Patient Advocacy
The North Carolina Oncology Management Society’s Patient Advocacy Committee provides members with current patient advocacy issues relating to oncology patients that have the potential to affect the professional or business interests of oncology practices across North Carolina.
The following resources may be used to identify financial assistance programs for patients receiving specific oncology agents:
Additional information may be found in the ACCC Patient Assistance and Reimbursement Guide.
Bobbie Buell has introduced a one-stop resource tool to assist in identifying financial assistance programs.
This tool can be found at assistPoint.com.
- Search by generic, brand name, manufacturer, or ICD-9 for the enrollment forms you need
- Get Enrollment Form PDFs for 113 cancer drugs
- Get NDC numbers for all of those drugs
- Find the HCPCS J-code for each drug
- Get Coding and Billing Guidelines for many drugs
- Learn more about the drugs you give
- Get enrollment forms for every drug you use
- “Auto-fill” enrollment forms through an interface with your Revenue Cycle Management, Practice Management, or EMR systems
- Complete several forms at once by answering just a few questions
- Have several options for electronic signature
- Have ‘live’ links to the disease-specific Foundations right on the drug page
- Track your registrations and forms for all programs on the site
- Allow patients to finish registration and signatures right on the patient site
- And, whatever you tell us you need!
Injectable Drugs
Brand Name | Drug Name | Phone Number | Website |
---|---|---|---|
Abraxane | Paclitaxel Protein Bound | 1-800-931-8691 | www.celgenepatientsupport.com |
Adcetris | Brentuximab vedotin | 1-855-473-2436 | www.seagensecure.com |
Adriamycin | Doxorubicin | 1-800-675-8416 | www.healthwellfoundation.org |
Alimta | Pemetrexed | 1-866-472-8663 | www.lillypatientone.com |
Aloxi | Palonsetron | 1-866-613-4724 | www.eisaireimbursement.com |
Aranesp | Darbepoetin | 1-888-427-7478 | www.AmgenAssistOnline.com |
Arranon | Nelarabine | 1-866-265-6491 | www.gskcta.com |
Arzerra | Ofatumumab | 1-866-265-6491 | www.gskcta.com |
Avastin | Bevacizumab | 1-866-422-2377 | www.genentech-access.com |
Bexxar | Tositumomab | 1-866-265-6491 | www.gskcta.com |
BiCNU | Carmustine | 1-800-861-0048 | www.bmsaccesssupport.com |
Blenoxane | Bleomycin | 1-800-675-8416 | www.healthwellfoundation.org |
Campath | Alemtuzumab | 1-877-422-6728 | www.campath.com |
Camptosar | Irinotecan | 1-866-706-2400 | www.pfizerrxpathways.com |
Clolar | Clofarabine | 1-888-847-4877 | www.visitspconline.com |
Cyramza | Ramucircumab | 1-866-472-8663 | www.lillypatientone.com |
Cytosar-U | ARA-C | 1-800-675-8416 | www.healthwellfoundation.org |
Cytoxan | Cyclophosphamide | 1-800-675-8416 | www.healthwellfoundation.org |
Dacogen | Decitabine | 1-800-769-3880 | www.dacogen.com/Patient-Assistance.aspx |
Doxil | Doxorubicin Liposome | 1-800-652-6227 | www.jjpaf.org |
DTIC | Dacarbazine | 1-800-675-8416 | www.healthwellfoundation.org |
Eligard | Leuprolide | 1-888-847-4877 | www.visitspconline.com |
Elitek | Rasburicase | 1-888-847-4877 | www.visitspconline.com |
Ellence | Epirubicin | 1-866-706-2400 | www.pfizerrxpathways.com |
Eloxatin | Oxaliplatin | 1-888-847-4877 | www.visitspconline.com |
Emend | Fosaprepitant | 1-855-257-3932 | www.merckaccessprogram.com |
Erbitux | Cetuximab | 1-800-861-0048 | www.bmsaccesssupport.com |
Etopophos | Etoposide | 1-800-861-0048 | www.bmsaccesssupport.com |
Etopophos | VP-16 | 1-800-736-0003 | www.bmsaccesssupport.com |
Faslodex | Fulvestrant | 1-800-292-6363 | www.astrazeneca-us.com/help-affording-your-medicines |
Firmagon | Degarelix | 1-877-971-3778 | https://firmagon.cmcopilot.com |
Folinic Acid | Leucovorin | 1-800-675-8416 | www.healthwellfoundation.org |
Folotyn | Pralatrexate | 1-888-537-8277 | www.spectrumpatientaccess.com |
FUDR | Floxuridine | 1-800-675-8416 | www.healthwellfoundation.org |
Gazyva | Obinutuzumab | 1-866-422-2377 | www.genentech-access.com |
Haloven | Erbulin mesylate | 1-866-613-4724 | www.eisaipatientassistance.com |
Herceptin | Trastuzumab | 1-866-422-2377 | www.genentech-access.com |
Hexalen | Altretamine | 1-866-613-4724 | www.eisaireimbursement.com |
Hycamptin | Tototecan | 1-866-265-6491 | www.gskcta.com |
Idamycin | Idarubicin | 1-866-706-2400 | www.pfizerrxpathways.com |
Ifex | Ifosfamide | 1-800-675-8416 | www.healthwellfoundation.org |
Interferon | Interferon alfa-2a | 1-800-675-8416 | www.healthwellfoundation.org |
Intron A | Interferon alfa-2b | 1-855-257-3932 | www.merckaccessprogram.com |
Isodax | Romidepsin | 1-800-931-8691 | www.celgenepatientsupport.com |
Ixempra | Ixabepilone | 1-800-736-0003 | www.bmsaccesssupport.com |
Kadcyla | Ado-trastuzumab emtansine | 1-866-422-2377 | www.genentech-access.com |
Keytruda | Pembrolizumab | 1-855-257-3932 | www.merckaccessprogram.com |
Kyprolis | Carfilzomib | 1-855-669-9360 | www.onyx.com/therapies/patient-access/onyx-360 |
Leukeran | Chlorambucil | 1-866-265-6491 | www.gskcta.com |
Leukine | Sargramostim | 1-888-847-4877 | www.visitspconline.com |
Lupron | Leuprolide Acetate | 1-800-222-6885 | www.abbviepaf.org |
Marquibo | Vincristine sulfate liposome | 1-888-537-8277 | www.spectrumpatientaccess.com |
Mesnex | Mesna | 1-800-675-8416 | www.healthwellfoundation.org |
Mozobil | Plerixafor | 1-888-847-4877 | www.visitspconline.com |
Mustargen | Nitrogen Mustard | 1-866-337-6996 | www.lundbeck.com/us |
Mylotarg | Gemtuzumab Ozogamicin | 1-866-706-2400 | www.pfizerrxpathways.com |
Navelbine | Vinorelbine | 1-800-675-8416 | www.healthwellfoundation.org |
Neosar | Cyclophosphamide | 1-800-675-8416 | www.healthwellfoundation.org |
Neulasta | Pegfilgrastim | 1-888-427-7478 | www.AmgenAssistOnline.com |
Neumega | Interleukin-2 | 1-866-706-2400 | www.pfizerrxpathways.com |
Neupogen | Filgrastim | 1-888-427-7478 | www.AmgenAssistOnline.com |
Nplate | Romiplstim | 1-888-427-7478 | www.AmgenAssistOnline.com |
Oncaspar | Pegaspargase | 1-800-490-3262 | www.sigmatau.com/support/support_oncaspar.asp |
Ontak | Denileukin diftitox | 1-866-613-4724 | www.eisaireimbursement.com |
Paraplatin | Carboplatin | 1-800-675-8416 | www.healthwellfoundation.org |
Perjeta | Pertuzumab | 1-866-422-2377 | www.genentech-access.com |
Platinol | Cisplatin | 1-800-675-8416 | www.healthwellfoundation.org |
Procrit | Epoetin Alpha | 1-800-652-6227 | www.jjpaf.org |
Proleukin | IL-2 | 1-877-776-5385 | www.proleukin.com/mm/resources.aspx |
Prolia | Denosumab | 1-888-427-7478 | www.AmgenAssistOnline.com |
Provenge | Sipuleucel-t | 1-877-336-3736 | www.provenge.com/reimbursement.aspx |
Rituxan | Rituximab | 1-866-422-2377 | www.genentech-access.com |
Sancuso | Granisetron | 1-800-676-5884 | www.patientrxsolutions.com |
Sandostatin LAR | Octreotide Acetate | 1-866-884-5906 | www.oncologyaccessnow.com |
Sarclisa | Isatuximab-irfc | 1-833-930-2273 | www.sanoficareassist.com |
Sylatron | Peginterferon Alfa-2b | 1-855-257-3932 | www.merckaccessprogram.com |
Synribo | Omacetaxine Mepesuccinate | 1-888-587-3263 | www.tevacore.com |
Taxol | Paclitaxel | 1-800-675-8416 | www.healthwellfoundation.org |
Taxotere | Docetaxel | 1-888-847-4877 | www.visitspconline.com |
Toposar | Etoposide | 1-800-675-8416 | www.healthwellfoundation.org |
Toresel | Temsirolimus | 1-866-706-2400 | www.pfizerrxpathways.com |
Trisenox | Arsenic trioxide | 1-888-587-3263 | www.cephalononcologycore.com |
Vectibix | Panitumumab | 1-888-427-7478 | www.AmgenAssistOnline.com |
Velban | Vinblastine | 1-800-675-8416 | www.healthwellfoundation.org |
Velcade | Bortezomib | 1-866-835-2233 | www.velcade.com/Paying-for-treatment |
VePsid | Etopiside | 1-800-675-8416 | www.healthwellfoundation.org |
Vidaza | Azacitidine | 1-800-931-8691 | www.celgenepatientsupport.com |
Vumon | Teniposide | 1-800-736-0003 | www.bmsaccesssupport.com |
Xgeva | Denosumab | 1-888-427-7478 | www.AmgenAssistOnline.com |
Xofigo | Radium Ra233 dichloride | 1-855-696-3446 | www.xofigo-us.com/hcp/patient-support |
Yervoy | Ipilimumab | 1-800-736-0003 | www.bmsaccesssupport.com |
Zaltrap | Ziv-Aflibercept | 1-888-847-4877 | www.visitspconline.com |
Zevalin | Ibritumomab Tiuxetin | 1-888-537-8277 | www.spectrumpatientaccess.com |
Zinecard | Dexrazoxane | 1-866-706-2400 | www.pfizerrxpathways.com |
Zoladex | Goserlin | 1-800-292-6363 | www.astrazeneca-us.com/help-affording-your-medicines |
Zometa | Zoledronic acid | 1-800-245-5356 | www.patientassistancenow.com |
Oral Drugs
Brand Name | Drug Name | Phone Number | Website |
---|---|---|---|
Afinitor | Everolimus | 1-800-277-2254 | www.oncologyaccessnow.com |
Arimidex | Anastrozole | 1-800-292-6363 | www.astrazeneca-us.com/help-affording-your-medicines |
Aromasin | Exemestane | 1-866-706-2400 | www.pfizerrxpathways.com |
Bosulif | Bosutinib | 1-866-706-2400 | www.pfizerrxpathways.com |
Caprelsa | Vandetanib | 1-800-292-6363 | www.astrazeneca-us.com/help-affording-your-medicines |
Casodex | Bicalutamide | 1-800-292-6363 | www.astrazeneca-us.com/help-affording-your-medicines |
Cometriq | Cabozantinib | 1-855-253-3273 | www.cometriq.com\hcp/access |
Droxia | Hydroxyurea | 1-800-736-0003 | www.bmsaccesssupport.com |
Emcyt | Estramustine | 1-866-706-2400 | www.pfizerrxpathways.com |
Emend | Aprepitant | 1-855-257-3932 | www.merckaccessprogram.com |
Erivedge | Vismodegib | 1-866-422-2377 | www.genentech-access.com |
Exjade | Deferasirox | 1-866-884-5906 | www.oncologyaccessnow.com |
Farestpm | Toremifene | 1-800-676-5884 | www.patientrxsolutions.com |
Femara | Letrozole | 1-800-245-5356 | www.patientassistancenow.com |
Gilotrif | Afatinib | 1-800-859-9673 | www.gilotrif.com/solutions_plus.html |
Gleevec | Imatinib | 1-800-277-2254 | www.patientassistancenow.com |
Hycamptin | Tototecan Oral | 1-866-265-6491 | www.gskcta.com |
Iclusig | Ponatinib | 1-855-447-7277 | www.ariadpass.com |
Imbruvica | Ibrutinib | 1-877-877-3536 | www.imbruvica.com/youandi |
Inlyta | Zxitinib | 1-866-706-2400 | www.pfizerrxpathways.com |
Iressa | Gefitinib | 1-800-292-6363 | www.astrazeneca-us.com/help-affording-your-medicines |
Jakafi | Ruxolitinib | 1-855-452-5234 | www.jakafi.com/incytecares |
Matulane | Procarbazine | 1-800-490-3262 | www.sigmatau.com/support/support_oncaspar.asp |
Megace | Megastrol | 1-800-675-8416 | www.healthwellfoundation.org |
Mekinist | Trametinib | 1-866-265-6491 | www.gskcta.com |
Myleran | Busulfan | 1-866-265-6491 | www.gskcta.com |
Nexavar | Sorafenib | 1-866-639-2827 | www.nexavar-us.com |
Nilandron | Nilutamide | 1-888-847-4877 | www.visitspconline.com |
Panretin | Alitretinoin | 1-866-613-4724 | www.eisaireimbursement.com |
Pomalyst | Pomalidomide | 1-800-931-8691 | www.celgenepatientsupport.com |
Promacta | Eltrombopag | 1-866-265-6491 | www.gskcta.com |
Reblimid | Lenalidomide | 1-800-931-8691 | www.celgenepatientsupport.com |
Sprycel | Dasatinib | 1-800-861-0048 | www.bmsaccesssupport.com |
Stivarga | Regorafenib | 1-866-639-2827 | www.stavarga-us.com/hcp/gist/support.html |
Subsys | Fentanyl Sublingual Spray | 1-855-766-6502 | https://sybsysspray.com |
Sutent | Sunitinib | 1-866-706-2400 | www.pfizerrxpathways.com |
Sylvant | Siltuximab | 1-855-299-8844 | www.janssenaccessone.com |
Tafinlar | Dabrafenib | 1-866-265-6491 | www.gskcta.com |
Tarceva | Erlotinib | 1-866-422-2377 | www.genentech-access.com |
Tasigna | Nilotinib | 1-866-884-5906 | www.oncologyaccessnow.com |
Temodar | Temozolomide | 1-800-727-5400 | www.merckhelps.com |
Thalomid | Thalidomide | 1-800-931-8691 | www.celgenepatientsupport.com |
TheraCys | BCG | 1-888-847-4877 | www.visitspconline.com |
Treanda | Bendamustine | 1-888-587-3263 | www.tevacore.com |
Tykerb | Lapatinib | 1-866-265-6491 | www.gskcta.com |
Votrient | Paxopanib | 1-866-265-6491 | www.gskcta.com |
Xalkori | Crizotinib | 1-866-706-2400 | www.pfizerrxpathways.com |
Xeloda | Capecitabine | 1-866-422-2377 | www.genentech-access.com |
Xtandi | Enzalutamide | 1-855-898-2634 | www.astellasaccess.com |
Zelboraf | Vemurafenib | 1-866-422-2377 | www.genentech-access.com |
Zolinza | Vorinostat | 1-800-727-5400 | www.merckaccessprogram.com |
Zydelig | Idelalisib | 1-844-622-2377 | www.xydeligaccessconnect.com |
Zykadia | Ceritinib | 1-800-245-5356 | www.patientassistancenow.com |
Zytiga | Abiraterone acetate | 1-800-652-6227 | www.jjpaf.org |
Foundations & Support Resources
Foundations and Support Resources | Website |
---|---|
Agingcare.com | www.agingcare.com |
American Breast Cancer Foundation | www.abcf.org |
Assistance Fund | www.theassistancefund.org |
Avon Foundation for Women | www.avonbhop.org |
BenefitsCheckUp | www.benefitscheckup.org |
CancerCare | www.cancercare.org |
CancerCare Copayment Assistance Foundation | www.cancercarecopay.org |
Cancer Financial Assistance Coalition | www.cancerfac.org |
Chronic Disease Fund | www.cdfund.org/Copay-Assistance.aspx |
Co-Pay Relief | www.copays.org |
Cord Blood Banking | www.cordbloodbanking.com |
HealthWell Foundation | www.healthwellfoundation.org |
The Leukemia & Lymphoma Society | www.lls.org |
Mesothelioma Group | www.mesotheliomagroup.com/treatment |
NeedyMeds | www.needymeds.com |
Partnership for Prescription Assistance | www.pparx.org |
Patient Access Network Foundation | www.panfoundation.org |
Patient Advocate Foundation | www.patientadvocate.org |
Patient Services, Inc. | www.patientservices.org |
RxAssist | www.rxassist.org |
RxHope | www.rxhope.com |
RxOutreach | www.rxoutreach.com |