How do you handle patient assistance program paperwork for specialty drugs?

I'm seeing so many patients that simply can't afford a lot of drugs, especially for rheumatology and I'm honestly shocked by how complicated the assistance program application process is. It's almost like these pharma companies DON'T want the patients to get access...

For those of you working in rheumatology, GI, or other specialties where expensive drugs come up a lot and you are handling assistance applications, would love to know how you/your office is managing it.