MCT2D Medication Financial Assistance Programs User Guide
- June 16, 2024
- MCT2D
Table of Contents
MCT2D Medication Financial Assistance Programs User Guide
Type 2 Diabetes Care
Medication Financial Assistance Programs
Change log
Last Updated 11/28/2023
What’s New
Bydureon BCise & Farxiga: AZ&Me no longer auto-enrolls current Medicare users from 2023 to 2024. Medicare enrollees must re-enroll to the program after passing an electronic income verification. Notes with eligibility status will be sent to both prescriber and patient in late 2023.
Byetta (exenatide XR): AZ&Me no longer supports PAP for Byetta.
Trulicity (dulaglutide): Starting 2024, Lilly Cares is no longer taking new Trulicity applicants. Only those who are currently enrolled in 2023 may re- apply.
New look and feel for 2024 guide, with expanded information for each patient assistance program. Pages are organized by drug/manufacturer program. Each program’s page includes relevant information like:
- Program website, fax, phone, mailing address, and a new QR code that directs to the paper application
- Eligibility requirements including an integrated income table from the 2023 Federal Poverty Guidelines
- A list of supplementary documents needed
- Steps to complete enrollment for both patient and their health care provider (HCP)
- Key features of the program.
Common Patient Questions
What is a Patient Assistance Program? Patient assistance programs (PAPs)
help people with no health insurance and those who are under insured
(including some with Medicare or Medicaid) afford medications.
These programs are offered by the medication or device manufacturer, or
sometimes by nonprofits or other government agencies.
PAPs may cover the full cost of medications or provide a discount. Most PAPs covered in this guide are manufacturer programs that offer free medication, sent to your doctor’s office or home, for one calendar year.
Am I eligible? Consult each program page in this guide and explore the program’s website to determine eligibility. Typically, you must:
- Be a U.S. citizen or legal resident,
- Be uninsured, under insured (even with coverage, you cannot access the needed medication), or have Medicare Part D
- Make under a certain amount of money per year
- Complete an online or paper application, with a portion filled out by your health care provider (HCP).
What is annual gross income (AGI)? The total money that an individual or household receives before taxes in one year, includes wages, retirement funds, Social Security, disability, unemployment, child support, income from investments.
ACRONYMS
HCP : Health Care Provider
MBI : Your Medicare Beneficiary Identifier (MBI) is a unique ID number
for
Medicare. Many patient assistance programs require you to list your MBI. You
can find it on the front of your Medicare card. If you don’t have your card,
create a Medicare online account to find a digital version of your card to
print.
Type 2 Diabetes Care
Medication Financial Assistance Programs
Type 2 Diabetes Care
Medication Patient Assistance Programs
BYDUREON BCISE (exenatide), FARXIGA (dapagliflozin)
[1] U.S. Federal Poverty Guidelines are revised every year, around mid-
January. Check: https://aspe.hhs.gov/topics/poverty-economic-mobility
/poverty-guidelines
[2] More info on 2024 AZ&Me income requirements and Medicare re-enrollment
https://michmed.orq/N2mgW
Type 2 Diabetes Care
Medication Financial Assistance Programs
INVOKANA ( canigliflozin)
[1] U.S. Federal Poverty Guidelines are revised every year, around mid- January. Check: https://aspe.hhs.gov/topics/poverty-economic-mobility /poverty-guidelines
Type 2 Diabetes Care
Medication Financial Assistance Programs
JARDIANCE ( empagliflozin)
[1] Bl Cares Eligibility Requirements PDF – last accessed 10/25/2023
https://michmed.orq/2VrM2
[2] U.S. Federal Poverty Guidelines are revised every year, around mid-
January. Check: https://aspe.hhs.gov/topics/poverty-economic-mobility
/poverty-guidelines
Type 2 Diabetes Care
Medication Financial Assistance Programs
OZEMPIC, RYBELSUS (semaglutide), VICTOZA (liraglutide)
[1] U.S. Federal Poverty Guidelines are revised every year, around mid- January. Check: https://aspe.hhs.gov/topics/poverty-economic-mobility /poverty-guidelines
Type 2 Diabetes Care
Medication Financial Assistance Programs
TRULICITV (dulaglutide)
[1] More info on Lilly Cares eligibility https://www.lillycares.com/how-to- apply
[2] U.S. Federal Poverty Guidelines are revised every year, around mid- January. Check: https://aspe.hhs.gov/topics/poverty-economic-mobility /poverty-guidelines