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Heart Failure

Get Help with Your Treatment

Apply Online or call 1-866-316-7263

 

Program Status

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

 

 

Assistance Amount

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

Please be advised that a minimum claim of $25 is required for PAN to process the claim. You may combine multiple prescriptions to meet the minimum claim threshold.

Eligibility Criteria

  1. The patient must be getting treatment for heart failure.
  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 500% 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
View List  
  • Accupril (quinapril hcl)
  • Accuretic (quinapril hcl/hydrochlorothiazide)
  • Acebutolol Hcl (acebutolol hcl)
  • Aceon (perindopril erbumine)
  • Aldactazide (spironolactone/hydrochlorothiazide)
  • Aldactone (spironolactone)
  • Altace (ramipril)
  • Amiloride Hcl (amiloride hcl)
  • Amiloride-Hydrochlorothiazide (amiloride hcl/hydrochlorothiazide)
  • Amiodarone Hcl (amiodarone hcl)
  • Amiodarone Hcl-D5W (amiodarone hcl/dextrose 5 % in water)
  • Atacand (candesartan cilexetil)
  • Atacand Hct (candesartan cilexetil/hydrochlorothiazide)
  • Atenolol (atenolol)
  • Atenolol-Chlorthalidone (atenolol/chlorthalidone)
  • Avalide (irbesartan/hydrochlorothiazide)
  • Avapro (irbesartan)
  • Benazepril Hcl (benazepril hcl)
  • Benicar (olmesartan medoxomil)
  • Benicar Hct (olmesartan medoxomil/hydrochlorothiazide)
  • Bidil (isosorbide dinitrate/hydralazine hcl)
  • Bisoprolol Fumarate (bisoprolol fumarate)
  • Bisoprolol-Hydrochlorothiazide (bisoprolol fumarate/hydrochlorothiazide)
  • Bumetanide (bumetanide)
  • Bystolic (nebivolol hcl)
  • Candesartan Cilexetil (candesartan cilexetil)
  • Candesartan-Hydrochlorothiazid (candesartan cilexetil/hydrochlorothiazide)
  • Captopril (captopril)
  • Carvedilol (carvedilol)
  • Chlorothiazide (chlorothiazide)
  • Chlorthalidone (chlorthalidone)
  • Cordarone (amiodarone hcl)
  • Corgard (nadolol)
  • Corlanor (ivabradine hcl)
  • Corzide (nadolol/bendroflumethiazide)
  • Cozaar (losartan potassium)
  • Demadex (torsemide)
  • Digitek (digoxin)
  • Digoxin (digoxin)
  • Dilatrate-Sr (isosorbide dinitrate)
  • Diovan (valsartan)
  • Diovan Hct (valsartan/hydrochlorothiazide)
  • Diuril (chlorothiazide)
  • Dutoprol (metoprolol succinate/hydrochlorothiazide)
  • Dyazide (triamterene/hydrochlorothiazide)
  • Dyrenium (triamterene)
  • Edarbi (azilsartan medoxomil)
  • Edarbyclor (azilsartan medoxomil/chlorthalidone)
  • Enalapril Maleate (enalapril maleate)
  • Enalaprilat (enalaprilat dihydrate)
  • Enalapril-Hydrochlorothiazide (enalapril maleate/hydrochlorothiazide)
  • Entresto (sacubitril/valsartan)
  • Epaned (enalapril maleate)
  • Eplerenone (eplerenone)
  • Eprosartan Mesylate (eprosartan mesylate)
  • Fosinopril Sodium (fosinopril sodium)
  • Furosemide (furosemide)
  • Hemangeol (propranolol hcl)
  • Hydralazine Hcl (hydralazine hcl)
  • Hydrochlorothiazide (hydrochlorothiazide)
  • Hyzaar (losartan potassium/hydrochlorothiazide)
  • Indapamide (indapamide)
  • Inderal La (propranolol hcl)
  • Innopran Xl (propranolol hcl)
  • Inspra (eplerenone)
  • Irbesartan (irbesartan)
  • Isochron (isosorbide dinitrate)
  • Isordil Titradose (isosorbide dinitrate)
  • Isosorbide Dinitrate (isosorbide dinitrate)
  • Labetalol Hcl (labetalol hcl)
  • Lanoxin (digoxin)
  • Lasix (furosemide)
  • Lisinopril (lisinopril)
  • Lopressor (metoprolol tartrate)
  • Lopressor Hct (metoprolol tartrate/hydrochlorothiazide)
  • Losartan Potassium (losartan potassium)
  • Losartan-Hydrochlorothiazide (losartan potassium/hydrochlorothiazide)
  • Lotensin (benazepril hcl)
  • Lotensin Hct (benazepril hcl/hydrochlorothiazide)
  • Mavik (trandolapril)
  • Maxzide (triamterene/hydrochlorothiazide)
  • Metolazone (metolazone)
  • Metoprolol Succinate (metoprolol succinate)
  • Metoprolol Succinate Er-Hctz (metoprolol succinate/hydrochlorothiazide)
  • Metoprolol Tartrate (metoprolol tartrate)
  • Micardis (telmisartan)
  • Micardis Hct (telmisartan/hydrochlorothiazide)
  • Microzide (hydrochlorothiazide)
  • Milrinone Lactate (milrinone lactate)
  • Moexipril Hcl (moexipril hcl)
  • Moexipril-Hydrochlorothiazide (moexipril hcl/hydrochlorothiazide)
  • Nadolol (nadolol)
  • Nadolol-Bendroflumethiazide (nadolol/bendroflumethiazide)
  • Nexterone (amiodarone in dextrose, iso-osmotic)
  • Olmesartan Medoxomil (olmesartan medoxomil)
  • Pacerone (amiodarone hcl)
  • Perindopril Erbumine (perindopril erbumine)
  • Prinivil (lisinopril)
  • Propranolol Hcl (propranolol hcl)
  • Propranolol-Hydrochlorothiazid (propranolol hcl/hydrochlorothiazide)
  • Qbrelis (lisinopril)
  • Quinapril Hcl (quinapril hcl)
  • Ramipril (ramipril)
  • Sectral (acebutolol hcl)
  • Sodium Nitroprusside (nitroprusside sodium)
  • Spironolactone (spironolactone)
  • Spironolactone-Hctz (spironolactone/hydrochlorothiazide)
  • Telmisartan (telmisartan)
  • Tenoretic 50 (atenolol/chlorthalidone)
  • Tenormin (atenolol)
  • Teveten (eprosartan mesylate)
  • Teveten Hct (eprosartan mesylate/hydrochlorothiazide)
  • Timolol Maleate (timolol maleate)
  • Toprol Xl (metoprolol succinate)
  • Torsemide (torsemide)
  • Trandate (labetalol hcl)
  • Trandolapril (trandolapril)
  • Triamterene-Hydrochlorothiazid (triamterene/hydrochlorothiazide)
  • Univasc (moexipril hcl)
  • Valsartan (valsartan)
  • Vaseretic (enalapril maleate/hydrochlorothiazide)
  • Vasotec (enalapril maleate)
  • Zaroxolyn (metolazone)
  • Zebeta (bisoprolol fumarate)
  • Zestoretic (lisinopril/hydrochlorothiazide)
  • Zestril (lisinopril)
  • Ziac (bisoprolol fumarate/hydrochlorothiazide)

Diagnosis Codes:

ICD-10: I50.1-I50.43, I50.9