Our call center will be closed on July 5 in observance of Independence Day. Please use the portals—available 24/7—to enroll in funds during this time. Our call center will reopen on July 6 at 9 am ET.

File a claim

There are three ways you can submit an expense to PAN for reimbursement:

  1. If you receive your medication from your pharmacy, your pharmacist can send the bill to PAN.
  2. If your physician gives you your medication in the office, your physician can send the bill to PAN after submitting it to your insurance company.
  3. If your pharmacy or physician does not submit the bill to PAN, you can pay for the medication or service yourself and download a Direct Reimbursement form below to send to PAN.

Direct Reimbursement Form: Medications and Treatments

PAN grant recipients can submit PAN-approved expenses for reimbursement using the Direct Reimbursement form. You do not need to complete this form if your healthcare provider or pharmacist has submitted or will submit a claim on your behalf.