Pharmaceutical Assistance Companies
|
Pharmaceutical Patient Assistance Programs
Percocet: Patient Assistance prog. 800-474-2762
Percodan & Percocet by Dupont 800-474-2762 Have heard they no longer are doing percocet. 302-992-4240
Morphine Sulfate by Astra USA 800-262-0460
MS Contin Purdue Frederick Co. 800-633-4741
Tylox by Ortho-McNeil Pharma. 800-797-7737
Roxane Laboratories Inc.
Free 800-274-8651
3M Pharmaceuticals
(800) 328-0255 Products include: Most drug products sold by 3M
Allergan, Inc.
Allergan Patient Assistance Program
Physician Services Representative 2525 Dupont Drive Irvine, CA 92713
Products include: Betagen, Botox, Pilagan, Epifrin
Alza Pharmaceuticals (415) 962-4243 Products include: Testoderm, Ocusert, Progestasert
Amgen (800) 272-9376
Products include: Epogen, Neupogen
Astra USA, Inc. ( 800) 488-FAIR (488-3247)
Products include: Foscavir injection
Baxter Healthcare Corporation (800) 423-2090
Products include: A Patient Assistance Program is being developed for Gammagard S/D and should be ready in about 3-4 months.
Bayer Corporation (800) 998-9180 Products include: Mycelex and several other products
Berlex Laboratories (800) 473-5832, (800) 888-4112 Products include: Betapace, Betaseron for SC injection, Fludara, Quinaglute Dura-Tabs
Boehringer Ingelheim Pharmaceuticals, Inc. (800) 556-8317 Products include: All products covered except controlled substances
Boots Pharmaceuticals, Inc. Boots Cares Program 300 Tri-State International Center Suite 200 Lincolnshire, IL 60069-4415 Attn: Sandy Bauco Products include: Synthroid tablets
Bristol Myers Oncology (800) 272-4878 Products include: Bicnu, Blenoxane, Ceenu, Cytoxan, Hydrea, Ifex/Mesna, Lysodren, Megace, Mutamycin, Paraplatin, Platinol, Rubex, Taxol, Vepesid
Ciba-Geigy Corporation (800) 257-3273, (800) CHIRON-8 (245-7668) Products include: Aredia, Cytadren, Actigall, Anafranil, Anturane, Apresazide, Apresoline, Brethaire, Brethine, Cataflam, Desferal, Esidrix, Esimil, Estraderm, Habitrol, Ismelin, Lamprene, Lioresal, Lopressor, Lopressor/HCT Lotensin, Lotensin/HCT, Ludiomil, PBZ, Regitine, Rimactane, Ser-Ap-Es, Slow-K, Tegretol, TEN-K, Tofranil, Tofranil-PM, Transderm-Scop, Transdermal-Nitro, Voltaren
Connaught Laboratories, Inc. (717) 839-4617 Products include: TheraCys BCG live intravesical
Convatec Bristol-Myers Squibb Company 200 Headquarters Park Drive Skillman, NJ 08558 P.O. Box 5254 Princeton, NJ 08543-5254 ( 800) 422-8811, (908) 281-2815 Convatec is a manufacturer of ostomy, wound care and incontinence products.
DuPont Merck Pharmaceutical Company Products include: All non-controlled prescription products
Eli Lilly and Company (800) 545-6962 Products include: Most all Lilly prescription products and insulins.
Fisons Pharmaceuticals Gastrocon Patient Assistance Program P.O. Box 1766 Rochester, NY 14603-1766 Products include: Gastrocrom capsules
Fujisawa (800) 477-6472 Products include:
Prograf (708) 317-8636 Products include: NebuPent Genentech, Inc. (800) 879-4747 Products include: Actimmune, Activase, Protropin, Nutrpoin
Glaxo Wellcome (800) 745-2967 Customer Service (800) 334-0032 Patient Assistance (800) 722-9294 Reimbursement Line (800) 423-6869 Products include: Aleran, Blenoxane, Imruan, Leukeran, Myleran, Navelbine, Purinethol, Thioguanine, Zofran, Zovirax, and all other Glaxo Wellcome products
Hoechst-Marion-Roussel, Inc. (800) 362-7466 Customer Information Line (800) 552-3656 Products Include: Carafate, Altace, A/T/S, Claforan, Diabeta, Lasix, Lorpox, Topicort, Trental, and other prescription products (except Rifadin, Rifamate, Rifater, Tenuate)
Immunex (800) 466-8639, (206) 587-0430 Products include: Leukine, Novantrone, Thioplex, and all other currently marketed Immunex prescription products
Janssen (800) 544-2987 Products include: Duragesic, Ergamisol, Hismanal, Imodium, Nizoral tablets, Propulsid, Sporanox capsules, Vermox
Knoll Pharmaceutical Company (800) 524-2474 Products include: Isoptin, Rythmol, Santyl
Lederle Oncology (800)
LED-CARE (533-2273) Products include: Mitoxantrone, Leucovorin, Methotrexate, Thiotepa, and all other oral pharmaceutical products (except controlled drugs)
Liposome Company, Inc. Financial Assistance Program: (800) 335-5476 Reimbursememt: (800) 345-2252 Executive Offices: (609) 452-7060 Products include: Abelcet
McNeil Pharmaceutical (800) 682-6532 Products include: Prescription products prescribed according to approved labeled indications and dosage regimens
Merck Human Health Division (800) NSC-MERCK (672-6372) Products include: Many Merck products
Miles Inc. Pharmaceutical Division (800) 998-9180 Products include: All Miles, Inc. prescription medications used as recommended in prescribing information
Nabi (formerly known as Univax) (800) 789-2099 Products include: WinRho SD
Ortho Biotech (800) 553-3851 Products include: Leustatin, Procrit Parke-Davis (800) 755-0120 Products include: Most Parke-Davis medications, including Accupril, Cognex, Cilatin, Lopid, Neurotin, Nitrostar, Sublingual, Procan SR, Zarontin
Pfizer, Inc. (800) 646-4455 Products include: Diflucan, and all other Pfizer products
Pharmacia & Upjohn (800) 366-5570 Products include: Adriamycin, EMCYT, Fragmin, Idamycin, Zinecard, Adrucil, Azulfidine, Dipentum, Folex PFS, Meosar, Vincasar, Mycotubin
Proctor & Gamble Pharmaceuticals, Inc. (800) 448-4878 Products include: Asocial, Tantrum capsules, Didronel, Entex, Macrodantin, Macrobid
Purdue Frederick (203) 853-0123, ext. 4800 A new number for PAP program 800-599-6070 Products include: Alferon N, MS Contin, OxyContin
Rhone-Poulenc Rorer, Inc. (610) 454-8298 Products include: All products are eligible, with some limitations on supply
Roche Laboratories (800) 443-6676, (800) 285-4484 Products include: Matulane, Roferon-A, and all other Roche product line
Roxane (800) 274-8651 Customer Service (800) 348-0120 Medical Information (800) 327-4865 Products include: Marinol, Oramorph, Roxanol, Roxicodane, Torecan
Sandoz (800) 447-6673, NORD, INC. parent co (203) 746-8958 Products include: Clorazil, DynaCirc, Eldepryl, Lescol, Sandimmune, Sandoglobulin, Sandostatin Sanofi
Winthrop Pharmaceuticals (800) 446-6267 Products include: Aralen, Breonesin, Bronkometer, Danocrine, Drisdol, Hytaketol, Isuprel, Mytelase, NegGram, pHisoHex, Primaquine, Plaquenil, Trancopal
Schering Oncology (800) 521-7157 Products include: Intron-A, Eulexin, and all other products
Searle (800) 542-2526 Products include: antihypertensives - Aldactazide, Aldactone, Calan SR, Kerlone; antihypertensives/anti-anginal/antiarrhythmics - Calan; antiarrhythmics - Norpace, Norpace CR; prevention of NSAID-induced gastric ulcers - Cytotec; quinolone anti-infective -Maxaquin
Sequus Pharmaceuticals, Inc. (800) 375-1658, (415) 323-9011 Products include: Doxil
Serono Laboratories, Inc. (617) 982-9000 Products include: Metrodin (FSH)
Smithkline Beecham Pharmaceuticals Access to Care Program 1 Franklin Plaza FP 1320 P.O. Box 7929 Philadelphia, PA 19101-7929 (800) 546-0420 Products include: Amoxil, Augmentin, Bactroban, Compazine, Dyazide, Famvir, Kytril, Relafen, Riduara, Tagamet, and most other Smithkline Beecham prescription products
Solvay Pharmaceuticals, Inc. 901 Sawyer Road Marietta, GA 30062 Attn: Patient Assistance Program (800) 788-9277, (770) 578-551 Products include: All medications distributed by Solvay
Syntex Laboratories, Inc. (800) 822-8255, (202) 508-6568 Products include: All Syntax products
Tap (800) 453-8438 Products include: Lupron
Wyeth-Ayerst Laboratories (703) 706-5933 Products include: Norplant and other various products
Zeneca (800) 424-372; (800) 767-4424 Products include: Arimidex, Casodex, Nolvadex, Zoladex
There is a short form that your doctor must fill complete. It is a very simple form and takes only a few minutes. Insurance information if you have any, your income, diagnosis, allergies etc. If you have insurance they will request a letter from them stating the following: Why they will not cover this prescription, ie. maximum has been reached or no coverage for this medicine. By knowing they will need this you can get a letter ahead of time and send it when you first apply. I don't know about the others but You must sign for the receipt of medicine. You have to send your prescription to them each month in the envelope provided about one week before you are out. Purdue sends them FedEx overnight. You MUST send your hand written script. For Ohio ODHS members you will need a letter stating why your medication is not covered by them.
This is a service provided by H.O.P.E. MINISTRIES.
It is not an all inclusive list of information. I will be updating as often as my illness will allow.
Any questions or comments, please email me at val8291@msn.com
May God bless you as continue to find increasing health. I PLAN TO INCREASE THIS INFORMATION BOOKMARK THIS SITE!