After speaking with one of our representatives to determine which medication(s) you are applying for, we will mail, fax, or e-mail you the following:

• Program application(s)
• Member questionnaire, which must be filled out completely.
• A Contractual Agreement that explains our services
• Form for Client Payment
• Proof of income must be sent back to us with all of the above forms, which can be any of the following:
  • U.S. Income Tax Return
  • IRS Form 1040, 1040A, 1040EZ, 1040NR, or 1040PR.
  • W-2
  • A copy of a Social Security/Disability Monthly Check or award letter
  • Benefit Statement
  • 1099
  • Or a copy of a recent pay stub(s) (a month's worth)

There is a portion on the program application form, as it will be explained to you by one of our representatives, which must be filled out by your prescribing physician.

Once you have that completed, you the patient must complete and answer (1) the Member Questionnaire form, (2) TPHI's contract explaining our services, and (3) the Patient Payment form.

There is an initial one-time $25 processing fee that will be charged to your credit or debit card for our starting services, and this is also to insure that we have access to your quarterly (or monthly for select PAP's) payments once you're approved for any program.

Here’s how it works:

1. Submit Your Paperwork
   Mail or fax your completed forms to the address or number on our website (we strongly recommend faxing for quicker processing).

2. We Review and Finalize
   Our team carefully reviews, completes, and edits your application to ensure it’s error-free before sending it to the pharmaceutical review board.

3. Receive Your Status
   We’ll notify you by email or phone about your enrollment status.

TPHI can almost 100% guarantee that your paperwork, once it leaves our hands and reaches the pharmaceutical review board, will have zero errors and your application will not be denied because of an incomplete form. We will notify you by e-mail or phone (if preferred) as to your status of enrollment.

If your application is denied, we’ll explain why. After that, your documents are securely shredded according to HIPAA/HITECH standards—no additional fees beyond the initial $25 processing fee.

Once you’re approved for a program, T.P.H.I. will notify you about your medication’s delivery date.

Shipping Address:

All medications are shipped to the address your prescribing physician lists on the application. If you need a different address, contact T.P.H.I. before submitting your paperwork; special accommodations may be possible.

Shipment Issues:

T.P.H.I. is not responsible for the actual shipment. However, if your medication is mishandled, destroyed, or lost, certain programs allow a replacement order. We’ll submit that on your behalf if you let us know right away.

Supply & Refills:

Depending on your program, you may receive a 30-, 90-, or 120-day supply with corresponding refills (e.g., 11, 3, or 2). A T.P.H.I. representative will confirm how your medication is dispensed.

Payment:

We only charge your credit or debit card $50 per month’s supply after you’ve been approved and your shipment is confirmed. For most programs, this may happen quarterly or in three-month intervals, depending on your supply schedule.

We manage all refills on your behalf and will notify you when an order is placed. Most refills come in 30-, 90-, or 120-day supplies and ship to the same address as your previous order.

Although T.P.H.I. isn’t responsible for mishandled, lost, or destroyed shipments, many programs offer replacement orders. Let us know immediately if you have any issues, and we’ll arrange a replacement.

Once we confirm that a shipment has been sent, we charge only $50 for each month of medication, no matter how many programs you’re enrolled in.

Annual Membership:

• $625/year covers all prescriptions you receive assistance with.
• This total includes a one-time $25 administrative fee plus the $50 monthly fee billed after each shipment is confirmed.

When your final shipment is sent, we’ll notify you that a new application is needed for further medication deliveries.

At your request, we’ll send new forms and restart the process from Step 1. You won’t be charged any fees other than the $50 monthly supply charge, billed only after you’ve been re-approved and re-enrolled.

Some applications just need to be re-dated and signed by your doctor—we’ll handle everything on your behalf.

Once you submit your paperwork:

• We work directly with pharmaceutical companies on your behalf.
• We inform you of the approval status for one or more programs.
• We track your medication and update your doctor’s office when it’s shipped.
• We handle any replacement orders if a shipment is mishandled.
• We place and notify you of all refills.
• At your request, we can start a new enrollment year once your current program ends.

All you have to do is pick up your medication and enjoy the savings!