About your pharmacy card
Will I receive a TotalAssist pharmacy card?
If you have been approved for a TotalAssist grant for a disease fund, you can use your grant to cover medication copays, coinsurance, and deductibles for your fund’s approved medications.
- You will receive an approval packet by mail or email, depending on your preferred contact method. Your pharmacy card information will be included in the approval packet.
- You can also access your approval packet materials in your portal account.
- You can register for a portal account later if you applied by phone; your materials will also be available in your portal account.
- Important: If you have more than one grant, you will receive unique pharmacy card for each grant. It is important that you use the correct pharmacy card information at the pharmacy.
Some TotalAssist funds do not include pharmacy benefits, such as testing and assessment funds and our transportation fund. As such, approved patients will not receive a pharmacy card for those grants.
Related articles: Approval packets; Claims for testing & assessment funds; Claims for transportation grants
Using your TotalAssist Pharmacy Card
Present the card at the pharmacy to pay for your out-of-pocket costs for approved medications. The card works like cash and will cover approved medications at the point of sale, so no additional claims are required. Your pharmacy card lists this information:
- Patient name
- Card holder number
- Your health insurance Group number, BIN, and PCN
How to use your card:
- Show your card to the pharmacy staff when filling or picking up prescriptions for approved medications.
- If ordering by phone, tell the pharmacy staff you have a Patient Advocate Foundation TotalAssist grant that covers copays, and provide the card information.
- Pharmacies can contact PDMI at 855-552-0274 if they have questions.
Where is my pharmacy card?
If you applied by phone, you will receive a copy of your pharmacy card in your welcome packet by mail. If you applied online, or if you created a portal account, your pharmacy card information will be in your account.
If you don’t have a printed copy of your card, or misplace it
If your pharmacy card is in your portal account, you can download and print your pharmacy card to use it–but a printed copy is not required to use it. You can simply provide the information to the pharmacy either over the phone or when you pick up your prescription. Likewise, if you misplace the paper version of your pharmacy card, you can access your portal account to find the information, or contact us to help retrieve your pharmacy card information. Chat live from this website, or call 866-512-3861, Monday through Friday, 8:30am – 5:30pm ET.
Do I have to use my pharmacy card?
Using your pharmacy card is not the only way to pay for medication costs covered by your grant. You can also submit a claim to get reimbursed (paid back) for eligible pharmacy expenses you paid out-of-pocket during your grant eligibility period and lookback period.
Related article: Claims guide – Pharmacy expenses
If you do not use your grant funding for medication costs
TotalAssist grants are meant to be flexible to patient needs. You can use your TotalAssist grant for eligible out-of-pocket healthcare costs as you choose. As such, you might not use your pharmacy card.
Related article: Expenses covered by TotalAssist
Need more help?
Chat live or call 866-512-3861, Mon - Fri, 8:30am - 5:30pm ET.
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