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
800‐992‐9022www.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) |
| | |
| 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 |
| | |
| 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
800‐992‐9022www.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 |
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