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Afatinib
Specialty Drug

Gilotrif

AFATINIB is a medicine that targets proteins in cancer cells and stops the cancer cells from growing. It is used to treat non-small cell lung cancer. Compare kinase inhibitors.
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Afatinib Savings Tips

Manufacturer Assistance Program

Many programs are available from federal and state governments, non-profits, manufacturers, and other organizations to help you get the drugs you need at a reduced cost. Eligibility is often based on income, insurance or Medicare status, and other factors. You’ll need to apply through each program, either online, over the phone, or with your doctor's help. The following program is offered by the manufacturer of this drug.

Program Name:Boehringer Ingelheim Cares Foundation Patient Assistance Program
Provider:Boehringer Ingelheim
Phone Number:1-800-556-8317
Website:http://us.boehringer-ingelheim.com/our_responsibility/patients-families.html
How do I apply?Ask your doctor to help you fill out an application. You can find the form on the program website and can be submitted by mail.
What are the benefits?You can receive your medication free of charge.
What are the restrictions?Only faxes sent from the prescribing physician’s office along with physician’s fax cover sheet and fax banner can be accepted.
Keep in mindN/A

Manufacturer Assistance Program

Many programs are available from federal and state governments, non-profits, manufacturers, and other organizations to help you get the drugs you need at a reduced cost. Eligibility is often based on income, insurance or Medicare status, and other factors. You’ll need to apply through each program, either online, over the phone, or with your doctor's help. The following program is offered by the manufacturer of this drug.

Program Name:Non-Small Cell Lung Cancer Fund
Provider:HealthWell Foundation
Phone Number:1-800-675-8416
Website:http://www.healthwellfoundation.org/non-small-cell-lung-cancer-medicare-access
How do I apply?You can find the form on the program website and can be submitted online. Or your doctor may register you online on the program website.
What are the benefits?Contact the program to see how they can financially help you out.
What are the restrictions?To qualify, you must have insurance to cover your prescription. You will need a valid prescription and proof of household income.
Keep in mindThis program is for Medicare Patients only. Contact the program for more information.

Manufacturer Assistance Program

Many programs are available from federal and state governments, non-profits, manufacturers, and other organizations to help you get the drugs you need at a reduced cost. Eligibility is often based on income, insurance or Medicare status, and other factors. You’ll need to apply through each program, either online, over the phone, or with your doctor's help. The following program is offered by the manufacturer of this drug.

Program Name:Good Days Patient Assistance Program
Provider:Good Days
Phone Number:1-877-968-7233
Website:http://www.mygooddays.org/for-patients/diseases-and-medications-covered/
How do I apply?Go to the program website and find out if you are eligible. You can get more information and start the enrollment by calling or submitting an application online.
What are the benefits?Contact the program to see how they can financially help you out.
What are the restrictions?To qualify, you must have insurance and a valid prescription. You will also need to have been diagnosed with a disease that the program covers. Call or check online to see if you are eligible.
Keep in mindOnly patients with specific diagnoses will be eligible for assistance.

Manufacturer Assistance Program

Many programs are available from federal and state governments, non-profits, manufacturers, and other organizations to help you get the drugs you need at a reduced cost. Eligibility is often based on income, insurance or Medicare status, and other factors. You’ll need to apply through each program, either online, over the phone, or with your doctor's help. The following program is offered by the manufacturer of this drug.

Program Name:PAN Foundation Patient Assistance
Provider:PAN Foundation
Phone Number:1-866-316-7263
Website:https://panfoundation.org/index.php/en/patients/how-to-apply
How do I apply?Go to the program website and find out if you are eligible. You can get more information and start the enrollment by calling or submitting an application online.
What are the benefits?Contact the program to see how they can financially help you out.
What are the restrictions?To qualify, you must have insurance and a valid prescription. You will also need to have been diagnosed with a disease that the program covers. Call or check online to see if you are eligible.
Keep in mindOnly patients with specific diagnoses will be eligible for assistance.

Fill a 90-Day Supply to Save

You may find that filling a 90-day supply will reduce your total cost for this prescription. As an added bonus, you'll make fewer trips to the pharmacy, saving you time and money.

A couple of things to keep in mind: first, you may need a new prescription from your doctor that allows you to fill a 90-day quantity. Your insurance plan may also require that you fill through a mail order pharmacy for fills of more than a 30-day supply.

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