Co-pay Relief Program - Patient Advocate Foundation

Address

421 Butler Farm Road
Hampton, VA 23666

(866) 512-3861

www.copays.org/

Description:

Provides direct financial assistance to insured patients, including Medicare Part D beneficiaries, who financially and medically qualify to access pharmaceutical co-payment assistance. Visit website for supported disease information.

Handicap Accessible?

No

Is Shelter?

No

Date of Official Change:

September 20, 2022

Address Listings

Physical (Primary)

421 Butler Farm Road
Hampton, VA 23666

Mailing

421 Butler Farm Road
Hampton, VA 23666

Contacts

Alan J. Balch, PhD

Primary Contact

Chief Executive Officer

Phone Numbers

Main Number

(866) 512-3861

Accessibility:

Not Applicable

Description

Provides direct financial support to insured patients, including Medicare Part D beneficiaries, who financially and medically qualify to access pharmaceutical co-payment assistance. Visit website for a list of diseases with assistance funds.

Hours

Office: Monday-Friday, 8:30am - 5pm; Application available online 24 hours daily.

Required Documents

Vary by application

Eligibility

Vary by disease and funding; visit website or call for information

Fees

Call for information

Intake Procedure

Submit application online or call to have form mailed. Once the application has been successfully processed, CPR will mail a paper copy, to the patient. The paper copy must be signed by the patient, and returned along with all requested supporting documentation. This is required before the patient will be considered for eligibility for the Co-Pay Relief program.

Languages

English only

Service Area

Nationwide

Geography Served

None

Telephone Numbers

Number:
866-512-3861
Type:
Main Number
Name:
Main Number
Edit Service DetailsClick here to see this service (LH-5100) and related services within the Service Tree.

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