Immunosuppressive Treatment for Solid Organ Transplant Recipients-MedicareAccess (Medicare patients only)

Treatments Covered

  • Arava
  • Astagraf Xl
  • Atgam
  • Azasan
  • Azathioprine
  • Basiliximab
  • Brequinar
  • Cellcept
  • Cyclosporine
  • Cyclosporine, Modified
  • Daclizumab
  • Envarsus Xr
  • Everolimus
  • Gengraf
  • Gusperimus
  • Hecoria
  • Imuran
  • Inolimomab
  • Millipred
  • Mycophenolate
  • Mycophenolate Mofetil
  • Mycophenolate Sodium
  • Mycophenolic Acid
  • Myfortic
  • Neoral
  • Nulojix
  • Orthoclone Okt3
  • Prednisolone
  • Prednisone
  • Prograf
  • Rapamune
  • Rayos
  • Sandimmune
  • Simulect
  • Tacrolimus
  • Thymoglobulin
  • Zenapax
  • Zortress

Fund Definition

Assistance for solid organ transplant recipients to obtain the prescription drugs or biologics used for immunosuppressive treatment.

Grant Utilization

HealthWell estimates that patients use an average of $650 during their 12-month grant period for this disease area.

Consider Premium Assistance

Under this fund, HealthWell can assist with premium costs. Medicare supplemental policies can help with cost shares related to many aspects of your health care. Using a HealthWell grant to cover premiums may be a better option than treatment-specific cost shares.

Do I Qualify?

HealthWell bases eligibility on an individual’s medical, financial and insurance situation. To qualify for HealthWell’s assistance, applicants must meet the following eligibility requirements:

  • 1. You are Immunosuppressive and have received a solid organ transplant.

    Please make sure that HealthWell currently has a fund for your diagnosis/indication and that your medication is covered under that fund by visiting our Disease Funds listing. If we do not have a fund that currently covers your diagnosis, please check back as we frequently open and reopen programs as funding becomes available. The Foundation is able to help patients receiving treatment for indications for which we currently have an open fund. We can only assist with medications that have been prescribed to treat the disease/covered diagnosis. You will be asked to provide the Foundation with the patient’s diagnosis, which must be verified by a physician, nurse practitioner, or physician assistant’s signature. The patient must receive treatment in the United States.

  • 2. You have Medicare.

    This is a Medicare Access Fund. In order to qualify for assistance through this fund, you must have Medicare. The Foundation will refer patients without Medicare to other programs, such as manufacturer patient assistance programs.

  • 3. Your income falls within our guidelines.
    HealthWell assists individuals with incomes up to 400-500% of the Federal Poverty Level. The Foundation also considers the number in a household and cost of living in a particular city or state. If you believe you qualify for assistance, you may begin the application process here.
  • 4. You are receiving treatment in the United States.

    If you are receiving treatment in the U.S. and have met the eligibility criteria as listed, you are ready to apply! Please note that you will be asked to provide a Social Security Number in order to create a grant. This information is gathered to eliminate duplicate applications and is kept secure and confidential.

About Immunosuppression

The body’s immune system recognizes the difference between its own cells and foreign matter. It just can’t tell the difference between harmful foreign cells and those that are helpful, such as the foreign tissues in a transplanted organ. Transplant recipients commonly experience organ rejection because of this. “Rejection” means that the body’s immune system attacks the donor organ’s cells, reacting to them as if they were harmful. Medications that curb the immune system (called immunosuppressants) are essential for transplant recipients, because they prevent and treat rejection. Source: University of Pittsburgh Medical Center

Additional Resources

You may also visit our Resource List to view other copayment organizations that may provide assistance.

Close menu