Copay assistance fund status, eligibility, and covered drugs — for patient access and billing teams.
Maximum award Up to $15,000 · Income ≤500% FPL · Covers drug cost only — administration billed separately
Published terms from the foundation. Per-patient eligibility and amounts are confirmed at application.
G12.21Drugs whose J-codes this fund matches. Each links to its billing & coding reference.
Also matches J-codes not yet in our drug library: J1301
The foundation's own covered-medication list for this fund (21 drugs). Confirm coverage of your exact NDC at application.
Fund status changes with donations, often without an announcement — confirm directly with the foundation at 800-675-8416, and check the alternatives below.
As of June 11, 2026, the HealthWell Foundation Amyotrophic Lateral Sclerosis fund is OPEN and accepting applications. Verify at time of service: 800-675-8416.
Up to $15,000. Covers drug cost only — administration billed separately
Household income must be ≤500% FPL. US resident.
Accepted: commercial, medicare, medicaid, tricare.
The foundation's published processing time is 5–10 business days. Renewal: annual reapplication.