Congratulations on your acceptance into the Patient Access Network (PAN)! Our mission is to provide assistance in the form of reimbursement for cost sharing associated with products and administrative services related to your approved disease fund. Reimbursement is available for one (1) year after your date of approval or when the benefit cap has been met.

Expenses can be submitted directly from the patient or provider. To receive reimbursement for realted expenses that you have paid directly, you must submit valid documentation along with a completed Proof of Expenditure form to the Patient Access Network.

The attached card is for your use for covered products that you obtain from a retail or specialty pharmacy. To verify if your treatment is covered, please review the list of covered products on our website (www.patientaccessnetwork.org) under products/services.

This process can make it easier for you to obtain your treatment without having to pay the copay upfront. To utilize this card in a retail or specialty pharmacy, present your prescription, primary insurance card (and any other coverage that you may have) and PAN card.

Your providers can direct bill for any eligible copay amount by calling us. We will set up the most efficient method based on the provider' current billing practices.

If you have any questions regarding your participation in the Patient Access Network Foundation, please contact us at (866) 316-PANF (7263). Program counselors are available from 9AM to 5PM Eastern Time, Monday through Friday.

or, fax to 566-316-7261

Sincerely,
The Patient Access Network

ATTN: Pharmacist - This Patient Access Network (PAN) card should ONLY be used for COB (coordination of benefits) after all other payers have been utilized. ALL claims must be submitted using COB processing.

For further information,and to check on your status & assistance with your Pulmozyme prescription at the CF Pharmacy, call the AR supervisor, Melodye at 1-888-307-4427.