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.
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 meet program guidelines.
Patient contact and demographic information
Health insurance information
Diagnosis and medication
Prescribing physician's name and phone number
Estimate of patient's household income and household size
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