Prescription Drug Patient Assistance Programs

Prescription Drug Patient Assistance Programs

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Pharmaceutical companies or pharmacies that make brand name or generic prescription drugs available to patients who are uninsured or underinsured or, for other reasons, cannot afford to pay the market price. Also included are organizations that help qualifying patients complete and file paperwork for submission to drug manufacturers to request such medication or which maintain lists of these types of programs for referral purposes. (AIRS LH-6700.6300)

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Disclaimer
Note: Service listings do not represent a recommendation or endorsement by the Medical Home Portal staff or its sponsoring organizations; nor do they reflect any assessment of the quality or value of a listed Service.

170 North 1100 East
American Fork, UT 84003
Phone: 801-855-3300
Organization Name: Intermountain Healthcare - Utah County
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Address:
170 North 1100 East
American Fork, UT 84003
Phone: 801-855-3300
Fax: 801-855-3548
Email: natalie.nelson2@imail.org
Languages Spoken: Has interpreting service, if needed, Varies depending on availability of employees, Spanish
Source: United Way 2-1-1
Last Updated: 5/17/2021
347 South 400 East
Salt Lake City, UT 84111
Phone: 801-364-7765
Address:
347 South 400 East
Salt Lake City, UT 84111
Phone: 801-364-7765
Toll Free Phone: 888-747-8482
Fax: 801-364-7228
Wheelchair Access: Entry and Bathroom(s)
Languages Spoken: Spanish
Source: United Way 2-1-1
Last Updated: 10/19/2022
409 West 400 South
Salt Lake City, UT 84101
Phone: 801-364-0058
Address:
409 West 400 South
Salt Lake City, UT 84101
Phone: 801-364-0058
Fax: 801-364-4602
Email: info@fourthstreetclinic.org
Wheelchair Access: Complete
Languages Spoken: Spanish onsite; other translation services available by phone.
Source: United Way 2-1-1
Last Updated: 5/24/2021
Statewide Provider
288 North 1460 West
PO Box 142104
Salt Lake City, UT 84114
Phone: 801-538-6191
Organization Name: Utah Department of Health - Bureau of Epidemiology
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Address:
288 North 1460 West
PO Box 142104
Salt Lake City, UT 84114
Phone: 801-538-6191
Toll Free Phone: 888-EPI-UTAH
Fax: 801-538-9913
Email: epi@utah.gov
Source: Medical Home Portal
Last Updated: 4/29/2022
2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
Organization Name: Midtown Community Health Centers
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Address:
2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
Fax: 801-394-4609
Email: mail@midtownchc.org
Wheelchair Access: Complete
Languages Spoken: Services in English, Spanish and all other languages, Other languages upon request, Services in English & Spanish, and translator service available to accommodate all other languages.
Source: United Way 2-1-1
Last Updated: 3/24/2022
222 West 900 North
Cedar City, UT 84720
Phone: 435-586-4962
Address:
222 West 900 North
Cedar City, UT 84720
Phone: 435-586-4962
Fax: 435-865-1662
Email: info@careandshare-ut.org
Source: United Way 2-1-1
Last Updated: 3/30/2022
2775 Wall Avenue
Ogden, UT 84401
Phone: 801-528-2396
Organization Name: Ogden Rescue Mission
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Address:
2775 Wall Avenue
Ogden, UT 84401
Phone: 801-528-2396
Fax: 801-394-4161
Email: info@seagerclinic.org
Wheelchair Access: Complete
Source: United Way 2-1-1
Last Updated: 10/19/2022
2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
Address:
2240 Adams Avenue
Ogden, UT 84401
Phone: 801-393-5355
Fax: 801-394-4609
Wheelchair Access: Complete
Source: Medical Home Portal
Last Updated: 6/24/2021
22 South State Street Ste 1007
Davis County Health Department Building
Clearfield, UT 84015
Phone: 801-334-0030
Organization Name: Midtown Community Health Centers
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Address:
22 South State Street Ste 1007
Davis County Health Department Building
Clearfield, UT 84015
Phone: 801-334-0030
Fax: 801-394-4609
Email: mail@midtownchc.org
Languages Spoken: Spanish and all other languages
Source: United Way 2-1-1
Last Updated: 3/24/2022
200 North 750 West
Provo, UT 84601
Phone: 801-357-5757
Organization Name: Intermountain Healthcare - Utah County
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Address:
200 North 750 West
Provo, UT 84601
Phone: 801-357-5757
Fax: 801-357-5759
Source: United Way 2-1-1
Last Updated: 4/12/2022
197 East Tabernacle Street
St. George, UT 84770
Phone: 435-634-5700
Organization Name: Washington County Government
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Address:
197 East Tabernacle Street
St. George, UT 84770
Phone: 435-634-5700
Fax: 435-634-5763
Email: help@washco.utah.gov
Source: United Way 2-1-1
Last Updated: 2/25/2022
Statewide Provider
288 North 1460 West
PO Box 142107
Salt Lake City, UT 84114-2107
Phone: 801-538-6894
Organization Name: Utah Department of Health
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Address:
288 North 1460 West
PO Box 142107
Salt Lake City, UT 84114-2107
Phone: 801-538-6894
Fax: 801-538-9495
Email: asthma@utah.gov
Wheelchair Access: Complete
Languages Spoken: Spanish
Source: Medical Home Portal
Last Updated: 1/19/2022
380 North 500 West
Moab, UT 84532
Phone: 435-259-1113
Organization Name: Grand County Government
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Address:
380 North 500 West
Moab, UT 84532
Phone: 435-259-1113
Email: info@moabfreehelathclinic.org
Wheelchair Access: Accessible
Languages Spoken: Spanish, Other languages upon request
Source: United Way 2-1-1
Last Updated: 1/13/2022
2253 South State Street
South Salt Lake, UT 84115
Phone: 801-486-0911
Organization Name: Midtown Community Health Centers
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Address:
2253 South State Street
South Salt Lake, UT 84115
Phone: 801-486-0911
Languages Spoken: Spanish, and translator service available to accommodate all other languages
Source: United Way 2-1-1
Last Updated: 3/24/2022
1034 North 500 West
Provo, UT 84604
Phone: 801-357-7850
Organization Name: Intermountain Healthcare - Utah County
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Address:
1034 North 500 West
Provo, UT 84604
Phone: 801-357-7850
Fax: 801-357-7780
Email: kyle.hansen@imail.org
Source: United Way 2-1-1
Last Updated: 3/29/2022
781 25th Street
James Madison Elementary School
Ogden, UT 84401
Phone: 801-393-5355
Organization Name: Midtown Community Health Centers
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Address:
781 25th Street
James Madison Elementary School
Ogden, UT 84401
Phone: 801-393-5355
Fax: 801-392-5959
Wheelchair Access: Complete
Languages Spoken: Spanish and all other languages
Source: United Way 2-1-1
Last Updated: 3/24/2022
5285 South 400 East, Suite A
Washington Terrace, UT 84405
Phone: 801-334-0048
Organization Name: Midtown Community Health Centers
(Show others in Organization)
Address:
5285 South 400 East, Suite A
Washington Terrace, UT 84405
Phone: 801-334-0048
Fax: 801-475-0703
Wheelchair Access: Complete
Languages Spoken: Spanish and all other languages
Source: United Way 2-1-1
Last Updated: 3/24/2022
269 West 33 Street
Weber Human Services
Ogden, UT 84401
Phone: 801-393-2742
Organization Name: Midtown Community Health Center
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Address:
269 West 33 Street
Weber Human Services
Ogden, UT 84401
Phone: 801-393-2742
Fax: 801-393-2742
Source: United Way 2-1-1
Last Updated: 6/10/2022
550 East 1400 North Ste Y
Logan, UT 84321
Phone: 435-752-7060
Organization Name: Midtown Community Health Centers
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Address:
550 East 1400 North Ste Y
Logan, UT 84321
Phone: 435-752-7060
Fax: 435-752-1672
Email: mail@midtownchc.org
Languages Spoken: Services in English, Spanish and all other languages
Source: United Way 2-1-1
Last Updated: 3/24/2022
Statewide Provider
Salt Lake City, UT
Address:
Salt Lake City, UT
Source: Medical Home Portal
Last Updated: 5/9/2022
352 South Denver Street Ste 101
Salt Lake City, UT 84111
Phone: 801-364-0366
Address:
352 South Denver Street Ste 101
Salt Lake City, UT 84111
Phone: 801-364-0366
Toll Free Phone: 800-657-6398
Email: info@utahlupus.org
Source: Medical Home Portal
Last Updated: 3/1/2022
Statewide Provider
UT
Phone: 801-366-7551
Organization Name: PEHP Health & Benefits
(Show others in Organization)
Address:
UT
Phone: 801-366-7551
Source: United Way 2-1-1
Last Updated: 2/25/2022
PO Box 199
Lehi, UT 84043
Phone: 801-341-8024
Address:
PO Box 199
Lehi, UT 84043
Phone: 801-341-8024
Email: info@epilepsyut.org
Source: United Way 2-1-1
Last Updated: 4/22/2022
Nationwide Provider
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
A Nationwide provider
Organization Name: Prescription Benefits, Inc.
(Show others in Organization)
Address:
PO Box 382377
Birmingham, AL 35238
Phone: 800-334-8134
Fax: 205-980-2354
Email: generalinfo@rxbenefits.com
Source: MHP-Nationwide
Last Updated: 4/8/2020
Nationwide Provider
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
A Nationwide provider
Organization Name: National Alliance on Mental Illness
(Show others in Organization)
Address:
3803 N Fairfax Dr., Ste. 100
Arlington, VA 22203
Source: MHP-Nationwide
Last Updated: 8/19/2021
GSKForYou View on Map
Nationwide Provider
PO Box 29038
Phoenix, AZ 85038-9038
A Nationwide provider
Address:
PO Box 29038
Phoenix, AZ 85038-9038
Toll Free Phone: 866-728-4368
Source: MHP-Nationwide
Last Updated: 10/9/2022
GoodRx.com View on Map
Nationwide Provider
2701 Olympic Blvd.
Santa Monica, CA 90404
A Nationwide provider
Address:
2701 Olympic Blvd.
Santa Monica, CA 90404
Toll Free Phone: 855-268-2822
Email: info@goodrx.com
Source: MHP-Nationwide
Last Updated: 8/15/2022
Nationwide Provider
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
A Nationwide provider
Organization Name: National Organization for Rare Disorders
(Show others in Organization)
Address:
55 Kenosia Avenue
PO Box 1968
Danbury, CT 06810
Phone: 203-744-0100
Toll Free Phone: 800-999-6673
Fax: 203-263-9938
Source: MHP-Nationwide
Last Updated: 6/17/2021
RxAssist.org View on Map
Nationwide Provider
1500 Rosecrans Ave. #500
Manhattan Beach, CA 90266
A Nationwide provider
Address:
1500 Rosecrans Ave. #500
Manhattan Beach, CA 90266
Email: info@rxassist.org
Source: MHP-Nationwide
Last Updated: 8/15/2022
Nationwide Provider
7500 Security Boulevard
Baltimore, MD 21244
A Nationwide provider
Organization Name: U.S. Centers for Medicare and Medicaid Service
(Show others in Organization)
Address:
7500 Security Boulevard
Baltimore, MD 21244
Source: MHP-Nationwide
Last Updated: 4/22/2022
Nationwide Provider
99 High Street, Suite 2800
Boston, MA 02129
Phone: 866-810-3784
A Nationwide provider
Organization Name: SingleCare
(Show others in Organization)
Address:
99 High Street, Suite 2800
Boston, MA 02129
Phone: 866-810-3784
Toll Free Phone: 800-222-2818
Email: info@familywize.org
Source: Nationwide Suggest Providers Queue
Last Updated: 2/23/2022
Good Days View on Map
Nationwide Provider
2611 Internet Boulevard Ste 105
Frisco, TX 75034
Phone: 972-608-7141
A Nationwide provider
Address:
2611 Internet Boulevard Ste 105
Frisco, TX 75034
Phone: 972-608-7141
Toll Free Phone: 877-968-7233
Fax: 214-570-3621
Email: info@mygooddays.org
Source: Nationwide Suggest Providers Queue
Last Updated: 4/22/2022
Nationwide Provider
20440 Century Blvd, Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
A Nationwide provider
Address:
20440 Century Blvd, Ste 250
Headquarters
Germantown, MD 20874
Phone: 800-675-8416
Fax: 800-282-7692
Email: support@healthwellfoundation.org
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
NeedyMeds View on Map
Nationwide Provider
50 Whittemore Street
Gloucester, MA 01930
Phone: 800-503-6897
A Nationwide provider
Address:
50 Whittemore Street
Gloucester, MA 01930
Phone: 800-503-6897
Fax: 206-260-8850
Email: info@needymeds.org
Source: Nationwide Suggest Providers Queue
Last Updated: 6/17/2021
Nationwide Provider
421 Butler Farm Road
Hampton, VA 23666
Phone: 757-952-0118
A Nationwide provider
Organization Name: Patient Advocate Foundation
(Show others in Organization)
Address:
421 Butler Farm Road
Hampton, VA 23666
Phone: 757-952-0118
Toll Free Phone: 866-512-3861
Fax: 757-952-0119
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
Nationwide Provider
3104 E Boundary Ct
Midlothian, VA 23112
Phone: 800-366-7741
A Nationwide provider
Address:
3104 E Boundary Ct
Midlothian, VA 23112
Phone: 800-366-7741
Toll Free Phone: 800-366-7741
Fax: 804-744-9388
Email: psiops@uneedpsi.org
Source: MHP-Nationwide
Last Updated: 4/7/2022
Nationwide Provider
127 Main Street 2nd Floor
Black Hawk, CO 80422
A Nationwide provider
Address:
127 Main Street 2nd Floor
Black Hawk, CO 80422
Toll Free Phone: 844-234-3057
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
Nationwide Provider
A Nationwide provider
Address:
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
Nationwide Provider
9700 Health Care Lane
MN017-W400
Minnetonka, MN 55343
A Nationwide provider
Address:
9700 Health Care Lane
MN017-W400
Minnetonka, MN 55343
Toll Free Phone: 855-698-4223
Email: customerservice@uhccf.org
Source: Nationwide Suggest Providers Queue
Last Updated: 6/2/2021
Nationwide Provider
805 15th Street NW Suite 500
Washington, DC 20005
Phone: 866-316-7263
A Nationwide provider
Address:
805 15th Street NW Suite 500
Washington, DC 20005
Phone: 866-316-7263
Toll Free Phone: 800-394-0161
Fax: 866-316-7261
Email: contact@panfoundation.org
Source: Nationwide Suggest Providers Queue
Last Updated: 9/18/2022
SingleCare View on Map
Nationwide Provider
99 High Street Ste 2800
Charlestown, MA 02129
Phone: 844-234-3057
A Nationwide provider
Address:
99 High Street Ste 2800
Charlestown, MA 02129
Phone: 844-234-3057
Email: pr@singlecare.com
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
Nationwide Provider
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
A Nationwide provider
Organization Name: Rx Outreach
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Address:
3171 Riverport Tech Center Drive
Maryland Heights, MO 63043
Phone: 877-727-9919
Toll Free Phone: 800-769-3880
Fax: 800-875-6591
Email: questions@rxoutreach.org
Source: Nationwide Suggest Providers Queue
Last Updated: 7/10/2021
Nationwide Provider
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
A Nationwide provider
Address:
950 F Street NW Suite 300
Washington, DC 20004
Phone: 888-477-2669
Source: MHP-Nationwide
Last Updated: 10/13/2020
Nationwide Provider
4700 Millenia Boulevard, Suite 410
Orlando, FL 32839
A Nationwide provider
Address:
4700 Millenia Boulevard, Suite 410
Orlando, FL 32839
Toll Free Phone: 855-845-3663
Source: MHP-Nationwide
Last Updated: 5/7/2022
A Nationwide provider
Organization Name: Parapharma Tech
(Show others in Organization)
Address:
Source: MHP-Nationwide
Last Updated: 9/16/2021
Levemir View on Map
Nationwide Provider
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
A Nationwide provider
Address:
800 Scudders Mill Rd
Plainsboro, NJ 08536
Phone: 609-987-5800
Source: Nationwide Suggest Providers Queue
Last Updated: 10/29/2020
Nationwide Provider
PO Box 630858
Irving, TX 75063
A Nationwide provider
Address:
PO Box 630858
Irving, TX 75063
Toll Free Phone: 877-321-2652
Source: Nationwide Suggest Providers Queue
Last Updated: 9/18/2022