APA also offers you a comprehensive Prescription Advocacy Program.
Many drug makers offer free medications to those who qualify due to hardship and financial restrictions. And while the programs are there, they are not easy to understand and the required paperwork and qualification process is anything but straight forward. APA supports over 140 manufacturers and over 2,500 brand name medicines.
Since these medicines come directly from the manufacturers, you must be eligible under their guidelines. Guidelines vary widely by manufacturer. So depending on the medicine you need, you may qualify even if you have a higher than average income.
Often a claim is denied. APA, through its appeal process, may be able to present your claim in such a manner we can overturn a denial. APA fights for you and generally gets the desired positive response.
Qualification is based on income, not assets, so even if you might have a $30,000.00 Certificate of Deposit in the bank, your acceptance is based on income, not your bank account balance.
For some simple guidelines review the following:
- Single family earning $25,000 annually or less may qualify
- Two-person household earning $31,000 annually or less may qualify
- Three-person household earning $36,000 annually or less may qualify
- Additional dependents can be calculated by adding $5,000 - 6,000 on each dependent.
Even if you are $2,000 - 3,000 above these general guidelines, it will pay to call and discuss your specific situation.
Generic medicines are not included in the manufacturer patient assistance program, only certain brand name medicines. APA has the resources to handle all of your remaining medications outside of the patient assistance program with substantial discounts.
While we can not promise that everyone who applies will be accepted, we do have a very good pre-qualification process that 95% of the time will result in you getting your medicines for free under the various manufacturers' programs.
The easiest thing to do is fill out this form and we will contact you about eligibility, or you can call and let us discuss all of your medication needs.
Call Toll Free at 1-800-711-3621
Local Call 502-588-3064
Fax 502-588-3074
Fees for New Advocacy Customers:
$25.00 - One time processing fee
$10.00 - Per prescription quarterly
Example:
A new customer with 8 prescriptions and 4 of them are covered under the Patient Advocacy Program. The new customer would pay a one-time $25 processing fee and then $40 per quarter for the 4 medications covered under patient advocacy. Every quarter, the patient will be billed $40 ($10 per medication).
The remaining 4 medications would then be quoted to the patient from our discount pharmacy program. The discount pharmacy has no fees and no shipping or handling costs, and is usually shipped same or next business day directly to your home or business address.
So what are the fees for?
- One phone call to APA handles all patient assistance questions related to over 140 manufacturers and over 2,500 medicines.
- APA pre qualifies and assists in application preparation.
- A review of all needed medications and those in the advocacy program paperwork prepared; those outside of the advocacy program are quoted from APA's discount pharmacy.
- Paperwork submitted to physician for signature.
- Paperwork submitted to manufacturers for processing.
- Should the need arise, follow up appeals for those medications denied the first time by the manufacturer.
- Follow up on all paths along the way, including your physician and the pharmaceutical manufacturers.
- Monitoring your receipt of medications and automatic notification and reordering on appropriate time frames.
- Notification in advance related to the ending date of your annual program and assistance with the reapplication process should the need exist.
- Available to answer any questions and work on your behalf for any needs required.
To help further, APA provides an online application which can be filled out and our customer service representatives will review and assist to support your requested needs.
This process is very involved and can sometimes take 6 to 8 weeks from the time you pre-qualify to the time you receive your medication.
