Patients must be at or below 400-500 of the federal poverty. Patient with Medicare Part D will be considered on a case by case basis. The patients insurance must cover the qualifying medication that they are seeking assistance for. Save up to 80 on your prescription costs when using our drug coupons at your local pharmacy. Documents submitted cannot be returned.*Puerto Rico Residents do not qualify for vaccine products. This is a copay assistance program for patients that have health insurance. Offer 2 Free Discount Drug Coupon RxPharmac圜oupons Breo Ellipta Offer Get Coupon All patients are eligible to receive a discount by using this free Breo Ellipta coupon. Do not mail original income or tax documents. Co-Pay Assistance: Good Days is a resource for those who have private insurance or a Medicare Part D plan but cannot afford the co-payments for certain medications. If enrollment documents are submitted by mail, submit ONLY COPIES of Proof of Household Income documents. We provide financial assistance to eligible commercially insured patients that help reduce monthly cost of your medication. Eligible patients may receive 90 day supply of medicine to their home within 7 days of faxed enrollment (mailed enrollments may take longer to receive medicine). Fax or mail enrollment documents to the program with patient name and date of birth on each page (faxed prescriptions are only valid if faxed directly from a prescriber's office). Our patient advocates work directly with over 180 pharmaceutical manufacturers patient assistance programs to obtain FDA-approved medications for a set price of 50 per.
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