![]() Note: All new enrollment is now done electronically or over the phone. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.Ĭall 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. VENTOLIN HFA is a prescription inhaled medicine used in people aged 4 years and older to: treat or prevent bronchospasm in people who have reversible obstructive airway disease. ![]() It can also prevent exercise-induced bronchospasm in adults and children four years and older. Patient presents voucher/card to pharmacy for each refill Albuterol HFA is a rescue inhaler used to prevent or treat bronchospasm in adults and children four years and older with asthma (also known as reversible obstructive airway disease). Patient is sent savings card to be used at pharmacy *See Additional Information section belowĬall for information or inform doctor that he/she is in need Ventolin hfa inhaler treats sudden and sudden wheezing and shortness of breath by relaxing the muscles of the airways. Ventolin HFA aerosol inhalation (albuterol sulfate). ![]() Patient Access Network Foundation (PAN) Application: Contact program Provided by: Patient Access Network FoundationĮnglish, Spanish, Others By Translation Service Patient Access Network Foundation (PAN) This is a copay assistance program The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease.Ĭall for most recent medications as the list is subject to change. 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. This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Ventolin HFA aerosol inhalation (albuterol sulfate)įDA Approved Diagnosis - See Program Website for DetailsĬomplete section, sign, attach required documents.HealthWell Foundation Copay Program Enrollment: Contact program HealthWell Foundation Copay Program This is a copay assistance program
0 Comments
Leave a Reply. |