Provider Resources

Take a look at some helpful information we’ve compiled for providers.


To view processing and billing information, download our print-friendly provider guide.

Download the Guide

Applying for a Patient

Would you like to apply on behalf of a patient?

Providers, case managers, caregivers, patients, and patient advocates can apply on behalf of a patient. Applications can be received online or by telephone, fax, or mail. In doing so, it is necessary to obtain the following information:

  • Basic Patient Info, including:
    • Name
    • Address
    • Phone number
    • Date of birth
  • Patient insurance and prescription info
  • Patient income information (household size and household income).
Apply for a patient now

Healthcare / Infusion Providers

The Assistance Fund accepts Explanation of Benefits. For healthcare providers who are administering a prescription medication at their site, payments are facilitated through a Visa E-Card. To establish an E-Card or set up a payment for your patient, please contact a Patient Advocate at (855) 845-3663. Patient Advocates are available Monday–Friday, 9am–6pm EST, excluding holidays.

Provider FAQs

For more in-depth answers to common provider questions, take a look through our FAQs.

Explore the FAQs

Contact Us

If you still can’t find what you need, feel free to reach out. We’re happy to help!

Contact Us
Close Menu-Close

Need help finding something?

Explore our site