There are three ways you can submit an expense to PAN for reimbursement:
- If you receive your medication from your pharmacy, your pharmacist can send the bill to PAN.
- 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.
- 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.
