How Do I Apply?
First Check your eligibility
You may qualify for assistance through Teva Cares, if you reside in the United States, meet insurance and income requirements, and have a valid prescription for a Teva medicine that is covered under the Program.
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U.S. Residency – You must currently reside in the United States or its territories. |
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Insurance – You must provide information about any healthcare insurance or prescription drug coverage plans you may have. If you do not have insurance or prescription drug coverage, please indicate that on your application. If your insurance requires prior authorization or formulary exception, the outcome letter must be provided as part of the application to help determine eligibility. The application will be considered incomplete and will not be processed until the documentation is received by the program. |
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Income – All patients applying to the PAP must meet the income eligibility requirement with a total pre-tax household income at or below 300% of the federal poverty level (FPL). |
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Valid prescription – You must be receiving treatment or have a valid prescription from a licensed healthcare provider practicing in the United States. |
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LIS/Extra Help – Patients whose household income is less than 150% of the Federal Poverty Level (FPL) must submit proof of denial from the Low-Income Subsidy (LIS/Extra Help) program before they can be considered for assistance from Teva Cares. |