Drug	Company	Co-Pay Program	Patient Assistance	Details
Aptivus	Boehringer Ingelheim	N/A	800-556-8317 needymeds.org	Patient assistance program only.
Atripla	Bristol-Myers Squibb and Gilead	866-784-3431 atripla.com	866-290-4767 atripla.com	Co-pay program covers up to $200 per month per prescription. Card available through provider.
Combivir	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Complera	Gilead and Janssen Therapeutics	877-505-6986 compl era.com	800-226-2056 complera.com	Co-pay program covers up to $200 per month per prescription. Card available through your provider.
Crixivan	Merck & Co.	N/A	800-850-3430 merck.com/merckhelps	Patient assistance program only.
Edurant	Janssen Therapeutics	866-961-7169 edurant-info.com	800-652-6227 jjpaf.org	Patient pays $5, then covered up to $100 per prescription per month. Call toll free number or go to jjpaf.org
Emtriva	Gilead Sciences	877-505-6986 truvada.com	800-226-2056 truvada.com	Co-pay program covers up to $200 per month per prescription. Card available through provider.
Epivir (lamivudine)	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription for Epivir. Card available through provider, or you can print the card online. Available as generic.
Epzicom	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Fuzeon	Genentech/Roche	N/A	877-757-6243 fuzeon.com	Patient assistance program only. Also go to genentech.com.
Intelence	Janssen Therapeutics	866-961-7169 intelence-info.com	800-652-6227 jjpaf.org	Co-pay: patient pays first $5, then up to $100 a month per month per prescription. Call toll free number or go to jjpaf.org.
Invirase	Genentech/Roche	N/A	877-757-6243 genentech.com	Patient assistance program only.
Isentress	Merck & Co.	866-350-9232 isentress.com	800-850-3430 isentress.com	Co-pay program covers up to $400 per month per prescription. Get the card from your provider or you can print the card online.
Kaletra	Abbott Laboratories	800-441-4987 kaletra.com	800-222-6885 kaletra.com	Co-pay program covers up to $50 per month plus up to $50 off up to two other HIV meds that are part of a Kaletra regimen. Card available through provider.
Lexiva	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Norvir	Abbott Laboratories	800-441-4987 norvir.com	800-222-6885 norvir.com	Co-pay program covers up to $50 per month per prescription. Card available through provider. See abbottpatientassistancefoundation.org for patient assistance program.
Prezista	Janssen Therapeutics	866-961-7169 prezista.com	800-652-6227 jjpaf.org	Co-pay: patient pays first $5, then covers up to $100 per month per prescription. Call toll free number or go to jjpaf.org.
Rescriptor	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Retrovir (zidovudine)	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Reyataz	Bristol-Myers Squibb	888-281-8981 reyataz.com	888-477-2669 rayataz.com	Co-pay program covers up to $200 per month per prescription. Card available through provider or by calling the toll free number.
Selzentry	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Sustiva	Bristol-Myers Squibb	888-281-8981 sustiva.com	888-477-2669 bms.com	Co-pay assistance covers up to $200 per month per prescription. Card available through provider, or by calling toll free number.
Trizivir	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Trofile assay for Selzentry	Monogram Biosciences	N/A	877-436-6243 monogramvirology.com	Tropism testing for Selzentry. Gateway patient assistance program for uninsured and underinsured.
Truvada	Gilead Sciences	877-505-6986 truvada.com	800-226-2056 truvada.com	Co-pay program covers up to $200 per month per prescription. Card available through provider.
Videx EC and Videx (didanosine)	Bristol-Myers Squibb	N/A	bms.com	No company co-pay or patient assistance program for Videx. Available as generic.
Viracept	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Viramune XR and Viramune	Boehringer Ingelheim	877-411-8641 viramunexr.com	800-556-8317 needymeds.org	Co-pay program covers up to $100 per month for Viramune XR. Get MasterCard debit card from provider.
Viread	Gilead Sciences	877-505-6986 truvada.com	800-226-2056 truvada.com	Co-pay program covers up to $200 per month per prescription. Card available through provider.
Zerit (stavudine)	Bristol-Myers Squibb	N/A	bms.com	No company co-pay or patient assistance program for Zerit. Available as generic.
Ziagen	ViiV Healthcare	888-825-5249 mysupportcard.com	877-784-4842 viivhealthcareforyou.com	Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.

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