Patient Assistance Programs

Do you recommend PAP's like NeedyMeds or PPARx?

In what situations?

Some of those plans charge a fee to get you connected. Doctors can help people find the true PAP's that are direct with the drug companies. Those programs are based on income and are good for those that have no RX coverage or their plan doesn't cover one of their expensive meds or it a high tier drug.
 
Honestly the Needy meds is new to me and the other I have not yet looked at

I have already passed on Needy meds site to several prospect/Clients

1 because he has not had drug cov 7 years and faces a penalty

1 because humana cancelled her due to late payments (long story but cancel letter came dec 8th and medicare wont help her much)

1 because clients wife was hitting doughnut hole very quickly

I don't know exactly how helpful it has been,
But I do know in at least 1 case it has been somewhat helpful

I do this in addition to mentioning that some pharmacies have programs that help with generic drugs

But in each of these cases the person took at least 1 expensive drug and did not have another option to help and did not qualify for state assistance
 
I have directed people to those programs in the past, and they do work/help. I think it's easier for a person to look into if they have Internet access, which several seniors don't have, so I used to refer them to a lady in Texas who has made a career out of doing the the applications for people and charging them a small fee.

A scenario where I might recommend it might be when a person makes too much money to qualify for "extra help" but still has meds that cost a lot. Since the PAP is not run through the government, sometimes the parameters for qualification are a bit more liberal.
 
I am a huge fan of the Needymeds site for the fact it has more than just medical assistance programs.

They have disease specific resources, free Rx cards (yes, I know they do not work for Part D, but a nice piece for the client to pass to friends / family), low cost / free clinic listings, etc.
 
What I want to know is when I customer does not qualify by income for extra help

And the problem with needy meds a lot of meds require you to not have part D


What do you do for those that have a higher then low income . Have a part D

but need something like Cialis not covered by part D or some one who hits the doughnut hole with expensive diabetic drugs

It has been suggested to send them for online Canada drugs

But which sites are reputable?
 
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