Pharmacies: How to apply for grants
Apply quickly and easily for TotalAssist grant funding on behalf of patients with our guide for pharmacy staff.
Pharmacy staff can apply for TotalAssist grants on behalf of eligible patients. Pharmacies may include pharmacists, pharmacy technicians, and related roles in pharmacy settings who support patients through their care journey.
You can apply online or by phone for TotalAssist grants. Our online portal application is secure and takes about 15 minutes to complete. Find out instantly if your patient is approved, and they can begin using their funding immediately. To apply by phone, call us at 866-512-3861, Monday – Friday, 8:30 – 5:30pm ET. Language interpretation is available.
Where do I start?
Find your fund and check eligibility
Search TotalAssist funds by disease, medication name, or ICD-10 diagnosis code, and check the eligibility requirements specific to that fund.
Have your information ready
Applying for TotalAssist takes about 15 minutes. Have the patient’s insurance, provider, and treatment plan information ready. For more details, read our help article.
- Patient’s contact and personal information
- Social Security Number or Alien Number
- Income information (annual income for pre-screening only)
- Authorized person to speak on patient’s behalf (optional)
- Health insurance carrier and plan type
- Policy ID and group number
- Copay or coinsurance amounts
- Medicare supplement or secondary insurance, if applicable
- Treating provider’s information, including name, address, phone, and fax number
- Diagnosis information. Exact date of diagnosis is needed if within 6 months
- Please share current stage if the patient is applying for a metastatic cancer fund.
- Prescribed medications and treatment plan
Apply online
1
Create your account or login
Create your TotalAssist portal account or login to your existing account using your username (your email) and password. Check your email for a multi-factor authentication code and enter this code to access your portal account. For more details about using your portal account, read our pharmacy portal guide
2
Start an application and complete pre-screening
For new patients, find the ‘Applications’ tab. Click ‘Create Application’ to start a new application. For returning patients, you can search by patient name, date of birth, SSN or Alien ID number. Select the patient or connect them to your provider account. Note: legacy PAN Foundation ID numbers are not in this system.
Select the fund you’re applying for and answer pre-screening questions. If the patient meets the fund’s requirements in pre-screening, you can continue the application.
3
Apply for an instant decision
Complete the online application using the required patient, insurance, and healthcare information. The final step in the provider application is submitting documentation and attesting to the patient’s diagnosis and treatment plan. Once you submit the application, you’ll receive an on-screen message telling you immediately if the patient is approved for a TotalAssist grant.
If approved, they can begin using their grant funding for covered expenses right away.
Verifying diagnosis
If you have direct access to documentation provided by the prescriber that verifies patient diagnosis, provide the diagnosis and ICD-10 code in the patient’s application. You will be asked to provide supporting documentation. If you are unable to verify the diagnosis, including the supporting documentation, at the time the application is made, a fax will be automatically sent to the treating physician to complete and return within 30 days.
Do we verify income?
Patient Advocate Foundation will automatically verify income eligibility for every application. If we require additional actions to verify the patient’s income, they have 30 days to provide documentation. During this time, the patient is free to use their approved TotalAssist grant.
Apply by phone
Call us at 866-512-3861, Monday through Friday, 8:30am – 5:30pm ET. Our support specialists will help you complete the pre-screening and application over the phone. Find out instantly if the patient is approved—they can begin using the grant right away. Interpreter services are available by phone.
What’s next
If you applied by phone
The support specialist will make sure you have the information your patient needs to pay for prescriptions at the pharmacy right away. The patient will also receive an approval packet by mail in a few days with information about submitting claims for all covered expenses.
If you applied online
Digital approval packet materials can be found in your portal account, including the patient’s TotalAssist Pharmacy Card information and claim fax cover sheet with unique bar code. You can also submit claims 24/7 in your portal account and track claim payments.
Questions? We’re here to help.
Browse our help center for helpful, detailed articles about using the portal, submitting claims, and more.
Chat live right here on the website with our support specialists, or call us at 866-512-3861, Monday through Friday, 8:30am – 5:30pm ET.