• The patient must have appliced to Medicaid/Medical and been denied, the patient must have the letter of denial. Have annual income at or below 200% of the Federal Poverty Level. For example $20,800 for a singel person and $42,400 for a family of four.
• They will authorize a 90 day supply if they know that a denial letter is pending and know the the patient is going to be denied.

• Income guidelines are not disclosed.
• If a patient enrolls in Medicare Part D, then they are no longer eligible for this program. If the patient chooses not to enroll in Part D then they are eligible to be on this program.
• The decision to qualify the patient is usually made within 48 hours. The medication is sent the next day.

• The patient must be underinsured or uninsured and have a gross income at or below $75,000. Anyone who is in need should apply.
• A decision to qualify the patient is made within 2-3 business days.

leukotriene receptor antagonist (LTRA)

• Financial criteria is at or below $30,000. for a single person, $40,000. for a couple, $50,000 for a family of three,$60,000. for a family of
• The patient must also be a US resident or have a valid visa or is a green card holder.
• Patients who are eligible for Medicare Part D but have not enrolled may still be eligible for the program.
• Astra Zeneca has a program for those with Medicare Part D. The patient must have an income less than or equal to $30,000. for a single person (less than $40,000. for a couple)
• There is no application for those on Medicare Part D.
• The patient with Medicare Part D is sent an enrollment kit and a program card that they can use at their local pharmacy to receive their Astra Zeneca medications for no more than $25.00 for a typical 30-day prescription.

• Financial criteria at or below 200% of the Federal Poverty Level.  $20,800 annual income for a single person - $42,600 annual income for a family of 4.
• If a patient has insurance and a prescription for a medication on this program and can't afford the co-pay or is in extreme harshipp she/he could get assistance.  
• Individuals who qualify for Medicare, but do not sign up for part D may still be eligible for this program.
• There is also a program called Pfizer Pfriends:
• The patient must have no prescription coverage. There are no income limits.
• If patients with Medicare choose not to enroll in Part D, then she/he is still eligible to participate in this program.
• This is a savings program. There are two levels of savings. Patients with income less than 300% of the Federal Poverty Level. $31,200 for a single person- $$63,600. for a family of 4 will save an average of 32% off the retail price of their medicines. Patients with incomes above 300% of the Federal Poverty Level save an average of 15% off the retail price.

• Financial criteria at or below 200% of the Federal Poverty Level.  $20,800 annual income for a single person - $42,600 annual income for a family of 4.
• If a patient has insurance and a prescription for a medication on this program and can't afford the co-pay or is in extreme harshipp she/he could get assistance.  
• Individuals who qualify for Medicare, but do not sign up for part D may still be eligible for this program.
• There is also a program called Pfizer Pfriends:
• The patient must have no prescription coverage. There are no income limits.
• If patients with Medicare choose not to enroll in Part D, then she/he is still eligible to participate in this program.
• This is a savings program. There are two levels of savings. Patients with income less than 300% of the Federal Poverty Level. $31,200 for a single person- $$63,600. for a family of 4 will save an average of 32% off the retail price of their medicines. Patients with incomes above 300% of the Federal Poverty Level save an average of 15% off the retail price.

ACE inhibitor

• Company has income guidelines which are not disclosed
• Patient must also be a US resident.
• The estimated timeline is within 7-10 business days. After acceptance the medication is shipped within 2 business days.

Proton pump inhibiter for gastric and duodenal ulcers

• Company has income guidelines they do not disclosed.
• The patient must be a outpatient. Medicare patient are not eligible to receive assistance through this program. However you should apply regardless as they may make exceptions based on financial or medical need.

• This program is based upon having no insurance and be financially unable to afford the medication. The patient is given asistance from 25%-100%. A negative decision can be appealed.

• Patient must have income guideline at or below 200% of the Federal Poverty program. Income at or below $20,800 for a single person, $42,400 for a family of four.
• If the patient is eligible for Medicare Part D but did not enroll and has an income between 150% and 200% and a denial letter from the Low Subsity Program they may apply to this program.
• The aceptance or denial usually is made within 2 weeks. The medication is shipped out within 5-7 business days.