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For Patients

Helping you afford your therapy.

Specialty therapy can be expensive. TheraVite’s care team helps every patient identify and apply for every assistance program they may qualify for — manufacturer copay programs, independent foundation grants, and government assistance.

Our role

TheraVite is your financial assistance navigator. Our pharmacists and care coordinators actively monitor more than 20 assistance programs — manufacturer copay cards, independent foundation grants, disease-specific societies, and government assistance — and apply for the right ones on your behalf when funds are available for your condition. This work is included in our care, at no cost to you.

TheraVite does not directly fund patient assistance. We connect you to programs that do, help you enroll, and stay on top of renewals, re-enrollments, and re-openings so nothing lapses.

Assistance for both commercial and Medicare plans.
Many patients assume assistance is only available if they have private insurance. That is not true. We help patients on commercial plans, Medicare, Medicaid, and Tricare find the right assistance programs for their coverage type. Medicare beneficiaries in particular are often eligible for independent foundation grants and government programs they may not know about.

The four categories of assistance

Financial assistance for specialty medications comes from four main sources. Our team knows all of them and matches you to the right combination based on your specific therapy, insurance type, income, and diagnosis.

1. Manufacturer copay assistance

Pharmaceutical manufacturers offer copay assistance cards that can reduce your out-of-pocket cost to as little as $0–$10 per fill for many specialty medications. These programs are typically available to patients with commercial insurance.

Well-known examples include AbbVie Patient Services, Janssen CarePath, Genentech Access Solutions, Pfizer Pathways, and many others — we work with virtually every manufacturer copay program that supports the therapies we dispense.

Manufacturer copay programs are generally not available to patients with government insurance (Medicare, Medicaid, Tricare) due to federal anti-kickback rules. For those patients, we focus on foundation grants and government programs (below).

2. Independent foundation grants

Independent nonprofit foundations provide grants to help cover specialty drug costs. These grants are especially valuable because — unlike manufacturer programs — they are available to patients with both commercial insurance and Medicare. Eligibility depends on diagnosis, insurance type, and household income.

Foundations we routinely help patients apply to include the PAN Foundation, HealthWell Foundation, The Assistance Fund, Good Days, and Patient Advocate Foundation, among others.

Foundation funds are demand-driven and open or close throughout the year based on funding availability. Our team monitors openings across all major foundations and applies on your behalf the moment funds open for your condition.

3. Disease-specific societies and advocacy foundations

For patients with specific diagnoses, disease-focused nonprofit organizations often provide direct financial assistance, copay support, insurance navigation, and other resources tailored to their disease community.

Examples include the Leukemia & Lymphoma Society, Cancer Care, the Crohn’s & Colitis Foundation, National MS Society, and the Arthritis Foundation, among many others. When your diagnosis aligns with a disease-specific organization, these can be some of the most valuable resources available.

4. Government assistance programs

Federal and state programs help eligible patients afford their medications. For Medicare beneficiaries, these programs can meaningfully reduce Part D and Part B out-of-pocket costs.

Programs we help patients enroll in include Medicare Extra Help (Low Income Subsidy), Connecticut Medicaid, Medicare Savings Programs (MSPs), and ConnPACE (Connecticut’s pharmaceutical assistance program for elderly and disabled residents).

Bonus: Manufacturer Patient Assistance Programs (PAP)

For patients who are uninsured or significantly underinsured, most manufacturers operate Patient Assistance Programs that provide medications at no cost to income-qualified patients. Eligibility typically requires household income at or below a multiple of the federal poverty level (often 400–500%). If you are uninsured or facing significant cost-sharing, our team will help determine whether you qualify for a manufacturer PAP and assist with the application.

How TheraVite supports you

For every patient who starts therapy with us, our care team:

  • Reviews your insurance benefits and identifies expected out-of-pocket costs
  • Identifies all assistance programs you may qualify for, given your specific therapy, insurance type, income, and diagnosis
  • Helps you complete and submit applications
  • Tracks application status and follows up with foundations and manufacturers on your behalf
  • Monitors 20+ foundation funds and notifies you when a fund opens for your condition
  • Handles re-enrollments and renewals so your assistance never lapses
  • Coordinates between your insurance, the assistance program, and our pharmacy so funds apply correctly to your prescription

This work is included in our care, at no cost to you.

Talk to our team early. The best time to explore financial assistance is before you start therapy — many programs require enrollment before your first fill, and foundation funds can close without notice. If you’re a new patient, ask our team about assistance during your initial benefits investigation.

Concerned about cost?

Reach out to our team. We’ll review what assistance you may qualify for and walk you through the next steps.

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