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Welcome Pharmacies, Specialty Pharmacies, Patient Advocates and Healthcare Providers to The Leukemia & Lymphoma Society Co-Pay Assistance Program's Provider Portal.

We've created this secure online portal to be available to you as a method to easily access financial assistance for your patients. This application process should take approximately five minutes to complete. Co-Pay applications can also be submitted by calling (877) 557-2672 from your pharmacy, patient advocate office or physician facility.

Registration Process

If this is your first time visiting the Co-Pay Assistance Provider Portal, you will need to register before you can start the online application process. Your provider tax ID number is required to complete registration. Once approved, you will receive a user name and password (via email, typically within five minutes) for this site, allowing future use of this web-based service.

To register and/or start a new patient application, click here.

Go back to the LLS Co-Pay Assistance webpage

last updated on Wednesday, February 12, 2014
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