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Published in the
Bulletin of Experimental Treatments for AIDS December 1996 issue,
by the San Francisco AIDS Foundation.
December
1996 Table of Contents
Main Page
beta@sfaf.org
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Patient Drug Assistance Programs
Sponsored by Pharmaceutical Companies
Many pharmaceutical companies offer programs that help find
sources of payment for drugs or provide them free to individuals who cannot
afford to pay. The programs outlined below have varying eligibility requirements
and methods for providing assistance. In most cases, it is necessary for
the treating physician to contact the appropriate program and provide
information about the patient's financial status and prescription drug
needs.
3TC (Epivir, lamivudine) -- Glaxo Wellcome: 800-248-9757
acyclovir (Zovirax) -- Glaxo Wellcome: 800-722-9294 (patient assistance
program)
alpha interferon 2A (Roferon-A) -- Hoffmann-La Roche: 800-443-6676 (Oncoline
reimbursement assistance); 800-443-6676 (cost assistance program); 800-443-6676
ext. 2 (indigent patient program)
alpha interferon 2B (Intron-A) -- Schering Plough Corp.: 800-521-7157
(Commitment to Care)
atovaquone (Mepron) -- Glaxo Wellcome: 800-722-9294 (patient assistance
program)
AZT (Retrovir, zidovudine) -- Glaxo Wellcome: 800-722-9294 (patient assistance
program)
cidofovir (Vistide) -- Gilead Sciences: 800-445-3235 (patient assistance
program)
cimetidine (Tagamet) -- SmithKline Beecham: 800-546-0420 (patient assistance
program)
ciprofloxacin (Cipro) -- Miles Pharmaceuticals: 800-998-9180 (indigent
patient program)
clarithromycin (Biaxin) -- Abbott Laboratories: 800-688-9118 (physician
calls only)
clindamycin -- Upjohn Company: 800-253-8600 ext. 36004 (patient assistance
program)
clofazimine -- Ciba Pharmaceuticals: 800-257-3273 (patient assistance
program)
d4T (Zerit, stavudine) -- Bristol-Myers Squibb: 800-788-0123 (temporary
assistance program)
ddC (Hivid, zalcitabine) -- Hoffmann-La Roche: 800-282-7780 (Roche HIV
Therapy Assistance Program)
ddI (Videx, didanosine) -- Bristol-Myers Squibb: 800-788-0123 (Videx temporary
assistance program)
dronabinol (Marinol) -- Roxane Laboratories: 800-274-8651 (patient assistance
program)
erythropoietin (Procrit, EPO) -- Ortho Biotech: 800-553-3851 (Procrit
line, insurance coverage and assist with forms); 800-441-1366 (cost-sharing
program, reimbursement after $8,500); 800-447-3437 (indigent financial
assistance)
ethambutol (Myambutol) -- Lederle Laboratories: 800-533-2273 (patient
assistance program)
fluconazole (Diflucan) -- Pfizer Inc.: 800-869-9979 (Diflucan patient
assistance program)
foscarnet (Foscavir) -- Astra Pharmaceuticals: 800-488-3247 (Foscavir
assistance and information on reimbursement)
ganciclovir (Cytovene) -- Roche Bioscience: 800-282-7780 (Roche HIV Therapy
Assistance Program)
G-CSF (Neupogen) -- Amgen, Inc.: 800-272-9376 (insured and non-insured
patients may apply)
GM-CSF (Leukine) -- Immunex Corporation: 800-334-6273 (physician calls
only)
human growth hormone (Serostim) -- Serono Laboratories: 800-714-AIDS (reimbursement
and insurance assistance); 888-628-6673 (Serostim patient assistance program)
indinavir (Crixivan) -- Merck & Company: 800-497-8383 (patient assistance
program)
itraconazole (Sporanox) -- Janssen Pharmaceutica: 800-544-2987 (patient
assistance program)
ketoconazole (Nizoral) -- Janssen Pharmaceutica: 800-544-2987 (patient
assistance program)
liposomal daunorubicin (DaunoXome)-- Vestar, Inc.: 800-247-3303 (limited
patient assistance program for those failing other cytotoxic treatments)
megestrol acetate (Megace) -- Bristol-Myers Squibb: 800-788-0123 (temporary
assistance program)
octreotide acetate (Sandostatin) -- Sandoz Pharmaceuticals: 800-447-6673
(indigent patient program)
pentamidine, aerosolized (NebuPent) -- Fujisawa Pharmaceuticals: 800-366-6323
(reimbursement service, free drug for indigent patients; available to
not-for-profit community health groups and clinics only)
prochlorperazine (Compazine) -- SmithKline Beecham: 800-546-0420 (patient
assistance program)
pyrimethamine (Daraprim) -- Glaxo Wellcome: 800-722-9294 (patient assistance
program)
rifabutin (Mycobutin) -- Adria Laboratories: 800-795-9759 (patient assistance
program; physician calls only)
ritonavir (Norvir) -- Abbott Laboratories: 800-659-9050 (patient assistance
program)
saquinavir (Invirase) -- Hoffmann-LaRoche: 800-282-7780 (Roche HIV Therapy
Assistance Program)
TMP/SMX (Septra) -- Glaxo Wellcome: 800-722-9294 (patient assistance program)
TMP/SMX (Bactrim) -- Hoffmann-La Roche: 800-526-6367 ext. 21 (indigent
patient program, physician calls only)
trimetrexate (NeuTrexin) -- US Bioscience: 800-887-2467 (reimbursement
and patient assistance program)
Page last updated 5 February 1997
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