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:

November 4, 2020

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-Thursday, 8:30am - 5pm, EST, Friday, 8:30am - 4pm EST; 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

    If a location is greyed out it means that only certain areas within it are covered. The areas with complete coverage are listed in black.

  • Alabama
    • Alaska
      • Arizona
        • Arkansas
          • California
            • Colorado
              • Connecticut
                • Delaware
                  • District of Columbia
                    • Florida
                      • Georgia
                        • Hawaii
                          • Idaho
                            • Illinois
                              • Indiana
                                • Iowa
                                  • Kansas
                                    • Kentucky
                                      • Louisiana
                                        • Maine
                                          • Maryland
                                            • Massachusetts
                                              • Michigan
                                                • Minnesota
                                                  • Mississippi
                                                    • Missouri
                                                      • Montana
                                                        • Nebraska
                                                          • Nevada
                                                            • New Hampshire
                                                              • New Jersey
                                                                • New Mexico
                                                                  • New York
                                                                    • North Carolina
                                                                      • North Dakota
                                                                        • Ohio
                                                                          • Oklahoma
                                                                            • Oregon
                                                                              • Pennsylvania
                                                                                • Rhode Island
                                                                                  • South Carolina
                                                                                    • South Dakota
                                                                                      • Tennessee
                                                                                        • Texas
                                                                                          • Utah
                                                                                            • Vermont
                                                                                              • Virginia
                                                                                                • Washington
                                                                                                  • West Virginia
                                                                                                    • Wisconsin
                                                                                                      • Wyoming

                                                                                                        Telephone Numbers

                                                                                                        Number:
                                                                                                        866-512-3861
                                                                                                        Type:
                                                                                                        Main Number
                                                                                                        Name:
                                                                                                        Main Number
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