
Our program is designed for individuals and families who are struggling to pay for their prescription medicines.
If you do not have prescription drug insurance coverage, we can help you get the medicines you need at a discount or even for free.
Just fill out this Application Form so we can see if you qualify for the program.
For questions or inquiries, send an email to HelpForPrescriptions.net or give us a call at 877-206-1918.
For quick info for our Patient Assistance Program, you can refer to our FAQ page.