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Prednisone Patient Assistance Programs

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Or go to the main Patient Assistance Programs page>>

Rayos: Apply for prescription assistance below


If you are eligible, the programs below can help you afford Rayos. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.


If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.



Horizon Patient Assistance Program


(Program 1 of 6. Scroll down to see them all.)

Provided by: Horizon Pharma USA, Inc.

PO Box 42886 Cincinnati, OH 45242

TEL: 866-247-2228
ALT PHONE: 866-479-6742
FAX: 513-338-8246

Languages Spoken:
English
Program Website
 

Program Applications and Forms

  • Horizon Patient Assistance Program: Contact program

Medications

  • Rayos tablet; delayed release (prednisone)

Eligibility Requirements   

Insurance Status Must have no prescription coverage
Those with Part D Eligible? No
Income At or below 200% of FPL
Diagnosis/Medical Criteria Not specified
US Residency Required? Must reside and receive treatment in US

Application

Obtaining Call or enroll online
Receiving Faxed
Returning The completed application can be faxed back or submitted online
Doctor's Action Complete section and sign
Applicant's Action Complete section, sign, attach required documents
Decision Communicated Not specified
Decision Timeframe Not specified

Medication

Amount/Supply Up to 3 months supply
Sent To Doctor's office
Delivery Time Not specified
Refill Process Not specified
Limit One year
Re-application New application, new documentation yearly

Additional Information

Updated 5/4/2017

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If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for Rayos prices here.


Rx Outreach Medications


(Program 2 of 6. Scroll down to see them all.)

Provided by: Rx Outreach

PO Box 66536 St. Louis, MO 63166-6536

TEL: 888-796-1234
FAX: 800-875-6591

Languages Spoken:
English, Spanish
Program Website
 

Program Applications and Forms

  • Rx Outreach Application (PDF)
  • Rx Outreach Diabetic Supplies Order Form (Prodigy) (PDF)
  • Rx Outreach Medication List (PDF)
  • Rx Outreach Refills and New Prescription Form (PDF)

Medications

Eligibility Requirements   

Insurance Status May have insurance
Those with Part D Eligible? Yes
Income At or below 300% of FPL
Diagnosis/Medical Criteria Not required
US Residency Required? The patient must also be residing in the US.

Application

Obtaining Call, download or apply online
Receiving Faxed, mailed or downloaded from website
Returning Fax or E-Prescribe online
Doctor's Action Give prescription to patient
Applicant's Action Complete section and sign
Decision Communicated Medications sent if accepted. If denied patient and doctor notified
Decision Timeframe Usually same day

Medication

Amount/Supply Varies
Sent To Doctor's office or patient's home
Delivery Time Not specified
Refill Process Company contacts patient to arrange
Limit Only limited by manufacturer's guidelines
Re-application New application yearly

Additional Information

Some medications are available for a fee of $20 for up to a 180 day supply. Check the Rx Outreach website for the exact price and most current medication list. Contact Program for Spanish Application(s)/Form(s).

Updated 6/27/2017

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If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for Rayos prices here.


HealthWell Foundation Copay Program


(Program 3 of 6. Scroll down to see them all.)

Provided by: HealthWell Foundation

PO Box 220410 Chantilly, VA 20153-0410

TEL: 800-675-8416
FAX: 800-282-7692

Languages Spoken:
English, Others By Translation Service
Program Website
 

Program Applications and Forms

  • HealthWell Foundation Copay Program: Contact program

Medications

  • Rayos (prednisone)

Eligibility Requirements   

Insurance Status May have insurance
Those with Part D Eligible? Yes
Income Varies
Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
US Residency Required? The patient must also be residing in the US.

Application

Obtaining Call or complete online
Receiving Sent out or may be completed online
Returning The completed application must be mailed back.
Doctor's Action Complete section and sign
Applicant's Action Complete section, sign, attach a copy of proof of income
Decision Communicated Patient notified in writing
Decision Timeframe 3-5 business days

Medication

Amount/Supply Not applicable
Sent To Varies
Delivery Time Not specified
Refill Process Good for one year
Limit Not specified
Re-application New application every 12 months

Additional Information

This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.

Updated 5/22/2017

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If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for Rayos prices here.


HealthWell Foundation Copay Program


(Program 4 of 6. Scroll down to see them all.)

Provided by: HealthWell Foundation

PO Box 220410 Chantilly, VA 20153-0410

TEL: 800-675-8416
FAX: 800-282-7692

Languages Spoken:
English, Others By Translation Service
Program Website
 

Program Applications and Forms

  • HealthWell Foundation Copay Program: Contact program

Medications

  • Rayos (prednisone)

Eligibility Requirements   

Insurance Status May have insurance
Those with Part D Eligible? Yes
Income Varies
Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
US Residency Required? The patient must also be residing in the US.

Application

Obtaining Call or complete online
Receiving Sent out or may be completed online
Returning The completed application must be mailed back.
Doctor's Action Complete section and sign
Applicant's Action Complete section, sign, attach a copy of proof of income
Decision Communicated Patient notified in writing
Decision Timeframe 3-5 business days

Medication

Amount/Supply Not applicable
Sent To Varies
Delivery Time Not specified
Refill Process Good for one year
Limit Not specified
Re-application New application every 12 months

Additional Information

This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.

Updated 5/22/2017

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If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for Rayos prices here.


Patient Access Network Foundation (PAN)


(Program 5 of 6. Scroll down to see them all.)

Provided by: Patient Access Network Foundation

PO Box 221858 Charlotte, NC 28222-1858

TEL: 866-316-7263
FAX: 866-316-7261

Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
 

Program Applications and Forms

  • Patient Access Network Foundation (PAN) Application: Contact program

Medications

  • Rayos (prednisone)

Eligibility Requirements   

Insurance Status *See Additional Information section below
Those with Part D Eligible? Determined case by case
Income Between 400-500% of FPL
Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
US Residency Required? Must reside and receive treatment in US

Application

Obtaining Call or complete online
Receiving Complete online or by phone
Returning Complete online or by phone
Doctor's Action Will be discussed with patient and Doctor after request is received
Applicant's Action Call for information or inform doctor that he/she is in need
Decision Communicated Patient and Doctor notified in writing
Decision Timeframe Within 48 hours

Medication

Amount/Supply Not applicable
Sent To Patient sent card to be used at pharmacy
Delivery Time Once approved; shipped same day
Refill Process Patient presents voucher/card to pharmacy for each refill
Limit None
Re-application New application every 12 months

Additional Information

*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.

Updated 6/29/2017

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If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for Rayos prices here.


Patient Access Network Foundation (PAN)


(Program 6 of 6. Scroll down to see them all.)

Provided by: Patient Access Network Foundation

PO Box 221858 Charlotte, NC 28222-1858

TEL: 866-316-7263
FAX: 866-316-7261

Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
 

Program Applications and Forms

  • Patient Access Network Foundation (PAN) Application: Contact program

Medications

  • Rayos (prednisone)

Eligibility Requirements   

Insurance Status *See Additional Information section below
Those with Part D Eligible? Determined case by case
Income Between 400-500% of FPL
Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
US Residency Required? Must reside and receive treatment in US

Application

Obtaining Call or complete online
Receiving Complete online or by phone
Returning Complete online or by phone
Doctor's Action Will be discussed with patient and Doctor after request is received
Applicant's Action Call for information or inform doctor that he/she is in need
Decision Communicated Patient and Doctor notified in writing
Decision Timeframe Within 48 hours

Medication

Amount/Supply Not applicable
Sent To Patient sent card to be used at pharmacy
Delivery Time Once approved; shipped same day
Refill Process Patient presents voucher/card to pharmacy for each refill
Limit None
Re-application New application every 12 months

Additional Information

*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.

Updated 6/29/2017

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If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for Rayos prices here.


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