Attention: The HealthWell Foundation has changed its P.O. Box! Our new address is: P.O. Box 489, Buckeystown, MD 21717. Please update your records now to avoid future delays in processing. For immediate receipt, upload your documents thru HealthWell’s Pharmacy and Provider portals. You may also fax your documents to us at 800-282-7692.

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Migraine

Status

Open (Accepting phone applications only)

Fund Type

Copay/Premium

Maximum Award Level

$4,000

Pharmacy Card Fund

Yes

Household Income Limit

500% of the Federal Poverty Level
(adjusted for household size and high cost of living areas)

Treatments Covered

  • Acular
  • Acuvail
  • Adalat Cc
  • Aimovig
  • Ajovy
  • Almotriptan
  • Amerge
  • Atacand
  • Betimol
  • Botox
  • Buffered Aspirin
  • Butorphanol
  • Cafergot
  • Calan
  • Calan Sr
  • Cambia
  • Cardizem
  • Cartia Xt
  • Chlorpromazine Hcl
  • Compro
  • Corgard
  • Cyproheptadine
  • D.h.e. 45
  • Depakote
  • Depakote Er
  • Diflunisal
  • Dilt-xr
  • Droperidol
  • Effexor
  • Elavil
  • Emgality
  • Equaline Healthcare Relief
  • Ergomar
  • Excedrin
  • Fenortho
  • Feverfew
  • Fioricet With Codeine
  • Fiorinal
  • First-metoprolol
  • Frotek
  • Frova
  • Hemangeol
  • Ibuprofen
  • Imitrex
  • Innopran Xl
  • Isoptin Sr
  • Istalol
  • Kapspargo
  • Lopressor
  • Maxalt
  • Migergot
  • Migranal
  • Nalfon
  • Nymalize
  • Ocufen
  • Percodan
  • Prinivil
  • Procardia
  • Profeno
  • Prozac
  • Qbrelis
  • Qudexy Xr
  • Quinzyme
  • Reglan
  • Relpax
  • Sumavel Dosepro
  • Tenormin
  • Tiazac
  • Timolol Maleate
  • Timoptic In Ocudose
  • Timoptic-xe
  • Topamax
  • Toprol Xl
  • Treximet
  • Tri-buffered Aspirin
  • Trokendi Xr
  • Vitamin B2
  • Zipsor
  • Zomig
  • Zorvolex

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 being treated for Migraine.

    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 insurance and it covers your treatment.

    To qualify for assistance from HealthWell, you must have some form of health insurance (private insurance, Medicare, Medicaid, TriCare, etc.) that covers part of the cost of your treatment. The Foundation will refer patients without prescription insurance 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.
  • 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 Migraine

Migraine is typically a severe throbbing recurring pain, usually on one side of the head. But in about 1/3 of attacks, both sides are affected. Attacks are often accompanied by disabling symptoms such as visual disturbances, nausea, vomiting, dizziness, extreme sensitivity to sound, light, touch and smell, and tingling or numbness in the extremities or face. In some cases, other disabling symptoms are present without head pain. Source: Migraine Research Foundation