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Cardiology

Lipofen

Generic: fenofibrate

Manufacturer:  ·  Program:

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Eligibility Criteria

Insurance Requirement

See program details

Residency

US residency required

Program Information

Processing Time

2–8 weeks

Delivery Method

Varies by program

Application Method

Online

Indicated For

hypercholesterolemia, hypertriglyceridemia

About This Medication

# PAN Foundation Patient Guide: How to Get Lipofen (fenofibrate) at Low or No Cost Lipofen (fenofibrate) is a prescription medication used to help lower high levels of fats (triglycerides) and cholesterol in the blood when diet and exercise alone are not enough. The **Patient Access Network (PAN) Foundation** offers copay assistance grants of up to **$3,800 per year** for eligible patients with hypercholesterolemia taking fenofibrate, including Lipofen, to cover copays, deductibles, or coinsurance.[1] ## About Lipofen (fenofibrate) **Lipofen** is the brand name for fenofibrate capsules, a type of fibrate drug that works by increasing the activity of enzymes that break down fats in the body. It primarily reduces triglycerides (a type of fat in the blood) and can also lower "bad" cholesterol (LDL) while raising "good" cholesterol (HDL).[8] Doctors prescribe it for: - High triglycerides that don't respond to lifestyle changes. - Mixed dyslipidemia (high triglycerides plus high LDL cholesterol). Common side effects include stomach pain, nausea, headache, or muscle pain. Rarely, it can cause serious issues like gallstones, liver problems, or muscle damage (rhabdomyolysis), especially when combined with statins. Always take it with food for best absorption, and inform your doctor if you have kidney, liver, or gallbladder issues. Regular blood tests monitor cholesterol levels and liver function.[8] Without assistance, Lipofen can cost around **$379 for a 30-day supply of 150mg capsules**, but discounts or programs like PAN can make it affordable.[8] ## Who Qualifies for PAN Foundation Assistance? PAN Foundation provides grants for hypercholesterolemia medications like fenofibrate if you have commercial health insurance and face high out-of-pocket costs. You must have a confirmed diagnosis of hypercholesterolemia and be prescribed an eligible medication like Lipofen.[1][3] Key eligibility: - U.S. resident with private insurance (not Medicare-only; Medicare patients may be referred elsewhere).[1][3] - Household income at or below **400-500% of the Federal Poverty Level (FPL)**, based on fund availability (exact thresholds vary; check panfoundation.org).[1] - Out-of-pocket costs (copay/coinsurance) exceeding **$100 per month** for the medication. - Not enrolled in hospice or certain government programs that fully cover meds. PAN reviews applications based on financial need, insurance details, and diagnosis. Translators are available.[1] ## Income Eligibility Breakdown PAN uses **adjusted gross household income** compared to FPL. While specific thresholds aren't listed per household size in the hypercholesterolemia fund, they typically align with 400-500% FPL. Use this table as a general guide (2026 FPL estimates; verify current levels at panfoundation.org or call PAN).[1] | Household Size | 400% FPL (Approx.) | 500% FPL (Approx.) | |----------------|---------------------|---------------------| | 1 (Individual) | $60,000 | $75,000 | | 2 (Couple) | $81,000 | $101,000 | | 3 | $102,000 | $127,500 | | 4 | $123,000 | $153,000 | *Notes: Add ~$21,000 per additional person for 400% FPL. Income includes wages, investments (excludes certain deductions). PAN considers household size and expenses.*[1] ## Insurance Requirements You **must have health insurance** covering Lipofen, such as commercial/private plans. PAN helps with copays/coinsurance/deductibles, not full medication costs.[1] - **Medicare patients**: PAN's hypercholesterolemia fund is for non-Medicare; they refer to HealthWell Foundation's Medicare Access fund or manufacturer programs.[3] - **Medicare Part D**: Fenofibrate is usually covered, but after deductible, you pay copays until $2,000 out-of-pocket cap (2025+). Consider **Extra Help** (Low-Income Subsidy) if income/assets qualify—no deductible, low copays.[2] - **No insurance**: Try coupons (e.g., SingleCare: ~$177/30 caps) or state programs first.[8] PAN pays providers/pharmacies directly; you pay nothing extra if approved.[1] ## Step-by-Step Application Process 1. **Confirm eligibility**: Visit panfoundation.org or call 1-866-316-7263 (Mon-Fri, 9am-5:30pm ET) for pre-screening.[1] 2. **Gather documents**: Diagnosis proof, prescription, insurance ID, household income (tax return/statement), provider contact info.[1] 3. **Register**: Create a free account at **panapply.org** (1-2 business days; or call for faster help).[1] 4. **Apply online or by phone**: Submit details on diagnosis, meds, income, insurance. Providers/pharmacies may need to verify.[1] 5. **Await approval**: Decisions in days to weeks.[1] 6. **Receive grant**: Covers up to $3,800/year; use at any pharmacy.[1] Need help? PAN offers guides, translators, and phone support.[1] ## Timeline and Delivery - **Processing**: 1-2 weeks typically; urgent cases faster via phone.[1] - **Grant duration**: 1 year, renewable if eligible. - **Delivery**: No shipment—grant pays pharmacy/provider directly when you fill prescription. Get meds as usual.[1] ## Alternatives if Denied or Ineligible - **Coupons/discounts**: SingleCare ($177/30 caps), GoodRx, Rx Advantage.[4][8] - **Medicare Extra Help**: Apply at ssa.gov or 1-800-772-1213 if low-income.[2][4] - **HealthWell Foundation**: Medicare-specific for hypercholesterolemia/fenofibrate.[3] - **Mail-order/90-day supply**: Lower costs/trips; check insurance.[5][6] - **Patient Advocate Foundation**: Copay relief if you qualify.[4] - **NeedyMeds/Medicine Assistance Tool**: Find other programs.[5][6] - **Manufacturer**: Contact AbbVie (Lipofen maker) for PAP if uninsured.[4] - **State programs**: E.g., PA's PACE/PACENET.[2] ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, benefits, and availability can change—always verify with PAN Foundation at 1-866-316-7263 or panfoundation.org. Not medical/financial advice; consult your doctor/pharmacist. PAN does not guarantee approval. Income/FPL figures are estimates.

Program information last verified: March 30, 2026

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