PATIENT ADVOCATE FOUNDATION
CO-PAY RELIEF DIVISION
The Co-Pay Relief Program (CPR) provides direct financial assistance for specific diseases/diagnoses to financially and medically qualified patients for co-payments, co-insurance, and deductibles required by a patient’s insurer for pharmaceutical treatments and/or prescription medications prescribed to treat and/or manage their disease. CPR does not make payments for pharmaceutical treatments and/or prescription medications relative to the patient's diagnosis that are not covered at all by the patient's health insurance.
421 Butler Farm Road
Hampton, VA 23666
Eligibility: Insured individuals with prescription coverage and income below 400% of the Federal Poverty Level (FPL). Covered diseases/diagnoses:
-Various types of cancer (bladder, breast, cervical, non-small cell lung, ovarian)
-Various types of metastatic cancer (breast, colorectal, gastric, prostate)
-Chronic pain
-COVID-19
-Electrolyte imbalance
-Gaucher Disease
-Hepatitis B and C
-HIV and AIDS
-Homozygous familial hypercholesterolemia
-Inherited or acquired lipodystrophy
-Multiple myeloma
-Multiple sclerosis
-Myelodysplastic syndrome
-Osteoporosis
-Periodic paralysis
-Pulmonary Fibrosis
-Renal cell carcinoma
-Spinal Muscular Atrophy

Also serves those insured through federally administered health plans like Medicare, Tricare, and Medicaid.
Hours: Administrative hours: Monday-Thursday 5:30am-2pm, Friday 5:30am-1pm
(866) 512-3861 -
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Visit Website
Phone/FAX Numbers
  • (866) 512-3861 Co-Pay Relief Division
Email Address: [email protected]
INTAKE PROCEDURE: Call or visit website to apply. Provides assistance on a first-come, first-served basis. Medical providers and pharmacies may apply on behalf of their patients.
FEES: None
DOCUMENTS: None required at intake
LANGUAGES: English, Spanish
AREA SERVED: Nationwide
Services:
  • Health Insurance Premium Assistance
  • Prescription Expense Assistance
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PATIENT ADVOCATE FOUNDATION