Patient must have valid Social Security number to apply for assistance and receive treatment in the United States.
Patient income must be at or below 500% of the Federal Poverty Level (FPL.)
Patient is required to have insurance coverage which covers at least 50% of the cost of treatment.
Patient must be diagnosed with a covered disease and program must be accepting enrollments.
Patient must be seeking assistance for a prescribed medication that is FDA approved to treat the covered diagnosis.
Adrenocot
Ampyra
Asmalpred
Aubagio
Avonex
Bafiertam
Betaseron
Briumvi
Copaxone
Cotolone
Dalalone
Dalfampridine
Dekasol
Depo-Medrol
Depopred
Dexamethasone
Dimethyl Fumarate
Fingolimod
Gilenya
Glatiramer
Glatopa
Hemady
Kesimpta
Lemtrada
Mavenclad
Mayzent
Medicort
Medidex
Medralone
Methylprednisolone
Novantrone
Ocrevus
Orapred ODT
Pediapred
Plegridy
Ponvory
Prednisone
Rebif
Rebif Rebidose
Solu-Medrol
Solurex
Taperdex
Tecfidera
Teriflunomid
Topidex
Tyruko
Tysabri
Vumerity
Zeposia
Multiple sclerosis (MS) is a nervous system disease that affects your brain and spinal cord. It damages the myelin sheath, the material that surrounds and protects your nerve cells. This damage slows down or blocks messages between your brain and your body, leading to the symptoms of MS. (Source: Medline Plus; NIH US National Library of Medicine)
Eligibility Criteria
Patient must have valid Social Security number to apply for assistance and receive treatment in the United States.
Patient income must be at or below 500% of the Federal Poverty Level (FPL.)
Patient is required to have insurance coverage which covers at least 50% of the cost of treatment.
Patient must be diagnosed with a covered disease and program must be accepting enrollments.
Patient must be seeking assistance for a prescribed medication that is FDA approved to treat the covered diagnosis.
Medications Covered
Adrenocot
Ampyra
Asmalpred
Aubagio
Avonex
Bafiertam
Betaseron
Briumvi
Copaxone
Cotolone
Dalalone
Dalfampridine
Dekasol
Depo-Medrol
Depopred
Dexamethasone
Dimethyl Fumarate
Fingolimod
Gilenya
Glatiramer
Glatopa
Hemady
Kesimpta
Lemtrada
Mavenclad
Mayzent
Medicort
Medidex
Medralone
Methylprednisolone
Novantrone
Ocrevus
Orapred ODT
Pediapred
Plegridy
Ponvory
Prednisone
Rebif
Rebif Rebidose
Solu-Medrol
Solurex
Taperdex
Tecfidera
Teriflunomid
Topidex
Tyruko
Tysabri
Vumerity
Zeposia
Disease Description
Multiple sclerosis (MS) is a nervous system disease that affects your brain and spinal cord. It damages the myelin sheath, the material that surrounds and protects your nerve cells. This damage slows down or blocks messages between your brain and your body, leading to the symptoms of MS. (Source: Medline Plus; NIH US National Library of Medicine)