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Non-Hodgkin's Lymphoma

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

$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 non-Hodgkin's lymphoma.
  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 di-hcl)
  • Amnesteem (isotretinoin)
  • Arzerra (ofatumumab)
  • Beleodaq (belinostat)
  • Bendeka (bendamustine hcl)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate and sodium phos in sterile water/pf)
  • Betamethasone Acetate-Sod Phos (betamethasone acetate/betamethasone sodium phosphate)
  • Bexarotene (bexarotene)
  • Bicnu (carmustine)
  • Calquence (acalabrutinib)
  • Campath (alemtuzumab)
  • Carboplatin (carboplatin)
  • Cisplatin (cisplatin)
  • Cladribine (cladribine)
  • Claravis (isotretinoin)
  • Cyclophosphamide (cyclophosphamide)
  • Cyclosporine Modified (cyclosporine, modified)
  • Cytarabine (cytarabine/pf)
  • Deltasone (prednisone)
  • Dexamethasone Intensol (dexamethasone)
  • Dexpak (dexamethasone)
  • Doubledex (dexamethasone sodium phosphate/pf)
  • Doxil (doxorubicin hcl pegylated liposomal)
  • 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)
  • 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)
  • Keytruda (pembrolizumab)
  • Kymriah (tisagenlecleucel)
  • Leucovorin Calcium (leucovorin calcium)
  • Leukeran (chlorambucil)
  • Lipodox (doxorubicin hcl pegylated liposomal)
  • Matulane (procarbazine hcl)
  • Mesna (mesna)
  • Mesnex (mesna)
  • Methotrexate (methotrexate sodium)
  • 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)
  • Retacrit (epoetin alfa-epbx)
  • Retrovir (zidovudine)
  • Revlimid (lenalidomide)
  • Rituxan (rituximab)
  • Sandimmune (cyclosporine)
  • Solu-Cortef (hydrocortisone sodium succinate/pf)
  • Solu-Medrol (methylprednisolone sodium succinate/pf)
  • Soriatane (acitretin)
  • Targretin (bexarotene)
  • Tazorac (tazarotene)
  • Temodar (temozolomide)
  • Temozolomide (temozolomide)
  • Thalomid (thalidomide)
  • Toposar (etoposide)
  • Treanda (bendamustine hcl)
  • Tretinoin (tretinoin)
  • Triamcinolone Acetonide (triamcinolone acetonide)
  • Triamcinolone Diacetate (triamcinolone diacetate in 0.9 % sodium chloride)
  • Valchlor (mechlorethamine hcl)
  • Velcade (bortezomib)
  • Venclexta (venetoclax)
  • Veripred 20 (prednisolone sod phosphate)
  • Vincasar Pfs (vincristine sulfate)
  • Vincristine Sulfate (vincristine sulfate)
  • Vinorelbine Tartrate (vinorelbine tartrate)
  • Yescarta (axicabtagene ciloleucel)
  • 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-C86.6, C88.4, C91.10-C91.12

Related Organizations: