Submit Enrollment Form Online:
Complete and submit your online enrollment form securely.
Get Pre-Qualified:
We pre-qualify you based on the information submitted in your online form. If you are not approved for the PAP, there are no additional costs or fees related to the application.
Submit Documents:
We will request the necessary documentation from you and your healthcare provider that are required by pharmaceutical manufacturers to fulfill your medication order.
Receive Medication:
Medications are delivered in a 90-day supply directly to your home or healthcare provider’s office, as specified by the pharmaceutical company handling the shipment.
ENROLLMENT PROCESS DETAILS
Getting Started
Submit the enrollment form online with no risk. Click the enroll button to begin.
What You Will Need to Provide
Prescription Medication Information
Healthcare Provider Information
Household Income Information
Payment Information
If we cannot access your medication, no charges will be applied. If you’ve been pre-qualified and your initial charge has been paid, but we can’t obtain your medication, you’ll be refunded any service fees paid for that medication.
Know Before You Go
Receive Your Medication:
Medications are typically delivered in a 90-day supply, ensuring ongoing therapy without lapses.
Additional Information:
No Immediate Medication Delivery:
During the initial process, ensure you have a few weeks’ supply. Once your first shipment arrives, we guarantee continuous medication therapy.
Direct Medication Ordering:
Medications are ordered directly from the United States based pharmaceutical manufacturers’ patient assistance programs, eliminating the need to visit a pharmacy.
No Extra Cost for Medication:
The total cost is the $50.00 monthly service fee for each medication. Health Access Now enrolls individuals into patient assistance programs for no additional costs or fees.
Eligibility Requirements:
Requirements vary for each pharmaceutical manufacturer’s patient assistance program. Health Access Now simplifies the application process, especially for those taking multiple medications.
HEALTH ACCESS NOW PROVIDES
Access to over 1 ,500 FDA-approved brand-name medications
Transparent service fee of $50.00 per month for each medication
Ongoing refills to ensure continuous medication supply
