Drug Name (Brand Name)
|
Manufacturer
|
Program Contact Information
|
| Acetaminophen
(Tylenol®) |
Ortho
McNeil |
Ortho-McNeil
Patient Assistance Program
P.O. Box 938
Somerville,
NJ 08876 |
| Adalimumab
(Humira®) |
Abbott
Immunology |
1-866-4-HUMIRA |
| Alendronate
(Fosamax®) |
Merck |
The
Merck Patient Assistance Program
800‐727‐5400
800 994-2111
(Health care professionals only) |
|
Augmentin |
Smithkline Beecham
Pharmaceuticals |
Access to Care Program
1
Franklin Plaza FP 1320
P.O. Box 7929
Philadelphia, PA 19101-7929
(800) 546-0420 |
|
Carafate |
Hoechst-Marion- Roussel,
Inc. |
(800) 362-7466
Customer
Information Line
(800)
552-3656 |
| Celecoxib
(Celebrex®) |
Pfizer
Inc |
Pfizer
Helpful Answers
866-706-2400
www.pfizerhelpfulanswers.com |
|
Compazine |
Smithkline Beecham
Pharmaceuticals |
Access to Care Program
1
Franklin Plaza FP 1320
P.O. Box 7929
Philadelphia, PA 19101-7929
(800) 546-0420 |
| Cyclosporine
(Neoral®) |
Novartis |
Novartis
Pharmaceuticals Patient Assistance
Program
P.O. Box 66556
St. Louis, MO 63166‐6566
800 277-2254 |
|
Cytoxan |
Bristol Myers Oncology |
(800) 272-4878 |
| Etanercept
(Enbrel®) |
Amgen
and Wyeth Pharmaceuticals |
ENcourage
Foundation™
888‐463‐2735
www.enbrel.com |
| Etidronate
(Didronel®) |
Procter
& Gamble |
Procter
& Gamble Pharmaceuticals
C/O Express Scripts
P.O.
Box 6553
St. Louis, MO 63166-6553
800‐830‐9049 |
| Gamimune® |
Bayer
Corporation Pharmaceutical Division |
Bayer
Indigent Program
P.O. Box
29209
Phoenix, AZ 85038-9209
800‐998‐9180 |
| Hydroxychloroquine
(Plaquenil®) |
Sanofi-Synthelabo
Inc. |
Sanofi
Patient Assistance Program
(Plaguenil®)
55 Corporate
Dr
Bridgewater, NJ 08807
800‐992‐9022
www.Sanofi-SynthelaboUS.com
|
|
Imuran |
Glaxo |
Patient Assistance
(800)
722-9294 |
Infliximab
(Remicade®)
|
Centocor,
US |
REMICADE
® (infliximab) PATIENT ASSISTANCE
PROGRAM
P.O. Box 221709
Charlotte, N.C. 28222-1709
866‐489‐5957 (p) 866‐489‐5958
(f)
|
| Lansoprazole
(Prevacid®) |
TAP
Pharmaceuticals, Inc |
800
830-1015 |
|
Lasix |
Hoechst-Marion- Roussel,
Inc. |
(800) 362-7466
Customer
Information Line
(800)
552-3656 |
| Leflunomide
(Arava®) |
Sanofi
Aventis |
Sanofi
Aventis Pharmaceuticals Patient
Assistance Program
55 corporate
Drive
Bridgewater, NJ 08807
866‐325‐8233 |
| Meloxicam
(Mobic®) |
Boehringer
Ingelheim Pharmaceuticals, Inc |
Boehringer
Ingelheim Cares Foundation,
Inc.
c/o ESI/SDS
P.O.
Box 66555
St. Louis, MO 63166-6773
800‐556‐8317 |
|
Methotrexate |
Lederle Oncology |
(800) LED-CARE (533-2273) |
|
Morphine
Sulfate |
Astra USA |
800-262-0460 |
|
MS
Contin |
Purdue Frederick Co. |
800-633-4741 |
| Mycophenolate
Mofetil (CellCept®) |
Roche |
Roche
Medical Needs Program
Roche
Laboratories, Inc
340 Kingsland
Street
Nutley, NJ 07110
877‐757‐6243 |
| Nabumetone
(Relafen®) |
Glaxosmithkline |
SmithKline
Beecham Foundation Access to
Care
c/o Express Scrits/SDS
P.O. Box 2564
Maryland Heights,
MO 63043-8564
800‐546‐0420
(p) 800‐729‐4544 (f) |
| Naproxen
(Naprosyn®) |
Roche |
Roche
Medical Needs Program
Roche
Laboratories, Inc
340 Kingsland
Street
Nutley, NJ 07110
800 285-4484 |
|
Neurontin |
Parke-Davis |
(800) 755-0120 |
| Nitrofurantoin
(Macrodantin®, Macrobid®)
|
Procter
& Gamble |
Procter
& Gamble Pharmaceuticals
C/O Express Scripts
P.O.
Box 6553
St. Louis, MO 63166-6553
800 830-9049 |
|
Norplant |
Wyeth-Ayerst Laboratories |
(703) 706-5933 |
| Omeprazole
(Prilosec®) |
Astrazeneca |
Patient
Assistance Program
AstraZeneca
Foundation
P.O. Box 15197
Wilmington, DE 19850-5197
800 424-3727 |
|
MS
Contin |
Purdue Frederick Co. |
800-633-4741 |
| Paroxetine
(Paxil®) |
Glaxosmithkline |
SmithKline
Beecham Foundation Access to
Care
c/o Express Scrits/SDS
P.O. Box 2564
Maryland Heights,
MO 63043-8564
800‐546‐0420
(p) 800‐729‐4544 (f) |
|
Percocet
& Percodan |
Dupont |
Patient Assistance prog.
800-474-2762 |
|
Plaquenil® |
Sanofi-Synthelabo
Inc. |
Sanofi
Patient Assistance Program
(Plaguenil®)
55 Corporate
Dr
Bridgewater, NJ 08807
800‐992‐9022
www.Sanofi-SynthelaboUS.com
|
|
Procrit |
Ortho Biotech |
(800) 553-3851 |
| Raloxifene
(Evista®) |
Eli
Lilly and Company |
877-RX-LILLY
(1-877-795-4559)
www.lillyanswers.com
|
|
Relafen |
Smithkline Beecham
Pharmaceuticals |
Access to Care Program
1
Franklin Plaza FP 1320
P.O. Box 7929
Philadelphia, PA 19101-7929
(800) 546-0420 |
| Risedronate
(Actonel®) |
Procter
& Gamble |
Procter
& Gamble Pharmaceuticals
C/O Express Scripts
P.O.
Box 6553
St. Louis, MO 63166-6553
800 830-9049 |
| Rituximab
(Rituxan®) |
Genentech,
Inc. |
Genentech
Access to Care Foundation
1 DNA Way
South San Francisco,
CA 94080-4990
800‐530‐3083
(p) 650‐225‐1366 (f) |
| Sodium
Hyaluronate (Hyalgan®) |
Sanofi
Aventis |
Sanofi
Patient Assistance Program
(Hyalgan®)
55 Corporate Dr
Bridgewater, NJ 08807
800‐992‐9022 |
Synthroid
|
Boots Pharmaceuticals, Inc. |
Boots Cares Program
300
Tri-State International
Center
Suite 200
Lincolnshire, IL 60069-4415
Attn: Sandy Bauco |
| Teriperatide
(Forteo®) |
Eli
Lilly and Company |
877-RX-LILLY
(1-877-795-4559)
www.lillyanswers.com
|
| Tramadol
(Ultram®, Ultracet®) |
Ortho
McNeil |
Ortho‐Mcneil
Patient Assistance Program
P.O. Box 200
Titusville,
NJ 08560
800‐526‐7736 |
Tylox
|
Ortho-McNeil Pharma. |
800-797-7737 |
| Valdecoxib
(Bextra®) |
Pfizer
Inc |
Pfizer
Helpful Answers
866-706-2400
www.pfizerhelpfulanswers.com |
|
Prescription Drug Assistance
Programs |
Description
|
Contact Information |
Medicare Part D
Prescription Drug Plans |
Medicare approved
prescription drug plans |
www.medicare.gov |
|
Low Income Subsidy (LIS) |
Assistance from Social
Security to help reduce
costs from Part D plans |
800-772-1213
www.socialsecurity.gov
|
|
Prescription Assistance (PPA) |
PPA provides information
about 475 public and private
Patient Prescription Drug
Assistance Programs |
888-477-2669
www.pparx.org |
|
National Alliance on Mental
Illness (NAMI) |
This organization provides
information about PPA programs
for patients with
limited income |
800-950-6264
www.nami.org |
