Apply for Assistance

Enrolling for Assistance
Good Days provides financial support for patients who cannot afford the treatment they urgently need. Good Days has streamlined the enrollment process so patients can receive immediate determination of eligibility for financial assistance.
Eligibility Criteria
  • Patient must be diagnosed with a covered disease and program must be accepting enrollments
  • Patient must have a valid Social Security number to apply for assistance and receive treatment in the United States
  • Patient must be seeking assistance for a prescribed medication that is FDA approved to treat the covered diagnosis
  • Patient is required to have valid insurance coverage
  • Patient income level must be at or below 500% of the Federal Poverty Level (FPL)
Enrollment Checklist
  1. Patient contact and demographic information
  2. Health insurance information
  3. Diagnosis and medication
  4. Prescribing physician's name and phone number
  5. Estimate of patient's household income and household size