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Non-Hodgkin's Lymphoma

Get Help with Your Treatment

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Program Status

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

 

The PAN Foundation’s Non-Hodgkin’s Lymphoma fund is currently closed. As of December 11, 2017, Leukemia and Lymphoma Society is accepting applications.

Assistance Amount

$5,100 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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  • 8-Mop (methoxsalen)
  • Absorica (isotretinoin)
  • Acitretin (acitretin)
  • Actimmune (interferon gamma-1b,recomb.)
  • Active Injection Kit D (dexamethasone sodium phosphate/pf)
  • Adcetris (brentuximab vedotin)
  • Adriamycin (doxorubicin hcl)
  • A-Hydrocort (hydrocortisone sod succinate)
  • Aldara (imiquimod)
  • Aliqopa (copanlisib)
  • Amnesteem (isotretinoin)
  • Arzerra (ofatumumab)
  • Beleodaq (belinostat)
  • Bendeka (bendamustine hcl)
  • Bexarotene (bexarotene)
  • Bicnu (carmustine)
  • Campath (alemtuzumab)
  • Carboplatin (carboplatin)
  • Cisplatin (cisplatin)
  • Cladribine (cladribine)
  • Claravis (isotretinoin)
  • Cyclophosphamide (cyclophosphamide)
  • Cyclosporine Modified (cyclosporine, modified)
  • Cytarabine (cytarabine/pf)
  • Deltasone (prednisone)
  • Depo-Medrol (methylprednisolone acetate)
  • Dexamethasone Sodium Phosphate (dexamethasone sod phosphate)
  • Dexpak (dexamethasone)
  • Doubledex (dexamethasone sodium phosphate/pf)
  • Doxil (doxorubicin hcl pegylated liposomal)
  • Doxorubicin Hcl (doxorubicin hcl)
  • Doxorubicin Hcl Liposome (doxorubicin hcl pegylated liposomal)
  • Ellence (epirubicin hcl)
  • Eloxatin (oxaliplatin)
  • Epirubicin Hcl (epirubicin hcl)
  • Etopophos (etoposide phosphate)
  • Etoposide (etoposide)
  • Fludarabine Phosphate (fludarabine phosphate)
  • Folotyn (pralatrexate)
  • Gammagard Liquid (immune globulin,gamm(igg)/glycine/iga greater than 50 mcg/ml)
  • Gazyva (obinutuzumab)
  • Gemcitabine Hcl (gemcitabine hcl)
  • Gemzar (gemcitabine hcl)
  • Gengraf (cyclosporine, modified)
  • Gleevec (imatinib mesylate)
  • Ifex (ifosfamide)
  • Ifosfamide (ifosfamide)
  • Ifosfamide-Mesna (ifosfamide/mesna)
  • Imatinib Mesylate (imatinib mesylate)
  • Imbruvica (ibrutinib)
  • Imiquimod (imiquimod)
  • Intron A (interferon alfa-2b,recomb.)
  • Istodax (romidepsin)
  • Leucovorin Calcium (leucovorin calcium)
  • Leukeran (chlorambucil)
  • Lipodox (doxorubicin hcl pegylated liposomal)
  • Matulane (procarbazine hcl)
  • Mesna (mesna)
  • Mesnex (mesna)
  • Methotrexate Sodium (methotrexate sodium/pf)
  • Methoxsalen (methoxsalen, rapid)
  • Methylprednisolone (methylprednisolone)
  • Millipred (prednisolone)
  • Mitoxantrone Hcl (mitoxantrone hcl)
  • Myorisan (isotretinoin)
  • Navelbine (vinorelbine tartrate)
  • Neoral (cyclosporine, modified)
  • Nipent (pentostatin)
  • Oncaspar (pegaspargase)
  • Orapred Odt (prednisolone sod phosphate)
  • Oxaliplatin (oxaliplatin)
  • Oxsoralen (methoxsalen)
  • Pediapred (prednisolone sod phosphate)
  • Prednisolone (prednisolone)
  • Prednisone (prednisone)
  • Procrit (epoetin alfa)
  • Rayos (prednisone)
  • Retrovir (zidovudine)
  • Revlimid (lenalidomide)
  • Rituxan (rituximab)
  • Sandimmune (cyclosporine)
  • Solu-Cortef (hydrocortisone sodium succinate/pf)
  • Soriatane (acitretin)
  • Targretin (bexarotene)
  • Tazorac (tazarotene)
  • Temodar (temozolomide)
  • Temozolomide (temozolomide)
  • Thalomid (thalidomide)
  • Toposar (etoposide)
  • Treanda (bendamustine hcl)
  • Tretinoin (tretinoin)
  • Valchlor (mechlorethamine hcl)
  • Velcade (bortezomib)
  • Venclexta (venetoclax)
  • Veripred 20 (prednisolone sod phosphate)
  • Vincasar Pfs (vincristine sulfate)
  • Vincristine Sulfate (vincristine sulfate)
  • Vinorelbine Tartrate (vinorelbine tartrate)
  • Zelboraf (vemurafenib)
  • Zenatane (isotretinoin)
  • Zevalin (kit for prep yttrium-90/ibritumomab tiuxetan/albumin human)
  • Zidovudine (zidovudine)
  • Zolinza (vorinostat)
  • Zydelig (idelalisib)

Diagnosis Codes:

ICD-10: C82.00-C88.9, C86.6, C88.4, C91.10-C91.12

Related Organizations: