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Rheumatoid Arthritis

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Program Status

Program Fully Allocated

Fully Allocated – We are no longer accepting or processing applications for new or renewal patients.

 

 

 

 

Assistance Amount

$3,800 per year. Patients may apply for a second grant during their eligibility period subject to availability of funding.

Eligibility Criteria

  1. The patient must be getting treatment for the disease named in the assistance program to which he or she is applying.
  2. The patient must have Medicare health insurance that covers his or her qualifying medication or product. 
  3. The patient’s medication or product must be listed on PAN’s list of covered medications.
  4. The patient’s income must fall at or below 400% of the Federal Poverty Level.
  5. The patient must reside and receive treatment in the United States or U.S. territories. (U.S. citizenship is not a requirement.)
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See the list of medications covered in this program
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  • A-Hydrocort (hydrocortisone sod succinate)
  • Actemra (tocilizumab)
  • Active Injection Kit D (dexamethasone sodium phosphate/pf)
  • Aleve (naproxen sodium)
  • All Day Pain Relief (naproxen sodium)
  • All Day Relief (naproxen sodium)
  • Anaprox (naproxen sodium)
  • Anaprox Ds (naproxen sodium)
  • Arava (leflunomide)
  • Arthrotec 50 (diclofenac sodium/misoprostol)
  • Arthrotec 75 (diclofenac sodium/misoprostol)
  • Azasan (azathioprine)
  • Azathioprine (azathioprine)
  • Azulfidine (sulfasalazine)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate/betamethasone sodium phosphate)
  • Cambia (diclofenac potassium)
  • Cataflam (diclofenac potassium)
  • Celebrex (celecoxib)
  • Celecoxib (celecoxib)
  • Celestone (betamethasone acetate/betamethasone sodium phosphate)
  • Cimzia (certolizumab pegol)
  • Cortef (hydrocortisone)
  • Cortisone Acetate (cortisone acetate)
  • Cuprimine (penicillamine)
  • Cyclosporine (cyclosporine)
  • Cyclosporine (cyclosporine, modified)
  • Cyclosporine Modified (cyclosporine, modified)
  • Daypro (oxaprozin)
  • Deltasone (prednisone)
  • Depen (penicillamine)
  • Dexamethasone (dexamethasone)
  • Dexamethasone Intensol (dexamethasone)
  • Dexamethasone Sodium Phosphate (dexamethasone sod phosphate)
  • Dexamethasone Sodium Phosphate (dexamethasone sodium phosphate/pf)
  • Dexpak (dexamethasone)
  • Diclofenac Potassium (diclofenac potassium)
  • Diclofenac Sodium (diclofenac sodium)
  • Diclofenac Sodium-Misoprostol (diclofenac sodium/misoprostol)
  • Diclofenac Sodium Er (diclofenac sodium)
  • Diflunisal (diflunisal)
  • Doubledex (dexamethasone sodium phosphate/pf)
  • Duexis (ibuprofen/famotidine)
  • Ec-Naprosyn (naproxen)
  • Enbrel (etanercept)
  • Etodolac (etodolac)
  • Etodolac Er (etodolac)
  • Feldene (piroxicam)
  • Fenoprofen Calcium (fenoprofen calcium)
  • Fenortho (fenoprofen calcium)
  • Flanax (naproxen sodium)
  • Flector (diclofenac epolamine)
  • Flurbiprofen (flurbiprofen)
  • Gengraf (cyclosporine, modified)
  • Humira (adalimumab)
  • Humira Pediatric Crohn'S (adalimumab)
  • Humira Pen (adalimumab)
  • Humira Pen Crohn-Uc-Hs Starter (adalimumab)
  • Humira Pen Psoriasis-Uveitis (adalimumab)
  • Hydrocortisone (hydrocortisone)
  • Hydroxychloroquine Sulfate (hydroxychloroquine sulfate)
  • Ibuprofen (ibuprofen)
  • Imuran (azathioprine)
  • Indocin (indomethacin)
  • Indomethacin (indomethacin)
  • Inflectra (infliximab-dyyb)
  • Ketoprofen (ketoprofen)
  • Kevzara (sarilumab)
  • Kineret (anakinra)
  • Klofensaid Ii (diclofenac sodium)
  • Leflunomide (leflunomide)
  • Lodine (etodolac)
  • Meclofenamate Sodium (meclofenamate sodium)
  • Mediproxen (naproxen sodium)
  • Meloxicam (meloxicam)
  • Methotrexate (methotrexate sodium)
  • Midol (naproxen sodium)
  • Mobic (meloxicam)
  • Nabumetone (nabumetone)
  • Nalfon (fenoprofen calcium)
  • Naprelan (naproxen sodium)
  • Naprosyn (naproxen)
  • Naproxen (naproxen)
  • Naproxen Sodium (naproxen sodium)
  • Naproxen Sodium Cr (naproxen sodium)
  • Naproxen Sodium Ds (naproxen sodium)
  • Naproxen Sodium Er (naproxen sodium)
  • Neoral (cyclosporine, modified)
  • Orencia (abatacept)
  • Orencia (abatacept/maltose)
  • Orencia Clickject (abatacept)
  • Otrexup (methotrexate/pf)
  • Oxaprozin (oxaprozin)
  • Pennsaid (diclofenac sodium)
  • Piroxicam (piroxicam)
  • Plaquenil (hydroxychloroquine sulfate)
  • Prednisone (prednisone)
  • Prednisone Intensol (prednisone)
  • Rasuvo (methotrexate/pf)
  • Rayos (prednisone)
  • Remicade (infliximab)
  • Ridaura (auranofin)
  • Rituxan (rituximab)
  • Sandimmune (cyclosporine)
  • Simponi (golimumab)
  • Simponi Aria (golimumab)
  • Solu-Cortef (hydrocortisone sod succinate)
  • Solu-Cortef (hydrocortisone sodium succinate/pf)
  • Sulfasalazine (sulfasalazine)
  • Sulfasalazine Dr (sulfasalazine)
  • Sulindac (sulindac)
  • Tivorbex (indomethacin, submicronized)
  • Tolmetin Sodium (tolmetin sodium)
  • Vimovo (naproxen/esomeprazole magnesium)
  • Voltaren (diclofenac sodium)
  • Voltaren-Xr (diclofenac sodium)
  • Wal-Proxen (naproxen sodium)
  • Xatmep (methotrexate)
  • Xeljanz (tofacitinib citrate)
  • Xeljanz Xr (tofacitinib citrate)
  • Zipsor (diclofenac potassium)
  • Zorvolex (diclofenac submicronized)

Diagnosis Codes:

ICD-10: M05.00-M05.9, M06.00-M06.9