MEDBANK
lets you do what you do best: care for patients.
With
our help, you and your staff can spend more time with your patients. Chronic
care medications, when taken as prescribed, lower medical costs for everyone
and improve the quality of life and health of patients.
Please
click on "Locations" to find the program
closest to you.
- To
refer a patient, physician/prescriber must complete and
submit a Referral Form to MEDBANK.
Referral
Form (MS Word format)
View Medbank's
Formulary
View
companies that have patient assistance programs
- Physician/prescriber
and patient complete a referral form, including a list of
the patient's prescribed medications (Brand Name Only)
- Patient
provides proof of income and insurance information to
MEDBANK
to verify eligibility.
- Patient
must sign a consent/authorization form.
- MEDBANK
Program representative identifies Patient Assistance Programs
for the patient, completes applications and where required
obtains written prescriptions from physician - and patient
and/or physician signatures.
- Most
pharmaceutical companies will ship a 90-day supply to the
physician's office.
- Patient
notifies the MEDBANK Program representative when medications
are received and the MEDBANK Program representative repeats
applications.
- Patient
demographic information
- Social
Security number or green card
- Verification
of income (tax return, pay stubs)
- Statement
of benefits (Award) letter from Social Security
- List
of medications (Brand Name medications only)
- List
of assets (home, savings, checking, CD's, IRA's, etc.)
Initially the process can take
between 2-4 weeks depending on whether the drugs come from our
pharmacy or the drug company. Talk
with your physician or health care professional
about what to do until your medication arrives.
For
additional questions please call us or read the
Frequently Asked Questions section.
Patient Assistance Program Eligibility Criteria and Medicare Part D |
