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Patient Assistance Programs for Rheumatology-Related Drugs

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Following is a list of patient assistance programs in the U.S. (unless otherwise indicated). This list is not meant to be exhaustive. The ACR does not endorse any of the products or manufacturers listed below.

Drug Name (Brand Name)

Manufacturer

Program Contact Information

Abatacept (Orencia®)

Bristol-Myers Squibb

The ORENCIA® (abatacept) Promise Program™
800-ORENCIA or 800-673-6242

Acetaminophen (Tylenol®)

Ortho McNeil

Ortho-McNeil Patient Assistance Program
P.O. Box 938
Somerville, NJ 08876

Adalimumab (Humira®)

Abbott Immunology

1-866-4-HUMIRA
Canada: 1-866-848-6472

Alendronate (Fosamax®)

Merck

The Merck Patient Assistance Program
800‐727‐5400
800 994-2111 (Health care professionals only)

Belimumab (Benlysta®)

Human Genome Sciences and GlaxoSmithKline

Benlysta Gateway
1-877-4-Benlysta (1-877-423-6597)

Celecoxib (Celebrex®)

Pfizer Inc

Pfizer Helpful Answers
866-706-2400

Colcrys®

URL Pharma

Colcrys Patient Assistance Program
P.O. Box 219
Gloucester, MA 01931
(t) 888-811-8423
(f) 978-865-4104

Cyclosporine (Neoral®)

Novartis

Novartis Pharmaceuticals Patient Assistance Program
P.O. Box 66556
St. Louis, MO 63166‐6566
800 277-2254

Denosumab (Prolia®)

Amgen

Amgen Assist
www.amgenassist.com
1-877-PROLIA1 (1-877-776-5421)

Etanercept (Enbrel®)

Amgen and Pfizer Pharmaceuticals

ENBREL Support™
ENBREL.com
888-4ENBREL (888-436-2735)
http://www.enbrel.com/index.jspx

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

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

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

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

Nitrofurantoin (Macrodantin®, Macrobid®)

Procter & Gamble

Procter & Gamble Pharmaceuticals
C/O Express Scripts
P.O. Box 6553
St. Louis, MO 63166-6553
800 830-9049

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)

Raloxifene (Evista®)

Eli Lilly and Company

877-RX-LILLY (1-877-795-4559)

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

Teriperatide (Forteo®)

Eli Lilly and Company

877-RX-LILLY (1-877-795-4559)

Tramadol (Ultram®, Ultracet®)

Ortho McNeil

Ortho‐Mcneil Patient Assistance Program
P.O. Box 200
Titusville, NJ 08560
800‐526‐7736

Valdecoxib (Bextra®)

Pfizer Inc.

Pfizer Helpful Answers
866-706-2400

Prescription Drug
Assistance Programs
Description International Program Contact Information

Adalimumab (Humira®)

Abbott Immunology

Canada: 1-866-848-6472

Etanercept (Enbrel®)

Immunex corporation (Thousand Oaks)

Canada: Enliven Support Program
877-936-2735

Prescription Drug
Assistance Programs
Description Contact Information

Medicare Part D
Prescription Drug Plans

Medicare approved prescription drug plans

800-633-4227

Low Income Subsidy (LIS)

Assistance from Social Security to help reduce costs from Part D plans

800-772-1213

NeedyMeds.com

Provides contact information for prescription assistance programs

978-281-6666

Prescription Assistance (PPA)

PPA provides information about 475 public and private Patient Prescription Drug Assistance Programs

888-477-2669

National Alliance on Mental Illness (NAMI)

This organization provides information about PPA  programs for patients with  limited income

800-950-6264