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Chemotherapy-Induced Nausea and Vomiting

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Program Status

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Currently Closed - We are no longer accepting or processing applications for new or renewal patients.

 

 

Assistance Amount

$1,000 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 chemotherapy-induced nausea and vomiting.
  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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  • Active Injection Kit D (dexamethasone sodium phosphate/pf)
  • Akynzeo (netupitant/palonosetron hcl)
  • Aloxi (palonosetron hcl)
  • Alprazolam Intensol (alprazolam)
  • Anzemet (dolasetron mesylate)
  • Aprepitant (aprepitant)
  • Ativan (lorazepam)
  • Benztropine Mesylate (benztropine mesylate)
  • Cesamet (nabilone)
  • Cinvanti (aprepitant)
  • Cogentin (benztropine mesylate)
  • Compazine (prochlorperazine maleate)
  • Compro (prochlorperazine)
  • Dexamethasone Intensol (dexamethasone)
  • Dexpak (dexamethasone)
  • Diphenhist (diphenhydramine hcl)
  • Diphenhydramine Hcl (diphenhydramine hcl)
  • Doubledex (dexamethasone sodium phosphate/pf)
  • Dronabinol (dronabinol)
  • Emend (aprepitant)
  • Emend (fosaprepitant dimeglumine)
  • Granisetron Hcl (granisetron hcl)
  • Granisol (granisetron hcl)
  • Haldol (haloperidol lactate)
  • Haloperidol Lactate (haloperidol lactate)
  • Lorazepam Intensol (lorazepam)
  • Marinol (dronabinol)
  • Metoclopramide Hcl (metoclopramide hcl)
  • Metozolv Odt (metoclopramide hcl)
  • Niravam (alprazolam)
  • Olanzapine (olanzapine)
  • Ondansetron Hcl (ondansetron hcl)
  • Palonosetron Hcl (palonosetron hcl)
  • Phenadoz (promethazine hcl)
  • Phenergan (promethazine hcl)
  • Prochlorperazine Maleate (prochlorperazine maleate)
  • Promethazine Hcl (promethazine hcl)
  • Promethegan (promethazine hcl)
  • Reglan (metoclopramide hcl)
  • Sancuso (granisetron)
  • Scopolamine (scopolamine)
  • Sustol (granisetron)
  • Varubi (rolapitant hcl)
  • Xanax (alprazolam)
  • Zuplenz (ondansetron)

Diagnosis Codes:

ICD-10: R11.0, R11.10, R11.11, R11.12, R11.2

Related Organizations: