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®) |
Britol-Myers Squibb |
The ORENCIA® (abatacept) Promise Program™
800-ORENCIA or 800-673-6242
www.orencia.com |
| 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) |
Celecoxib (Celebrex®) |
Pfizer Inc |
Pfizer Helpful Answers
866-706-2400
www.pfizerhelpfulanswers.com
|
| Cyclosporine (Neoral®) |
Novartis |
Novartis Pharmaceuticals Patient Assistance Program
P.O. Box 66556
St. Louis, MO 63166‐6566
800 277-2254 |
| Etanercept (Enbrel®) |
Amgen and Wyeth Pharmaceuticals |
ENcourage Foundation™
888‐436‐2735 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
|
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 |
| Omeprazole (Prilosec®) |
Astrazeneca |
Patient Assistance Program
AstraZeneca Foundation
P.O. Box 15197
Wilmington, DE 19850-5197
800 424-3727 |
| 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)
www.lillyanswers.com |
| 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)
www.lillyanswers.com |
| 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
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
|
| NeedyMeds.com |
Provides contact
information for prescription assistance programs |
www.needymeds.com |
| 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 |
