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.
Adcirca
Adempas
Alyq
Ambrisentan
Bosentan
Epoprostenol Sodium
Flolan
Letairis
Opsumit
Opsynvi
Orenitram
Remodulin
Revatio
Sildenafil Citrate
Tadalafil
Tadliq
Tracleer
Treprostinil
Tyvaso
Tyvaso Dpi
Uptravi
Veletri
Winrevair
Yutrepia
Pulmonary hypertension is a type of high blood pressure that affects the arteries in your lungs and the right side of your heart. (Source: Mayo Clinic)
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
Adcirca
Adempas
Alyq
Ambrisentan
Bosentan
Epoprostenol Sodium
Flolan
Letairis
Opsumit
Opsynvi
Orenitram
Remodulin
Revatio
Sildenafil Citrate
Tadalafil
Tadliq
Tracleer
Treprostinil
Tyvaso
Tyvaso Dpi
Uptravi
Veletri
Winrevair
Yutrepia
Disease Description
Pulmonary hypertension is a type of high blood pressure that affects the arteries in your lungs and the right side of your heart. (Source: Mayo Clinic)