Frequently Asked Questions
General Questions About the Program
Application Related Questions
- Have a diagnosis of a disease within our CPR Program
- Have a household Income at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Have active insurance coverage that includes coverage for pharmaceutical products
For more Information on the streamlined process for pharmacies and providers to verify the patient’s diagnosis and treatment plan, please select one of the following links:
Approved (N): Patient is approved for assistance and income has been verified. Income documentation is not required and eligible expenditures may be submitted immediately.
Pending-Review (Y): We are unable to verify your/the patient’s information provided on the application. Proof of income documentation must be submitted along with documentation verifying your/the patient’s Social Security Number (SSN) within 30 days in order to process your/the patient’s application. Eligible expenditures will not be processed until your/the patient’s income has been reviewed and approved.
Pending-Income Verification: Patient’s income is still pending verification. Please check back later to determine if additional documentation needs to be submitted.
Your treating physician’s office can assist you with completing an application for assistance via the provider portal available 24 hours a day. Providers
Your pharmacy that is dispensing your prescribed medications can assist you with creating an application for assistance via the pharmacy portal available 24 hours a day. Pharmacies
You, or someone you designate to assist you, can create an application for assistance via the patient portal available 24 hours a day. Patients
Applications can also be completed over the phone by calling, toll free, 866-512-3861, and option 1, to be connected directly to a CPR Approval Specialist.
Cardholder Number: Cardholder#
BIN: BIN Number
PCN: PCN Number
Group: Group #