Check eligibility
You may be able to receive Amgen medications at no cost from The Safety Net Foundation if you meet the following eligibility requirements:
- Are a resident of the US or its territories
- Satisfy income eligibility requirements
- Have no or limited drug coverage
- Do not have any other insurance options
Choose a medication below and then answer the questions in the screener to see if your patient qualifies.
Select the medication
Does the patient live in the US or its territories?
- Yes
- No
What is the patient's household size?
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8+
What is the patient's annual household income?
- Under $30,000
- $31,000 - $40,000
- $41,000 - $50,000
- $51,000 - $60,000
- $61,000 - $70,000
- $71,000 - $80,000
- $81,000 - $90,000
- $91,000 - $100,000
- Over $100,000
Select the patient's insurance coverage (select all that apply):
- Commercial insurance
- Medicare Part A and/or Part B
- Medicare Part D
- Medicare Part C
(Medicare Advantage)
- Medicaid
- Other
- None
Your patient may qualify
Based on the information you entered, your patient may qualify for assistance through The Safety Net Foundation.
Click here to start the application process.
Eligibility pre-screener results do not provide a guarantee that a patient is eligible for assistance from The Safety Net Foundation, only that a patient may meet the eligibility criteria. The Safety Net Foundation will review the patient's application form and other supporting documentation to determine eligibility. The Safety Net Foundation reserves the right to modify or discontinue this program with respect to any patient, or in its entirety, at any time.
Your patient may not qualify
Based on the information you entered, it does not appear that your patient qualifies for assistance through The Safety Net Foundation.
If you have further questions, call The Safety Net Foundation at 1-888-762-6436.
Eligibility pre-screener results do not provide a guarantee that a patient is eligible for assistance from The Safety Net Foundation, only that a patient may meet the eligibility criteria. The Safety Net Foundation will review the patient's application form and other supporting documentation to determine eligibility. The Safety Net Foundation reserves the right to modify or discontinue this program with respect to any patient, or in its entirety, at any time.
