Helping you afford your therapy.

Our role

TheraVite is your financial assistance navigator. Our pharmacists and care coordinators are trained in the major assistance programs available for the therapies we dispense. We help you understand what you may qualify for, gather the documentation needed, and submit applications on your behalf where allowed.

TheraVite does not directly fund patient assistance. We connect you to programs that do, and we help you stay enrolled.

Manufacturer Copay Programs

Most pharmaceutical manufacturers offer copay assistance programs for their specialty drugs. These programs typically reduce your out-of-pocket cost to a small monthly amount — sometimes as low as $5 to $10 — for patients with commercial insurance.

Examples of manufacturer copay programs we help patients enroll in:

• AbbVie Patient Services — Humira, Rinvoq, Skyrizi
• Pfizer Pathways — Enbrel, Xeljanz
• Janssen CarePath — Remicade, Stelara, Tremfya, Simponi
• Genentech Access Solutions — Ocrevus, Rituxan, Actemra
• Bristol Myers Squibb Access Support — Orencia
• Amgen SupportPlus — Enbrel, Otezla
• UCB ONE Connect — Cimzia
• Many others, depending on your specific therapy

Manufacturer copay programs are generally not available to patients with government insurance (Medicare, Medicaid, Tricare). For those patients, we focus on foundation and government assistance.

Independent Patient Assistance Foundations

For patients with government insurance, or for additional support beyond manufacturer copay programs, several independent nonprofit foundations provide grants to help cover specialty drug costs. Eligibility is typically based on household income, diagnosis, and insurance status.

Foundations we routinely help patients apply to:

• PAN Foundation — one of the largest providers of disease-specific copay and premium assistance
• HealthWell Foundation — copay and premium assistance for many chronic and rare conditions
• Patient Advocate Foundation — copay relief, case management, and direct patient advocacy
• Good Days — copay assistance for chronic and life-threatening conditions
• Patient Access Network (PAN) — financial assistance for underinsured patients
• NeedyMeds — comprehensive resource for patient assistance programs and discount cards

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

Government Assistance Programs

Several federal and state programs help eligible patients afford their medications:

• Medicare Extra Help (Low Income Subsidy) — reduces Medicare Part D drug costs for income-qualified beneficiaries
• Medicaid — for income-qualified Connecticut residents; covers most specialty drugs with minimal copay
• ConnPACE — Connecticut’s Pharmaceutical Assistance Contract to the Elderly and Disabled, providing supplemental drug coverage for qualifying CT residents over 65 or with permanent disability
• Medicare Savings Programs (MSPs) — help pay Medicare premiums and out-of-pocket costs
• State Pharmaceutical Assistance Programs (SPAPs) — supplemental coverage in some states

Manufacturer Patient Assistance Programs (PAP)

For patients who are uninsured or significantly underinsured, most pharmaceutical 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%), no commercial insurance coverage for the drug, and U.S. residency.

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, and income
• Helps you complete and submit applications
• Tracks application status and follows up with foundations and manufacturers on your behalf
• Notifies you when foundation funds reopen, when copay programs need re-enrollment, and when grant renewals are due
• 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.