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Fund pharmacy Rx Group numbers
Fund pharmacy Rx Group numbers
The pharmacy Rx Group numbers for all TotalAssist funds are listed below. Please note that the listed BIN, PCN, and group number combinations apply only to TotalAssist grants approved on or after July 1. They do not apply to Co-Pay Relief or PAN legacy grants issued prior to July 1.
BIN: 610728
PCN: PANF
| TotalAssist fund | Rx Group number |
|---|---|
| Acromegaly | 99996503 |
| Acute lymphoblastic leukemia (ALL) | 99996712 |
| Acute myeloid leukemia (AML) | 99996504 |
| Alzheimer’s disease health equity | 99996505 |
| Amyloidosis | 99996506 |
| Ankylosing spondylitis | 99996713 |
| Asthma | 99996507 |
| Asthma health equity | 99996507 |
| Atopic dermatitis | 99996508 |
| Basal cell carcinoma (BCC) | 99996509 |
| Biliary tract cancer (BTC) | 99996510 |
| Bipolar disorder | 99996511 |
| Bladder cancer | 99996512 |
| Breast cancer | 99996513 |
| Breast cancer health equity | 99996513 |
| Cardiomyopathy | 99996718 |
| Cervical cancer | 99996514 |
| Chronic inflammatory demyelinating polyneuropathy (CIDP) | 99996515 |
| Chronic kidney disease (CKD) | 99996516 |
| Chronic lymphocytic leukemia (CLL) | 99996517 |
| Chronic obstructive pulmonary disease (COPD) | 99996518 |
| Chronic obstructive pulmonary disease (COPD) health equity | 99996518 |
| Chronic spontaneous urticaria (CSU) | 99996519 |
| Colorectal cancer | 99996520 |
| Coronary artery disease (CAD) health equity | 99996521 |
| COVID-19 & Post COVID | 99996522 |
| Cushing’s disease or syndrome | 99996523 |
| Cystic fibrosis (CF) | 99996524 |
| Dermatomyosis | 99996720 |
| Diabetic macular edema (DME) | 99996711 |
| Diabetic retinopathy (DR) | 99996525 |
| Diffuse large B-cell lymphoma (DLBCL) | 99996526 |
| Duchenne muscular dystrophy (DMD) | 99996527 |
| Eosinophilic esophagitis | 99996528 |
| Eosinophilic granulomatosis with polyangiitis (EGPA) | 99996721 |
| Fabry disease | 99996529 |
| Fabry disease health equity | 99996529 |
| Follicular lymphoma | 99996632 |
| Gastrointestinal stromal tumors (GIST) | 99996633 |
| Gaucher disease | 99996634 |
| Gaucher disease health equity | 99996634 |
| Glioblastoma multiforme (GBM) | 99996635 |
| Graft vs host disease (GvHD) | 99996636 |
| Growth hormone deficiency | 99996714 |
| Heart failure (HF) | 99996637 |
| Heart failure (HF) health equity | 99996637 |
| Hemolytic uremic syndrome (HUS) | 99996638 |
| Hemophilia | 99996639 |
| Hemophilia health equity | 99996639 |
| Hepatitis B (HepB) | 99996640 |
| Hepatitis B (HepB) health equity | 99996640 |
| Hepatitis C (HepC) | 99996641 |
| Hepatitis C (HepC) health equity | 99996641 |
| HIV, AIDS, and prevention | 99996642 |
| HIV, AIDS, and prevention health equity | 99996642 |
| Hypercholesterolemia | 99996643 |
| Hyperkalemia | 99996644 |
| Hypertrophic cardiomyopathy | 99996719 |
| Hypophosphatasia | 99996645 |
| Immune thrombocytopenic purpura (ITP) | 99996646 |
| Inflammatory bowel disease (IBD) | 99996647 |
| Inherited retinal disease (IRD) | 99996648 |
| Lipodystrophy | 99996649 |
| Liver cancer | 99996650 |
| Long-chain fatty acid oxidation disorders (LC-FAOD) | 99996651 |
| Lupus (SLE) | 99996652 |
| Lupus (SLE) health equity | 99996652 |
| Lysosomal acid lipase deficiency (LAL-D) | 99996653 |
| Macular degeneration and related diseases | 99996654 |
| Mantle cell lymphoma (MCL) | 99996655 |
| Melanoma | 99996656 |
| Metabolic dysfunction-associated steatohepatitis (MASH) | 99996657 |
| Metastatic breast cancer | 99996658 |
| Metastatic colorectal cancer | 99996659 |
| Metastatic colorectal cancer health equity | 99996659 |
| Metastatic gastric cancer | 99996660 |
| Metastatic melanoma | 99996661 |
| Metastatic prostate cancer | 99996662 |
| Mucopolysaccharidosis type III (MPS III) | 99996663 |
| Mucopolysaccharidosis type VII (MPS VII) | 99996664 |
| Mucopolysaccharidosis type VII (MPS VII) health equity | 99996664 |
| Multiple myeloma | 99996665 |
| Multiple myeloma health equity | 99996665 |
| Multiple sclerosis (MS) | 99996666 |
| Multiple sclerosis (MS) health equity | 99996666 |
| Myasthenia gravis (MG) | 99996667 |
| Myelodysplastic syndromes (MDS) | 99996668 |
| Narcolepsy | 99996669 |
| Neurofibromatosis (NF) | 99996670 |
| Neuromyelitis optica spectrum disorder (NMOSD) | 99996671 |
| Neurotrophic keratitis (NK) | 99996672 |
| Neutropenia | 99996673 |
| Non-Hodgkin’s lymphoma (NHL) | 99996674 |
| Non-small cell lung cancer (NSCLC) | 99996675 |
| Non-small cell lung cancer (NSCLC) health equity | 99996675 |
| Obesity | 99996676 |
| Osteoporosis | 99996677 |
| Ovarian cancer | 99996678 |
| Ovarian cancer health equity | 99996678 |
| Pancreatic cancer | 99996679 |
| Parkinson’s disease | 99996680 |
| Parkinson’s disease health equity | 99996680 |
| Paroxysmal nocturnal hemoglobinuria (PNH) | 99996681 |
| Pemphigus vulgaris (PV) | 99996682 |
| Periodic paralysis | 99996683 |
| Peripheral vascular and artery disease | 99996684 |
| Philadelphia chromosome negative myeloproliferative neoplasms (MPN) | 99996685 |
| Pompe disease | 99996686 |
| Pompe disease health equity | 99996686 |
| Primary biliary cholangitis (PBC) | 99996708 |
| Prostate cancer | 99996687 |
| Prostate cancer health equity | 99996687 |
| Psoriasis | 99996688 |
| Psoriatic arthritis (PsA) | 99996689 |
| Pulmonary fibrosis (PF) | 99996690 |
| Pulmonary hypertension | 99996691 |
| Renal cell carcinoma (RCC) | 99996692 |
| Retinal vein occlusion (RVO) | 99996693 |
| Rett syndrome (RS) | 99996694 |
| Rheumatoid arthritis (RA) | 99996695 |
| Schizophrenia | 99996696 |
| Short bowel syndrome (SBS) | 99996697 |
| Sickle cell disease | 99996698 |
| Skin cancer | 99996699 |
| Small cell lung cancer (SCLC) | 99996700 |
| Soft tissue sarcoma | 99996701 |
| Solid organ transplant preservation and rejection prevention | 99996715 |
| Spinal muscular atrophy (SMA) | 99996702 |
| Spinal muscular atrophy (SMA) health equity | 99996702 |
| Stroke | 99996703 |
| Thyroid cancer | 99996716 |
| Thyroid eye disease (TED) | 99996704 |
| Type 2 diabetes (T2DM) | 99996705 |
| Type 2 diabetes (T2DM) health equity | 99996705 |
| Ulcerative colitis (UC) | 99996706 |
| Uterine cancer | 99996707 |
| Uterine cancer health equity | 99996707 |
| Uveitis | 99996722 |
| Von Willebrand disease (vWD) | 99996709 |
| Waldenstrom macroglobulinemia | 99996710 |
| Wilson’s disease | 99996717 |
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