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.


 

Help Wanted: Diabetes Nanny

Desperately Seeking Diabetes Nanny.

1383864_55900236

Wonderful opportunity for the right individual.

Duties include, but are not limited to:

  • Cajoling me to check my blood sugars, even though I wear a CGM and am sometimes lulled into a sense of false security
  • Showing me that sometimes, a CGM can be wrong but that it’s OK
  • Forcing me to sit and calculate how many carbohydrates will going into my mouth, factoring in the fat and protein content with that wild card of how much insulin I currently have on board and how much exercise I might be doing in the near future (or how much I did in the distant past) and if it’s that time of the month or if I’m not feeling well or… at least telling me that it’s OK that the amount of insulin I take is based on too many factors to nail it every time
  • Waking me up when that alarm goes off, signifying a low blood glucose level in the middle of the night, because I might be sleeping peacefully and soundly (Because who needs an uninterrupted night’s sleep? Not this woman.) and stuffing me with glucose when I tell you that I’m perfectly fine

But wait… there’s more!

  • Ensuring that I have, in my possession, before I leave the house: my meter, my strips, emergency glucose that doesn’t taste yucky (Glucolift, FTW), back-up insulin to inject if my pump fails, an extra pump cartridge, an extra infusion set, a snack in case I get caught somewhere and can’t get something to eat
  • Willing to navigate the labyrinth called the U.S. Healthcare system with its endless medical necessity letters and insurance claims that get kicked back and the multiple phone calls required to get a straight answer about what is covered and what isn’t covered
  • Patting my hand (or covering my mouth) when someone makes an ignorant comment about diabetes and I have to give the elevator speech about what diabetes is and isn’t, how we get it and how we don’t, and that sugar isn’t our enemy (our pancreases are)
  • Pushing me to stand up and take a stand when I see injustice in the world: lack of access to the drugs, devices, and services that can keep people with diabetes healthy – and alive

Let’s not forget this part of the job!

  • Holding me tightly when I am drenched in sweat, shaking, and unable to wait that proposed 15 minutes before ingesting another 15 or 30 grams of carbohydrates after a gut-wrenching low blood sugar – or when I am lethargic, thirsty, and bitchy after a high blood sugar that came out of nowhere
  • Reminding me that complications can happen to everyone with diabetes, no matter how tightly or loosely controlled their management has been and that it doesn’t make me – or anyone else with diabetes – a “bad” person
  • Lifting my head to look to the horizon for small, but important, advances in diabetes research to inspire me to keep going
  • Consoling me when I learn of a life lost to diabetes
  • Understanding that I will never be cured, even if a “cure” is found tomorrow, as the damage done to my body will stay long after diabetes is gone
  • Keeping me sane when diabetes slows me down

Important aspects of being a diabetes nanny you should know about:

This is a 24/7/365 position.

There are no vacation days, sick leave, retirement plan.

You’ll get on-the-job training, as the manuals don’t seem to cover the day-to-day living with diabetes.

This job has been held by parents, friends, coworkers, spouses, and sometimes, strangers, but they can’t really explain what they did or how they did it. You’ve got to experience it for yourself.

You may not be angry at me (or the world) for having diabetes, although you can be angry with me.

Did I mention that this is an unpaid position and no opportunity to advance? 

Whiners and martyrs need not apply.

Applications being accepted now. 

I Don't Expect You To Know…

1436093_55811447My car runs on unleaded gas. It goes from point A to point B (and sometimes to point H when I don’t follow the GPS correctly) and it has an engine. I understand the basics of internal combustion and in my more adventurous youth, I even changed my spark plugs and oil on my own. (I think every woman every person should know how to do that.)

I drive it with the knowledge that I don’t know everything about how a car works. I watch Top Gear (the U.K. version, of course), but that does not make me a gear head. There’s a lot I don’t understand about cars.

I’m not expected to know; that’s why expert mechanics exist. If it makes a funny noise or squeals as I brake, I take it to someone who can diagnose the issue and hopefully fix it without putting me into hock. Even people who change my car’s oil may not understand how the engine works or what that funny noise is.

Replace car with diabetes and other appropriate phrases related to a disease. (Heck, if you want to go for broke, you can replace car with any major illness.)

Now re-read those first two paragraphs.

I Don’t Expect You To Know…

I don’t expect you to know how diabetes works (or doesn’t work). There’s a lot of moving parts to the intricate dance we do each day to get from Point A to Point B (and we sometimes end up at Point H without any idea of how we got there). I don’t expect you to know how I feel when my blood sugar is crashing to the floor or soaring towards the ceiling; my symptoms and side effects are unique (although many share the same symptoms and side effects). I don’t expect anyone to know what the diagnosis signs are or how they can help me, and millions of other people, live well.

All of this to say: Let’s stop berating others if they don’t know about diabetes, especially those in the medical field. Sounds crazy, right?

“What do you mean the ER nurse didn’t know what a CGM is?”

“The optometrist asked you what your blood sugar was this morning?”

“The doctor wanted to take your insulin pump off in the hospital?”

“The LPN told you that she has diabetes, too, when she saw your medical alert bracelet, but that hers wasn’t severe?”

“The nurse said that they’d give you insulin just when you eat, but no basal insulin at all?”

We are the experts…

We are the experts. We live with this disease 24/7/365 ad infinitum. Most of the medical world hasn’t had more than a mention of diabetes in a class for their certification or degree (with the exception being CDEs and endocrinologists). Are you amazed at that?

This is the curriculum for a BS degree in Nursing at NYU. There isn’t a single “Diabetes” class in their four year program, either as requirements or electives. Would it shock you to learn that, according to a Diabetes Care journal article in 1990, 20% of nursing faculty surveyed said that their students had 0 to 8 hours of clinical experience with diabetes patients during their education? (And most of those patients were over the age of 65?)

269548_4087We have a choice…

When we encounter someone (in the medical field or in public) who doesn’t understand what diabetes is or has a misperception of what we do every day, we have a choice. We can express incredulity at their lack of knowledge and become defensive about our disease, or… we can educate them. 

“The ER nurse didn’t know what a CGM is?”

Nope, because when she went to school, CGMs didn’t exist. And really, the majority of people with Type 1 diabetes don’t use (or don’t have access to use) a continuous glucose monitor. So, those who do use them are a subset of a subset of a large group of people with diabetes. A simple explanation of what a CGM does and how it helps you prevent hypoglycemic or hyperglycemic episodes can go a long way to not only educate that ER nurse, but perhaps create an ally or future advocate in the ER for diabetes.

“The optometrist asked you what your blood sugar was this morning?”

Yep, because even if you put that you’re Type 1 on your intake form, they don’t know how often you check. You can simply smile, explain that while you checked this morning, you’ve also checked twice (or six times!) since then. You can talk about the difference between Type 1 and Type 2 and that all people with diabetes can get the same eye complications. (Retinopathy and macular edema doesn’t discriminate between types.)

“The doctor wanted to take off your insulin pump in the hospital?”

If you’re wearing an insulin pump, you may know more about diabetes than that doctor. You can begin a dialog as to why the insulin pump needs to be removed. They may not understand the technology – and it’s up to you to explain that your pump supplies a basal rate and boluses when needed. However, if you’re in the hospital because of DKA or a severe hypoglycemic episode, the pump may be the issue. Have the conversation – a two-way conversation – and ask that your endocrinologist or a hospital endocrinologist be brought in to consult.

(Side note: That all being said, if you encounter an endo or a CDE who doesn’t understand the basic mechanics of diabetes, please run, do not walk, out of that office.)

When people say things that make you angry because it’s clear that they don’t understand diabetes, take a breath and remind yourself that you didn’t know much (if at all) about this disease before you were diagnosed. It’s frustrating when you encounter someone in the medical field who may not understand, especially because they are dealing with you. They just haven’t been taught. Yet.

Teach…

We can’t expect anyone to know, but we can expect everyone to learn. And if we want everyone to learn, then it’s up to us to be knowledgeable about diabetes and the devices that we use. We should be able to explain in simple terms and invite questions. We should be able to ask our own questions and be our own advocate. We should be able to smile and talk about the differences between types of diabetes and explain that there are more that the types have in common than separate them.

We won’t change the world overnight, but imagine if you could calmly explain the disease to someone and walk away knowing that they’re a little more knowledgeable about diabetes? Or give them websites so that they can learn more?

Sounds crazy, right?

Let’s be crazy.

 

 

 

#DBlog Week: In The Boats Together

Today is one of those days.

Living with diabetes is sometimes akin to paddling quickly in a leaky dinghy, trying to cross a river.

  • You have a goal: the other side.
  • You have tools to help get you there: a bucket to dump the water out that keeps pouring into the bottom and a motor or a paddle and even a rudder to get you moving in the right direction.
  • You have others to help you: those in your boat with you or those encouraging you to row faster from the other side.

Despite all this, you still have to paddle fiercely while using the bucket to prevent you from sinking deeper and drowning.

If the weather is warm and sunny and the current is still, the trip across isn’t too bad. You’re tired, but you made it to the other shore.

1438226_71663221But…

  • Rough weather? A torrential downpour? Pitch black of night?
  • Lose a paddle? Can’t afford to buy another motor?
  • Those on the other side are screaming at you, not in encouragement, but in frustration that you can’t get there fast enough or you’re just plain “paddling wrong”?

And that river is rocky. You have to dodge the rocks you can see and hope that you can avoid the ones that scrape the bottom of your boat that hide under the surface. Some of those rocks can rip a gaping hole into the side of your tiny dinghy and you are… sunk.

You have to climb into that boat every day. No breaks. Exhausted? Too bad. Feel like you can’t do it again? Too bad.

It is too bad.

And for anyone who has diabetes, our battered boats cast off anew every day to the other side (and there is always another side), while we hope to reach it unscathed.

Any wonder that people with diabetes are at a higher risk of depression than the general population? That our burnouts have serious consequences to not only us, but our friends and families?

Today, my boat is taking in more water than I care to admit. My blood sugars are slightly above range, but it’s because I’m exhausted from lack of sleep. (Alarms on my CGM/pump went off to let me know that I was getting a weak signal. My blood sugars were fine, but because the CGM couldn’t tell, it woke me up.) My food intake has been more caffeine and less salad today than I wanted. Even the good stress I feel over launching my dream is still stress.

If I didn’t have diabetes, my dinghy may have holes from other things. I may not know how to navigate other waters or I may be the one on the other side of the river, yelling encouragement.

But I have diabetes. And a leaky boat.

And as I look down the river,

there are millions of leaky boats struggling along with me to get to the other side. Every day.

 

 


May is Mental Health Month so now seems like a great time to explore the emotional side of living with, or caring for someone with, diabetes. What things can make dealing with diabetes an emotional issue for you and / or your loved one, and how do you cope?

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!