If you are a CF patient or a patient advocate, you may apply for assistance to the Cystic Fibrosis Patient Assistance Foundation (CFPAF) at any time. Here's how:
Step 1: See if you meet our basic qualifications
Our program is not for everyone, and we value your time. So before you begin our full application, we recommend that you first review our eligibility requirements to see if you are eligible:
Applicant must be diagnosed with cystic fibrosis, with pulmonary complications
Applicant's household income must not exceed 400% of the Federal Poverty Level (or 500% if there is more than one CF patient in the household)
Applicant must be using an FDA approved medication for inhalation or a paired drug delivery device for the on-label, nebulized treatment of cystic fibrosis pulmonary disease.
Applicant must be a permanent resident of the United States.
If you believe you meet these requirements, go to Step 2. If after reviewing the requirements you believe you are not eligible for the CFPAF program, you may be eligible for Other Patient Assistance Programs click the link to learn more. But, if you are still unsure, we can help determine your eligibility, either through:
Online screening:
or
Phone screening: Call us at 888-315-4154 and ask to be prescreened. When you call, please have the following information available:
Patient's name, address, telephone number, and date of birth
Patient's insurance information (have the insurance card handy)
Estimate of the patient's household income and household size
Medications and devices patient is taking or is prescribed
Any other assistance programs patient has applied to or enrolled in
You can obtain the application either by calling us (888-315-4154) and having us mail, email or fax it to you; or by simply downloading the application here.
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Step 3: Submit the Application
To ensure that we can process your application smoothly and quickly, please make sure you have provided all the requested information and the required income and residency documents. Once complete, you can submit the application one of two ways:
Once we have received all required documentation, we will process your application within 5 to7 business days and notify you of our decision via phone call and letter.
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