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Eligibility and Accessibility Barriers of Patient Assistance Programs for Oral Oncolytics in Patients With Cancer
Emma Nunley1, Ashley Martinez2, Joyce E Dains3
1Emma Nunley.
Background:
The out-of-pocket cost of oral oncolytics led to the creation of patient assistance programs (PAPs) as an intervention to mitigate financial toxicity. Despite these programs, eligibility and accessibility barriers may disqualify patients from receiving financial assistance for prescribed oral oncolytics.
Objectives:
The objective of this integrative review was to identify eligibility and accessibility barriers related to PAPs.
Methods:
A comprehensive search was conducted in PubMed® and Ovid® databases for articles published from January 2014 through December 2023. Five articles were included in the review.
Findings:
Eligibility and accessibility barriers of PAPs include insurance status, income ceilings, out-of-pocket costs, and prescription-to-initiation timeline delays. Overall, findings were mixed on what would qualify a patient for a PAP. Transparency from PAPs and the use of pharmacy-based interventions for PAPs can help clinicians efficiently prescribe oral oncolytics.
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