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
|