FA Basics
When do we offer Financial Assistance?
When a copay is $50 or more.
False
Who qualifies for foundation assistance?
It depends on the foundations requirements
Who qualifies for Manufacturers assistance?
Uninsured/underinsured patients
What are the three types of FA we assist with?
Copay card, Foundation, Manufacturer's Assistance
True or false. If a patient has multiple medications supported by the same grant.
Complete Therigy activities for each medication using the full grant amount
False
How do we bill a foundation?
As secondary insurance
What are two other names we use to refer to Manufacturers Assistance?
Free Drug and PAP
What does "FPL" stand for?
Federal Poverty Level
What is the minimum amount for a grant in 2026 to ensure patient meets their OOP?
2,100
Grants are given to eligible patients based on their what?
Diagnosis, income, and household size
If a patient receives manufactures assistance, will they be able to fill that medication with another pharmacy?
No
Med D patient needs copay assistance, what are the proper steps to obtain FA?
First, check to see if there is a foundation open. If no foundation is open, you check Manufacturers Assistance.
What is is called when the patient reaches the amount of money they will pay before they reach the catastrophic phase?
Max out of pocket
What are the 6 most common Foundations we use?
Good days, PAN, PAF, CancerCare, HealthWell, LLS, and TAF
Who must ALWAYS sign the application?
Patient and provider
Who applies the patient for low income subsidy.
The patient
When do you leave other source in FA activity blank?
Never
Where is the proper place to obtain/verify ICD or Dx for a grant.
Cerner
What is myAbbvie Assists FPL for Creon
At or below 400% of FPL?
What is the required information needed on the HIPAA form to make it Valid.
Patient Name, address, date of birth, phone, signature and date.
Correct facility must match label if label on form, facility address, city, state, zip code (phone, fax if missing).
Initials are optional.