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Common Patient Assistance Program: Application and Companion Document

January 2019

HRSA HIV/AIDS Bureau (HAB), NASTAD

The Common Patient Assistance Program Application (CPAPA) can be used to apply for any pharmaceutical assistance program (PAP) offered by pharmaceutical companies. These PAPs provide medicines at little or no cost to eligible patients. To facilitate enrollment in multiple PAPs, this tool consolidates all of the necessary information in one place. 

Presented below are the application and companion document on how to complete the application.

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