The checklist below will help patients prepare to apply to Commitment to Access:

Before Advocate Visit

• Find an Advocate to help you enroll in the program.
  
• Download or request an enrollment form.
  
• Talk to your Advocate about completing the enrollment form.
  
• Bring your income documentation with you when you meet with your Advocate.
  
• Give your Advocate a copy of your health insurance and prescription drug cards (if applicable).
  
• If you’ve applied to state or federal drug assistance programs, bring in a copy of the application or denial letter.
  
• List all medications and allergies on the Patient Health and Allergy Information sheet.
  

• Give your Advocate the required information and ask him/her to call 1-8-ONCOLOGY1 before mailing the enrollment documentation.

• Your medicine will be shipped to you or your prescriber depending on the type of medication and your preference.
• If needed, contact your Advocate to schedule treatment or pick up your medicine.
• If your prescription(s) change, ask the Advocate to call Commitment to Access to update your records before filling the new prescription.
• Notify your Advocate if your health insurance or income status changes and you no longer need help from Commitment to Access.
• Call your Advocate with any questions about the program.