logo » en Español
Co-Pay Relief 1-866-512-3861
Co-Pay Relief
421 Butler Farm Road, Hampton, VA 23666
Phone: 1-866-512-3861 Fax: 757-952-0119

Disease and Treatment Silos:

Online Services for Pharmacies



The Co-Pay Relief Program currently offers assistance for 19 diseases and conditions. Once a patient is approved for the program they are granted an annual award up to a certain amount based on their diagnosis. Please review the chart here as it provides you with a breakdown of award amounts by disease categories. The program cannot provide support in excess of the amounts shown, so look over expenditure submissions carefully to ensure that they do not exceed the allowable award amounts. We hope that this information will be helpful and thank you for allowing our program to serve as a resource for your co-payment needs.

Welcome to the PAF Co-Pay Relief Program's secured web application portal for pharmacy providers. This portal allows pharmacy providers to enroll electronically for the program on behalf of their patients. The pharmacy portal application registration process requires that you register by providing both your Tax Identification Number (EIN) and National Provider Identifier (NPI). Should you wish to access this pharmacy resource please click on the link below. We look forward to serving as a resource for your patient's pharmaceutical co-payment needs! Should you need personal assistance you may reach our call counselors by dialing 1-866-512-3861.

Pharmacy Portal

Welcome to the Patient Advocate Foundation's Co-Pay Relief Program on-line application process. The CPR Program currently provides direct financial support to insured patients, who are financially and medically qualified, for pharmaceutical treatments and/or prescription medication co-payments, co-insurance and deductibles relative to your diagnosis.

Additionally, our program provides assistance to patients on a first come first serve basis and processes applicants in the order in which their completed applications are received. Please understand that a thorough review of the completed application packet, in its entirety, is necessary before a final determination of acceptance for assistance can be made.

For your convenience the Pharmacy Center is available 24 hours and you may submit applications through this secure web-site on behalf of your patients. We have created this site to provide you with expedient program access. This application process should take approximately 5 minutes to complete.

If you would like to begin the application process, please click “Start the Application Process”. If this is your first time visiting the Co-Pay Relief Patient Center and you will need to register on the next page.

Tips to Enhance Your CPR Experience!

Start the Application Process

Please note that the pharmacy's Tax Id, NPI number, and a valid email address are required to complete the registration process. After registering, you will receive an email to confirm your registration and create your password. Your account will not be active until you have confirmed your registration and created your password. Once this is done, you can log in any time with your email address and password.