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Prednisone Patient Assistance Programs

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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

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.

Prednisone Patient Assistance Programs

Rayos: Apply for prescription assistance below

Horizon Patient Assistance Program

Provided by: Horizon Pharma USA, Inc.

Program Applications and Forms

Horizon Patient Assistance Program: Contact program

Medications

Eligibility Requirements

Application

Medication

Additional Information

Rx Outreach Medications

Provided by: Rx Outreach

Program Applications and Forms

Medications

Eligibility Requirements

Application

Medication

Additional Information

HealthWell Foundation Copay Program

Provided by: HealthWell Foundation

Program Applications and Forms

HealthWell Foundation Copay Program: Contact program

Medications

Eligibility Requirements

Application

Medication

Additional Information

HealthWell Foundation Copay Program

Provided by: HealthWell Foundation

Program Applications and Forms

HealthWell Foundation Copay Program: Contact program

Medications

Eligibility Requirements

Application

Medication

Additional Information

Patient Access Network Foundation (PAN)

Provided by: Patient Access Network Foundation

Program Applications and Forms

Patient Access Network Foundation (PAN) Application: Contact program

Medications

Eligibility Requirements

Application

Medication

Additional Information

Patient Access Network Foundation (PAN)

Provided by: Patient Access Network Foundation

Program Applications and Forms

Patient Access Network Foundation (PAN) Application: Contact program

Medications

Eligibility Requirements

Application

Medication

Additional Information