Diseases Covered

Vascular and Neovascular Retinal Disease

Program Status

closed

Applications or renewals for this condition are currently unavailable.

Copay Assistance Organizations

These organizations are also dedicated to helping people afford life-changing treatments and medications.

 

 

Support Organizations

These organizations do not offer co-pay assistance, but they offer valuable information and support.

 

 

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

  • Ahzantive
  • Beovu
  • Byooviz
  • Cimerli
  • Enzeevu
  • Eylea
  • Eylea HD
  • Iluvien
  • Lucentis
  • Opuviz
  • Ozurdex
  • Pavblu
  • Susvimo
  • Vabysmo
  • Visudyne
  • Xipere
  • Yesafili

Disease Description

Vascular and Neovascular Retinal Disease – Neovascular AMD (Wet AMD), Choroidal Neovascularization, Myopic Neovascularization, Retinal Neovascularization, Retinal Vein Occlusion, Diabetic Macular Edema, Diabetic Retinopathy, Cystoid Macular Edema, Retinal Edema