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"I could use the AmeriPlan® card there at my local pharmacy and I discovered I would save 50% there. But when I found that I could save 89% with the mail order, I went for that the next month."
Bob S.
Rosemead, CA | |
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Nobody should have to choose between buying
groceries and paying for their medications.
We can help.
For a printable version of this program click here.
If you would like to have someone
contact you click here. |
Are prescription drugs costing you more than $90 a month?
AmeriPlan® may be able to help!
AmeriPlan® now offers, to its members who qualify, the AmeriPlan® Prescription Advocacy Program (APAP). APAP provides an easy, affordable way to obtain costly prescription medications. We offer a low-cost, worry-free, full-service prescription assistance program designed to utilize Patient Assistance Programs (P.A.P.s) currently offered by pharmaceutical companies that provide medications to eligible individuals.
Traditionally, participation in a P.A.P. requires a lengthy qualification, application and approval process for the patient for each medication. Now, with the AmeriPlan® Prescription Advocacy Program, we do all the legwork for you, allowing you to receive your medications at substantial savings ~ worry-free!
To get started, just verify your eligibility, then fill out and send in the attached APAP Member Application including your one-time enrollment fee and first month's service fee, a total of $107. You will be charged $82 monthly thereafter to participate in the program. You may cancel at any time. |
What services does APAP provide its Members?
- Determines initial eligibility
- Gathers all necessary documentation (authorization forms, proof of income, etc.)
- Sends proper forms to prescribing physician for signature and additional information.
- Submits applications to appropriate Patient Assistance Programs.
- Automatically handles refills or renewals to continue your ongoing supply of medication.
- Medications come in 90-day supplies, and usually ship in 6-8 weeks.
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Affordable, name-brand medications
are just 3 steps away! |
STEP 1:
APAP ANNUAL INCOME QUALIFICATIONS
Use this chart to determine the income eligibility of yourself and/or your family.
PERSONS IN
FAMILY/HOUSEHOLD |
|
MAXIMUM
INCOME |
| 1 (Single) |
|
$20,420 |
| 2 persons |
|
$27,380 |
| 3 persons |
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$34,340 |
| 4 persons |
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$41,300 |
| 5 persons |
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$48,260 |
| 6 persons |
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$55,220 |
| 7 persons |
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$62,180 |
| 8 persons |
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$69,140 | |
STEP 2:
RX COVERAGE STATUS
- No Rx coverage from an insurance policy or government assistance program (e.g. Medicaid, V.A., state assistance, etc.)
- Rx benefit has been exhausted
- Prescribed medication is specifically not covered under Rx formulary
STEP 3:
MONTHLY FEES
| ONE-TIME Sign-Up Fee |
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$25.00* |
| Monthly Service Fee |
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$82.00* |
*$25 Sign-Up fee and first month's service fee due upon Sign-Up ($107.00) APAP Applicants must be AmeriPlan® Members to receive the discounted $82 per month service fee. |
| Name-Brand Medications, Substantial Savings |
| EXAMPLES OF SAVINGS EXPERIENCED BY APAP CLIENTS |
CLIENT EXAMPLE #1
| MEDICATION |
|
DOSAGE/QUANTITY |
|
RETAIL |
|
APAP |
| Advair® |
|
250/50mcg/1 disc |
|
$183 |
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$0 |
| Lipitor® |
|
10 mg/30 tablets |
|
$83 |
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$0 |
| Plavix® |
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75 mg/30 tablets |
|
$131 |
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$0 |
| Nexium® |
|
40 mg/30 tablets |
|
$146 |
|
$0 |
| Singulair® |
|
10 mg/30 tablets |
|
$103 |
|
$0 |
| Zoloft® |
|
25 mg/30 tablets |
|
$86 |
|
$0 |
| Monthly fee |
|
$0 |
|
$82 |
| TOTAL COST PER MONTH |
|
$732 |
|
$82 |
CLIENT #1 REDUCED HIS TOTAL MONTHLY COST BY OVER 80%, SAVING HIM $650 PER MONTH. WITH APAP, HE WILL SAVE OVER $7,800 PER YEAR! | |
CLIENT EXAMPLE #2
| MEDICATION |
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DOSAGE/QUANTITY |
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RETAIL |
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APAP |
| Actos® |
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30 mg/30 tablets |
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$186 |
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$0 |
| Celebrex® |
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200 mg/30 tablets |
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$190 |
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$0 |
| Monthly fee |
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$0 |
|
$82 |
| TOTAL COST PER MONTH |
|
$376 |
|
$82 |
CLIENT #2 REDUCED HER TOTAL MONTHLY COST BY OVER 78%, SAVING HER $294 PER MONTH. WITH APAP, SHE WILL SAVE OVER $3,500 PER YEAR! |
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For a printable version of this program click here.
If you would like to have someone contact you about the Rx Advocacy Program click here. | |
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