If you are a patient with cystic fibrosis (CF) or a patient advocate, you may apply for assistance to the CF 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 have a bona fide diagnosis of cystic fibrosis.
Applicant must be requesting assistance for an FDA approved medication or paired drug delivery device for the nebulized treatment of CF-related pulmonary disease, or an FDA approved medication for the treatment of pancreatic insufficiency related to CF.
Applicant must be a permanent resident of the United States.
Applicant's household income must be equal to or less than 400 percent of the federal poverty level for a single CF patient household, or equal to or less than 500 percent of federal poverty level for a multiple CF patient household.
If you believe you meet these requirements, go to Step 2: Complete the Application.
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:
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
Step 2: Complete the Application
You can obtain the application by calling 888-315-4154 or by downloading it below.