LLS Portal

Welcome to the Leukemia & Lymphoma Society Co-Pay Assistance Program on-line application process.

We have created this site as a method to access financial assistance in an expedient manner.

 

Welcome to the Leukemia & Lymphoma Society Co-Pay Assistance Program's  secured, on-line Patient Center!

 

The LLS Co-Pay Assistance Program currently provides direct financial support to insured patients, who are financially and medically qualified, for pharmaceutical treatments and/or prescription medication co-payments, co-insurance and deductibles relative to your diagnosis.

For your convenience the Patient Center is available 24 hours and you may submit your application through this secure web-site which will expedite program access.

If you would like to begin the application process, please click Start. If this is your first time visiting the Co-Pay Assistance Patient Center and you would like to register, please click Register.

Please Note: A valid email address is required to complete the registration process. After registering, you will receive an email to confirm your registration and create your password. Your account will not be active until you have confirmed your registration and created your password. Once this is done, you can log in any time with your email address and password.

Adobe Reader 9 or newer is required in order to properly display the forms that you can download. Please ensure that you have it installed prior to downloading any forms from the LLS Patient Center.

The following web browsers have been tested and are known to work with this site:

  • Internet Explorer 8 or higher
  • Internet Explorer 11 is not supported
  • Google Chrome 30.0.15 or higher
  • Firefox 4.0
  • Adobe Reader 9 or higher version
  • File size uploads are limited to 2MB

Newer versions of these should work without any issues. Older versions of these, or browsers not listed here, may work. However, if you experience any problems, please use one of the browsers listed above. Each one is free, widely available, and often pre-installed on many computers.

Please note: Cookies must be enabled. Cookies are usually already enabled, but refer to your browser's help documents for instructions on how to enable cookies if they are disabled. If cookies are not enabled, you won't be able to log in, and will see the log-in page repeatedly.

Welcome to the Leukemia & Lymphoma Society Co-Pay Assistance Program's  secured, on-line Provider Center!

 

The LLS Co-Pay Assistance Program currently provides direct financial support to insured patients, who are financially and medically qualified, for pharmaceutical treatments and/or prescription medication co-payments, co-insurance and deductibles relative to your diagnosis.

For your convenience the Patient Center is available 24 hours and you may submit your application through this secure web-site which will expedite program access.

If you would like to begin the application process, please click Start. If this is your first time visiting the Co-Pay Assistance Patient Center and you would like to register, please click Register.

Please Note: A valid email address is required to complete the registration process. After registering, you will receive an email to confirm your registration and create your password. Your account will not be active until you have confirmed your registration and created your password. Once this is done, you can log in any time with your email address and password.

Adobe Reader 9 or newer is required in order to properly display the forms that you can download. Please ensure that you have it installed prior to downloading any forms from the LLS Provider Center.

The following web browsers have been tested and are known to work with this site:

  • Internet Explorer 8 or higher
  • Internet Explorer 11 is not supported
  • Google Chrome 30.0.15 or higher
  • Firefox 4.0
  • Adobe Reader 9 or higher version
  • File size uploads are limited to 2MB

Newer versions of these should work without any issues. Older versions of these, or browsers not listed here, may work. However, if you experience any problems, please use one of the browsers listed above. Each one is free, widely available, and often pre-installed on many computers.

Please note: Cookies must be enabled. Cookies are usually already enabled, but refer to your browser's help documents for instructions on how to enable cookies if they are disabled. If cookies are not enabled, you won't be able to log in, and will see the log-in page repeatedly.

Welcome to the Leukemia & Lymphoma Society Co-Pay Assistance Program's  secured, on-line Pharmacy Center!

 

The LLS Co-Pay Assistance Program currently provides direct financial support to insured patients, who are financially and medically qualified, for pharmaceutical treatments and/or prescription medication co-payments, co-insurance and deductibles relative to your diagnosis.

For your convenience the Patient Center is available 24 hours and you may submit your application through this secure web-site which will expedite program access.

If you would like to begin the application process, please click Start. If this is your first time visiting the Co-Pay Assistance Patient Center and you would like to register, please click Register.

Please Note: A valid email address is required to complete the registration process. After registering, you will receive an email to confirm your registration and create your password. Your account will not be active until you have confirmed your registration and created your password. Once this is done, you can log in any time with your email address and password.

Adobe Reader 9 or newer is required in order to properly display the forms that you can download. Please ensure that you have it installed prior to downloading any forms from the LLS Pharmacy Center.

The following web browsers have been tested and are known to work with this site:

  • Internet Explorer 8 or higher
  • Internet Explorer 11 is not supported
  • Google Chrome 30.0.15 or higher
  • Firefox 4.0
  • Adobe Reader 9 or higher version
  • File size uploads are limited to 2MB

Newer versions of these should work without any issues. Older versions of these, or browsers not listed here, may work. However, if you experience any problems, please use one of the browsers listed above. Each one is free, widely available, and often pre-installed on many computers.

Please note: Cookies must be enabled. Cookies are usually already enabled, but refer to your browser's help documents for instructions on how to enable cookies if they are disabled. If cookies are not enabled, you won't be able to log in, and will see the log-in page repeatedly.