Invokamet.) You must have commercial insurance.

After registering, you receive a savings card that you use at your retail pharmacy. It is subject to a $4,600 annual program benefit, 12 months after activation or 12 uses, whichever comes first. It is not valid for those enrolled in Medicare Part D or Medicaid, or those enrolled in a federal or state subsidized healthcare program that covers prescription drugs such as TRICARE. The offer is only valid for new enrollment until December 31, 2016.

Johnson & Johnson Patient Assistance Program

If you do not have prescription coverage, you may be eligible to receive Invokana or Invokamet through the Johnson & Johnson Patient Assistance Program.

Requirements are:

  • You do not have public or private prescription coverage.
  • You reside in the U.S. or a U.S. territory.
  • You are being treated as an outpatient by a U.S. healthcare provider.
  • You meet annual financial eligibility criteria:
    • Single person: $23,540 annual income or less
    • Two person family: $31,860 or less
    • Larger families: income levels are adjusted “accordingly”

You can begin the application process online by clicking here or by calling 1-800-652-6227.

NovoNordisk

Novo Nordisk Patient Assistance Program (PAP) provides free medicine (to those who qualify), including: Levemir, Novolog, Novolog Mix 70/30, Novolin, GlucaGen Hypo Kit, Victoza, and disposable needles for FlexPens and Victoza. (Please be aware that all insulin is vial only; no FlexPens.)

The application for Novo Nordisk’s medication assistance program is downloadable here. 

  • There are several restrictions to the program. Please download the application and review.
  • You must be a U.S. citizen.
  • You must have a household income less than 200% of federal poverty level. 200% FPL* $47,700
  • You cannot have private prescription coverage,VA prescription benefits, any federal, state, or local program such as Medicare or Medicaid. Exceptions include patients who have entered the coverage gap (donut hole) in Medicare Part D and patients who have applied for and been denied Medicare Extra Help/Low Income Subsidy (LIS) and are Medicare eligible.

You can get more information by calling the Novo Nordisk Patient Assistance Program toll free at 866-310-7549.

If approved, a free 120-day supply of medicine will be sent to the prescribing health care providers’ office to be picked up at the patient’s convenience. Novo Nordisk will automatically contact the health care provider 90 days later to approve the medication reorder.

Merck Helps

Merck Patient Assistance Program

Merck offers a prescription assistance program for Januvia, Janumet, and Janumet XR.

  • You do not have to be a US citizen. Legal residents of the United States, including US Territories, are also eligible.
  • Your prescription for a Merck medicine from a health care provider licensed in the United States.*
  • You do not have insurance or other coverage for your prescription medicine. Some examples of other insurance coverage include private insurance, HMOs, Medicaid, Medicare, state pharmacy assistance programs, veterans assistance, or any other social service agency support.
  • You may qualify for the program if you have a household income of $47,080 or less for individuals, $63,720 or less for couples, or $97,000 or less for a family of 4.

The application for this program must be downloaded, filled out, and brought to your medical provider. Click here for the Merck Helps application.  (It is also available in Spanish.)

Individuals who don’t meet the insurance criteria may still qualify for the Merck Patient Assistance Program if they attest that they have special circumstances of financial and medical hardship, and their income meets the program criteria. A single application may provide for up to 1 year of medicine free of charge to eligible individuals and an individual may reapply as many times as needed.

If you have any questions about the Merck Patient Assistance Program including the status of an application, please call 1-800-727-5400, 8 AM to 8 PM EST, Monday through Friday.

There is also the ACT Program. The ACT Program provides free reimbursement support services to help answer questions related to insurance coverage and reimbursement. If you do not meet the prescription drug coverage criteria, your income meets the program criteria, and there are special circumstances of financial and medical hardship that apply to your situation, you can request that an exception be made for you. If you have any questions, the ACT Program Specialists are available 8 AM to 8 PM EST, Monday through Friday at 1-866-363-6379.

If you don’t meet the criteria, you can also try and use the “Januvia copay assistance coupon”. 

Januvia’s coupon is for “as little as $5 per prescription” for up to 12 months. Here’s the information on the restrictions and what you’d need to do. 

Pfizer

If you use Glucotrol, Glynase Prestab, Glyset, and Lyrica, Pfizer offers a discount card for individuals who have NO prescription coverage. You’ll need to call 866-706-2400 to apply. 

  • You must be prescribed a Pfizer medicine available at a savings.
  • Have no prescription coverage.
  • Live in the United States, Puerto Rico, or the U.S. Virgin Islands

They also offer free medication for uninsured individuals through some clinics and hospitals. You can see if there is one located near you by entering your zip code at this website

Lyrica Co-Pay Savings Card

Lyrica Co-pay of $25 per month up to 12 months. There are restrictions, but worth checking out and downloading. 

Sanofi Patient Connection Program

Provides Apidra, Lantus, and Toujeo at no cost to patients who meet program eligibility requirements.

Eligibility requirements include:

  • Patient must be a U.S. citizen or resident and be under the care of a licensed healthcare provider authorized to prescribe, dispense and administer medicine in the U.S.
  • Patient must have no insurance coverage or no access to the prescribed product or treatment via their insurance
  • Patient must not be eligible for Medicare or Medicaid
    • See program application for Medicare Part D eligibility criteria
  • Patient must meet the following financial criteria:
    • Annual household income of ≤250% of the current Federal Poverty Level for all non-Oncology/non-Hematology Products
Persons in family / household Poverty Guideline 2015* Maximum Annual Household Income (for uninsured or functionally uninsured patients)
250%
1 $11,770 $29,425
2 $15,930 $39,825
3 $20,090 $50,225
4 $24,250 $60,625
5 $28,410 $71,025
6 $32,570 $81,425
7 $36,730 $91,825
8 $40,890 $102,225
For families / households with more than 8 persons, add $4,160 for each individual person All products except Oncology / Hematology

Sanofi- Apidra

Those who take Apidra can use the Apidra® No Co-Pay Savings Program with their Apidra® prescription payments. Activate your card by checking this box and you can get No Co-Pay* on Apidra®. If you’re registering someone under the age of 18, please call 855-242-6938.

  • The card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or other government funded benefit programs.
  • Only patients who reside in the United States or Puerto Rico can participate in this program.
  • All commercially insured patients are eligible, even those with insurance that places Apidra® on the 3rd tier.
  • Cash-paying patients are also eligible for a benefit of up to $100 off per prescription.

Sanofi – Lantus

Sanofi offers a discount card for those who use Lantus SoloStar – pay no more than $25 for up to 3 prescriptions. (Maximum $100 benefit off of each prescription, for up to $300 for three prescriptions.)

  • The card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or other government funded benefit programs.
  • Only patients who reside in the United States or Puerto Rico can participate in this program.
  • All commercially insured patients are eligible.

Sanofi- Toujeo

Pay no more than $15 for the 12 months after activating the savings program. (Maximum benefit is $400 off per prescription depending on your out of pocket costs.)

  • The card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or other government funded benefit programs.
  • Only patients who reside in the United States or Puerto Rico can participate in this program.
  • All commercially insured patients are eligible.

 

Patient Access Network Foundation

The Patient Access Network (PAN) Foundation, an independent, national 501 (c)(3) organization dedicated to providing underinsured patients with co-payment assistance through more than 60 disease-specific programs that give them access to the treatments they need.

Diabetic Foot Ulcers

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must treat the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 400% of the Federal Poverty Level. (Here’s the handy chart showing you what that is based on how many people are in your household.)

Diabetic Macular Edema

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must fight the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 500% of the Federal Poverty Level. (You can use the chart and do the calculations for 500%. For instance, if you are a household of one, you qualify if you earn less than $48,350 gross income annually. For a household of three, you qualify if the household earns less than $98,950.)

Kidney Transplant Immunosuppressants 

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must fight the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 500% of the Federal Poverty Level. (You can use the chart and do the calculations for 500%. For instance, if you are a household of one, you qualify if you earn less than $48,350 gross income annually. For a household of three, you qualify if the household earns less than $98,950.)

Solid Organ Transplant Immunosuppressant Therapy

This will cover pancreas transplants and kidney-pancreas transplants.

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must treat the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 400% of the Federal Poverty Level. (Here’s the handy chart showing you what that is based on how many people are in your household.)

Retinal Vein Occlusion (RVO)

From the Patient Access Network Foundation website:

Central and branch retinal vein occulusions (RVO) happen when the vein at the back of the eye is blocked. This blockage causes pressure build and some of the small blood vessels in the eye may burst and cause fluid to leak into the retina. If untreated the vessels may be able to repair themselves and bypass the blockage but there may be permanent damage to the retina resulting in vision loss. 

Eligibility Criteria

  •  Patient should be insured and insurance must cover the medication for which patient seeks assistance.
  •  The medication must fight the disease directly.
  •  Patient must reside and receive treatment in the United States.
  •  Patient’s income must fall below 500% of the Federal Poverty Level. (You can use the chart and do the calculations for 500%. For instance, if you are a household of one, you qualify if you earn less than $48,350 gross income annually. For a household of three, you qualify if the household earns less than $98,950.)

 

Healthwell Foundation

For children under eighteen years of age

HealthWell Pediatric Assistance Fund® assists children 18 years old or younger living with a chronic or life-altering condition that their families are struggling to treat due to cost. They provide financial assistance to families so their children can start or continue critical medical treatments, including diabetes.

Families must meet HealthWell’s standard income and insurance eligibility criteria to qualify for a grant. Grants are awarded on a case by case basis. To apply for a grant, call 1-800-675-8416 anytime Monday through Friday, 9:00 a.m. to 5:00 p.m. (ET).

  • You must have some form of health insurance (major medical or prescription drug) that covers part of the cost of your medication.
  • Families with incomes up to 400 percent of the Federal Poverty Level may qualify. HealthWell also considers the cost of living in a particular city or state.
  • If you appear to be eligible for assistance through the Pediatric Assistance Fund, additional information and documentation is required for review and consideration prior to grant approval. Once all information has been received and reviewed by the committee, grant determinations will be made.
  • You will be asked to provide the Foundation with the patient’s diagnosis, which must be verified by a physician, nurse practitioner, or physician assistant’s signature. The patient must receive treatment in the United States.

Immunosuppressive Treatment for Solid Organ Transplant Recipients

HealthWell will pay for the following medications for immunosuppressive therapy:

Astagraf XL, Cellcept, Gengraf, Hecoria, Imuran, Myfortic, Neoral, Nulojix, Prograf, Rapamune, Sandimmune, and Zortress.

  • You must have some form of health insurance (major medical or prescription drug) that covers part of the cost of your medication.
  • Families with incomes up to 400 percent of the Federal Poverty Level may qualify. HealthWell also considers the cost of living in a particular city or state.

You can apply online for this medication grant here.  or call 800-675-8416. Agents are available Monday–Friday 9am–5pm EST.

Insulin Pumps

Medtronic MiniMed

The Medtronic Financial Assistance Program offers help to those who:

  • Use an insulin pump and/or continuous glucose monitoring
  • Meet specific income guidelines
  • Have an insurance company that allows for additional assistance

It also provides temporary coverage for specific situations:

  • Unemployment within the last 12 months
  • Gap in insurance coverage because of a pre-existing condition
  • Multiple pumpers in one household
  • Permanent disability

You’ll need to call Medtronic 1-800-646-4633 and select option 4 to get specific information.

Other pump companies offer self-funding payment programs. You should call them individually to find out the particulars. (The plans may change based on what you are looking for…)

*** If you have information regarding insulin pump programs, please contact me via email at theperfectd [at] gmail.com – you’ll be helping us all out!***

Equipment

Charles Ray III Diabetes Association

The CR3 Diabetes Association, Inc. is a 501(c)3 non-profit organization. 

According to the website, the organization is currently accepting applications for insulin pumps, blood glucose meters, and blood glucose test strips. You must review the following criteria:

  • You are uninsured
  • You are under insured (which means that your yearly deductible is unattainable)
  • Household income is less than $60,000
  • Your physician has recommended insulin pump therapy for you

They will only accept online applications on their website. The link to the online application is here.

Supplies for CWD Foundation (For children aged 18 years and younger)

Supplies for CWD Foundation (SCWDF) is a branch of the Children with Diabetes Foundation, a non-profit 501(c)(3) organization, providing short-term (up to three months) diabetes supplies for children with type 1 diabetes who are in emergency situations. (An emergency situation may be defined as: loss of health insurance, loss of a parent’s job, or a local disaster, combined with the family having no other resources with which to purchase diabetes supplies.)

Diabetes supplies is defined as any of the following: blood glucose meter, blood glucose test strips, insulin, insulin pump supplies, blood or urine ketone strips, lancets, syringes, and glucose tablets.

Download and fill out this application after reviewing all the requirements on the website.

Blood Glucose Meters/Test Strips

Freestyle Promise Program – $15 copays and a free Abbott Freestyle meter.

  • Co-pay assistance is not valid for prescriptions reimbursed under Medicare, Medicaid, or similar federal or state programs or in Massachusetts.
  • Eligible patients are responsible for the first $15 of co-pay under their insurance coverage, and can receive up to a maximum of $50 in co-pay savings. Uninsured patients are also eligible for savings in most situations.

Contour Choice Program – For ContourNext test strips. Eligible patients pay the first $15 in co-pays each month. Insured patients can receive savings of up to $35 per month of co-pays using the Contour Choice Card.

Not valid for patients with prescription benefits covered by federal and/or state government programs (e.g. Medicare, Medicaid.)

Free Meter Offers

Accu-Chek Nano or Aviva

One Touch Verio or Verio IQ Meter

Low Cost Meter/Strips Offers

Abott Neo Coupon Offer – The Neo is a low-cost meter and strips option, often costing less than co-pay prescriptions.

Clinical Trials

Do not forget about participating in clinical trials, some of which provide monetary compensation in addition to supplies and medications at no cost. (Some also provide physician/medical visits!)

Please seriously consider participating in these trials – in some, you can get access to pumps or medications that would not be available to you due to cost – or FDA approval. And… you can help others (and yourself) through clinical trials.

Click here for a list of clinical trials for diabetes that are recruiting  (general, which include both Type 1, Type 2, LADA, MODY, and gestational).

 

 

Any other sites/supplies/organizations/medication programs that might be helpful to others? Help us!

Diabetes Hurts

1441012_62476745Diabetes hurts.

I’ve never heard anyone describe injecting insulin as graceful or gentle.

The needle bears down onto unblemished skin that begs to not be pierced. Nerves scream in anticipation as the metal bores underneath, invading the sacred temple of the body and pushes the very cells that give me corporal nourishment. It sears and brands the skin around it, leaving a physical scar behind as a permanent reminder of what I must do to stay alive.

If I told a stranger that I hurt myself on purpose daily, they would recommend psychological counseling immediately.

Not every needle insertion is a hot branding, but when you must, without fail, do this tortured dance for the rest of your life, knowing that you have endured over three decades of this, it begins to ache deeply. Even with smaller needle gauges and shorter lengths, no one has ever gleefully clapped hands and asked to be mutilated for their health.

Diabetes hurts.

Over and over, a lancet finds its target somewhere on a finger, slicing into the same tender skin that strokes my daughter’s hair as she drifts off to sleep. It’s become rote at this point, a slight turn of the head at the same nanosecond that the button is pushed to draw blood. A sting, temporary, to decide on the dosage of the drug that will keep me alive but could also render me unconscious or dead. That sting, several times a day, over time, is a weight that drags me to the bottom of the ocean, gasping desperately in my dreams.

Too much insulin and diabetes hurts. It starves brain cells and prevents me from making rational choices. The throbbing between my eyes competes with the violent contractions of my limbs to squeeze out the last vestiges of glucose within my muscles. My throat constricts, choking on the words needed for help.

Too little insulin and diabetes hurts. Toxic sludge sloshes through my veins, spewing poison into every organ and damaging the beautiful body my soul holds, shutting down the potential of a long life and health. The complications build an ugly monument where the delicate framework of what I am once stood.

The guilt crushes you, despite your best efforts of controlling what is uncontrollable. The questions of why build to a deafening roar. Labs slam your body into a corner, even when the results are expected. It infiltrates and infects those around you who love you and can’t live in your body or take the burden from you.

You may accept this disease. You learn to live with it, try to tame it, keep it in check and at bay. You talk about it, claim it, share your thoughts with those who understand.  But it bites and scratches and never relents. It will sink its viper fangs into you and not.let.go.

No one said it would be easy. I knew it would be hard.

But no one told me when I was diagnosed that diabetes hurts.

 

 

 

Accidentally Untethered…

1439534_15304554In the fifteen years of insulin pumping, I have been “off the pump” once for less than a day. (The child birth protocol forced me onto an insulin I.V. drip for about 12 hours.) I’ve been incredibly fortunate in that I’ve never had a pump fail.

The “untethered” regimen is extremely interesting to me, especially as our plans for the summer include frequent trips to the hot beaches, but not yet. It’s not time yet. My insertion set, however, had other plans in the middle of the night.

I accidentally untethered myself during sleep. At 3am, I awoke to my Dexcom beeping, but after looking at it with one eye, I can only assume that it had been beeping for a while. That arrow was reaching for the sky, and I had that sinking feeling that it was going to be a tough day ahead.

I checked my blood sugar, knowing that I wouldn’t like what I was going to see… and I wasn’t surprised. 406. That would explain the sandy desert in my mouth, but not the smell of bandaids. (Insulin smells like bandaids. Yick.) I got up and looked down at my insertion set site… it was still adhered to my body, so I gracefully tiptoed like an elephant into the kitchen to grab a vial of insulin to inject my correction bolus, ignoring the odor of eau de bandaid.

The cool water only temporarily parched my tongue. The injection stung as the needle sunk into my arm. And then I realized…

The insertion set was still adhered to my body, but the cannula had sneakily pulled out in my sleep. I must have rolled back onto the adhesive after I pulled it out.

Well, isn’t this a fine mess you’ve gotten us into, Ollie?

I hate inserting a new site without warming up my skin per a long, hot shower, but sleep… I wanted sleep… And so, barely awake, another needle slid into my body and in five minutes, I was back in bed, correction bolus, new insertion set, and a Dexcom that felt unloved because I had ignored it.

Less than five hours later, my blood sugar was 184. Two hours after that, I clocked in at 52 mg/dl.

Even when you think you are doing everything you can to stay within range, sometimes life unthethers you and the smell of bandaids fill the air.

The next time I untether, I’m going to actually use a long acting insulin. I hear that works a little better than what I did.