Are high out-of-pocket medication costs keeping you—or your patients—from getting critical treatment? Green Tape Foundation can help.
Our patient assistance grants offer a fast, reliable way to get help paying for medication copays associated with provider-administered immunology medications.
How to apply
Check your eligibility
Our patient assistance grants provide fast and reliable help to pay for medication copays.
Enroll your pharmacy
Dispensing healthcare providers & pharmacies must enroll their pharmacy ahead of submitting a patient application.
Submit a patient application
Be prepared with the right information and documents for your application.
Patients are eligible for Green Tape Foundation Assistance if:
Reside in the US
The patient resides and is receiving treatment in the United States or U.S. territories. (U.S. citizenship is not a requirement)
Are covered by Medicare Part D
The patient must be covered by Medicare Part D. This program is aimed at mitigating the negative impact of the donut hole.
Have a valid prescription
The patient must have a valid prescription for a course of immunology provider-administered medications for treatment of a documented medical condition.
Meet income requirements
The patient’s annual income must be below 500% of the Federal Poverty Line (FPL). The U.S. Federal Poverty Guidelines change every year; current guidelines are available here.
If you or your patient meet the eligibility criteria, you can start the process.
Get started with your application
Here is what you'll need to get started with your application.
Diagnosis and medications
Health insurance carrier and insurance member ID
Personal and contact information, including date of birth, mailing address, email address, and evidence of the aforementioned details via tax or employer forms
Personal and contact information, including date of birth, mailing address, email address, and evidence of the aforementioned details via tax or employer forms
About Green Tape Foundation
The Green Tape Foundation is dedicated to providing affordable medication to those in need. Our patient assistance grants offer fast and reliable help to cover medication copays, ensuring that everyone has access to the medications they require. Through our commitment to affordability, we strive to make a positive impact on the lives of patients and their families.