Which entity typically evaluates a patient's eligibility for a PAP?

The evaluation of a patient's eligibility for a Patient Assistance Program (PAP) is primarily conducted by the pharmaceutical company that offers the program. Pharmaceutical companies create PAPs to provide medications at no or reduced cost to patients who meet specific income and insurance criteria. These programs often have their own set of eligibility requirements that need to be assessed, which is why the company itself plays a key role in determining if a patient qualifies.

Pharmacy technicians and prescribing physicians can facilitate the process by providing necessary information or assisting with the application, but they do not usually have the final authority or criteria in the approval process. Similarly, while the health insurance provider evaluates coverage options and benefits for prescriptions, they do not typically assess eligibility for PAPs, which are specifically designed and funded by the pharmaceutical manufacturers.