Please make sure that HealthWell currently has a fund for your diagnosis/indication and that your medication is covered under that fund by visiting our Disease Funds listing. If we do not have a fund that currently covers your diagnosis, please check back as we frequently open and reopen programs as funding becomes available. The Foundation is able to help patients receiving treatment for indications for which we currently have an open fund. We can only assist with medications that have been prescribed to treat the disease/covered diagnosis. You will be asked to provide the Foundation with the patient’s diagnosis, which must be verified by a physician, nurse practitioner, or physician assistant’s signature. The patient must receive treatment in the United States.
Diabetic Foot Ulcers
Status
ClosedThis fund is temporarily closed to new patients due to lack of sufficient funding. Please continue to visit our Disease Funds page often, as replenished funds reopen as quickly as possible. If you currently have a grant with HealthWell, your grant will remain active for the entire 12 month grant cycle or until you have exhausted your allocated grant amount, whichever comes first. You can continue to use your pharmacy card or submit requests for reimbursements during your designated grant cycle.
Fund Type
CopayPremium (Medicare Part B only)
Maximum Award Level
Pharmacy Card Fund
YesMinimum CopayReimbursement Amount
We encourage you to please use your HealthWell pharmacy card for any applicable charges as possible.
Minimum Premium
Reimbursement Amount
Household Income Limit
500% of the Federal Poverty Level(adjusted for household size and high
cost of living areas)
Treatments Covered
- Active Wound Care Management
- Alginate Dressing 2x2
- Alginate Dressing Greater Than 16 But Less Than 48 Square Inches
- Allevyn Wound Dressing
- Ampicillin
- Amputation Wound Care For Toe Ulcers
- Azactam
- Aztreonam
- Becaplermin
- Cayston
- Cilastatin
- Cipro
- Cipro Iv
- Ciprofloxacin
- Collagen Dressing 16sq Inches Or Less
- Collagenase
- Debridement Of Nails, Muscle Or With Anesthesia
- Elastic Tubular Dressing
- Epifix
- Epifix, Per Square Centimeter
- Ertapenem
- Flagyl
- Foam Dressing Wound Cover Sterile Less Than 16 In With Any Size Adhesive Border
- Foot Radiology Exam 2 View
- Gauze Soaked W/other Than Water
- Hyalomatrix
- Hyaluronic Acid
- Hyaluronic Acid Sodium Salt
- Hydrolyzed Hyaluronic Acid
- Hymovis
- Imipenem
- Invanz
- Levaquin
- Levofloxacin
- Linezolid
- Mepilex Dressing
- Meropenem
- Merrem
- Merrem Iv
- Metrogel
- Metrogream
- Metrolotion
- Metronidazole
- Micropore Paper Tape (3m)
- Monovisc
- Novaplus Aztreonam
- Novaplus Ciprofloaxin
- Novaplus Imipenem
- Novaplus Piperacillin Sodium
- Novaplus Zosyn
- Novaplus Zyvox
- Orthovisc
- Piperacillin
- Premierpro Rx Aztreonam
- Premierpro Rx Piperacillin
- Premierpro Rx Tazobactam
- Premierpro Rx Zosyn
- Premierpro Rx Zyvox
- Primaxin Iv
- Puraply
- Regranex
- Routine Venipuncture
- Santyl
- Skin Replacement Surgery
- Sodium Hyaluronate
- Sulbactam
- Surgical Prep Or Creation Of Recipient, Site Tissue Skin Graft
- Tazobactam
- Unasyn
- Under Skin Substitute Grafts
- Vancocin
- Vancomycin
- Zyvox
Fund Definition
Assistance with the prescription drugs and biologics used in the treatment and management of diabetic foot ulcers.
Grant Utilization
HealthWell estimates that patients use an average of $570 during their 12-month grant period for this disease area.
Do I Qualify?
HealthWell bases eligibility on an individual’s medical, financial and insurance situation. To qualify for HealthWell’s assistance, applicants must meet the following eligibility requirements:
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To qualify for copayment assistance from HealthWell, you must have some form of health insurance (private insurance, Medicare, Medicaid, TriCare, etc.) that covers part of the cost of your treatment. Please note that in order to qualify for premium assistance through this fund, you must have Medicare Part B. The Foundation will refer patients without prescription insurance to other programs, such as manufacturer patient assistance programs.
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HealthWell assists individuals with incomes up to 300-500% of the Federal Poverty Level. The Foundation also considers the number in a household and cost of living in a particular city or state. If you believe you qualify for assistance, you may begin the application process here.
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If you are receiving treatment in the U.S. and have met the eligibility criteria as listed, you are ready to apply! Please note that you will be asked to provide a Social Security Number in order to create a grant. This information is gathered to eliminate duplicate applications and is kept secure and confidential.
About Diabetic Foot Ulcers
According to the American Podiatric Medical Association (APMA), a diabetic foot ulcer is an open sore or wound that occurs in approximately 15 percent of patients with diabetes and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, six percent will be hospitalized due to infection or other ulcer-related complication. Between 14-24 percent of diabetes patients with foot ulcers will require an amputation. Source:American Podiatric Medical Association
Additional Educational Resources
You may also visit our Resource List to view other copayment organizations that may provide assistance.
