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Co-Pay Relief 1-866-512-3861
Co-Pay Relief
421 Butler Farm Road, Hampton, VA 23666
Phone: 1-866-512-3861 Fax: 757-952-0119

Our Program
The Patient Advocate Foundation (PAF) Co-Pay Relief Program (CPR) provides direct financial support for pharmaceutical co-payments to insured patients, including Medicare Part D beneficiaries, who financially and medically qualify.

The program offers innovative technology tools for patients, providers and pharmacy representatives including 24 hour web based application portals, electronic signature, document upload and bar code fax routing capabilities, increasing the speed with which an approval can be granted and expenditure can be paid. However, in keeping with our emphasis on excellent patient service the program also offers individualized service to all patients through the use of call counselors; personally guiding patients through the enrollment process.


Are You Eligible?
The Patient Advocate Foundation (PAF) Co-Pay Relief Program (CPR) currently assists insured patients who are financially and medically qualified and are being treated for the following: breast, non muscle invasive bladder and non-small cell lung cancers, hormone suppression therapy, cutaneous t-cell lymphoma, multiple myeloma, myelodysplastic syndrome (and other pre-leukemia diseases), osteoporosis, pain, hepatitis C, electrolyte imbalance and renal cell carcinoma.


For Patients
Currently the PAF Co-Pay Relief Program offers a dedicated, secured web based application for patients to enroll electronically for the Co-Pay Relief Program (CPR). Please be advised that only one application per patient will be accepted. Should you wish to access this patient resource, please click on the link below to obtain information on how to register and apply for assistance. You will receive an email to confirm your registration and create your password. The patient's social security number or Alien ID and a valid email address are required to complete the registration process. We look forward to serving as a resource for your pharmaceutical co-payment needs!

Online Services for Patients


For Providers
Currently the PAF Co-Pay Relief Program offers a dedicated, secured web site for medical providers to enroll electronically for the CPR Program on behalf of their patients. Should you wish to access this provider resource, please click on the link below to obtain information on how to register and submit an application on your patient's behalf. You will receive an email to confirm your registration and create your password. You will need to provide your provider tax Identification Number (EIN), National Provider Identifier (NPI) and a valid email address to complete the registration process. We look forward to serving as a resource for your patient's pharmaceutical co-payment needs!

Online Services for Providers


For Pharmacies
We are pleased to now offer a dedicated, secured web site for pharmacies to enroll electronically for the CPR Program on behalf of their patients. Should you wish to access this pharmacy resource, please click on the link below to obtain information on how to register and submit an application for your patient. You will receive an email to confirm your registration and create your password. You will need to provide your pharmacy tax Identification Number (EIN), National Provider Identifier (NPI) and a valid email address to complete the registration process. We look forward to serving as a resource for your patient's pharmaceutical co-payment needs!

Online Services for Pharmacies