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Read Now: Expert Opinions on HIV Cure Research


HIV Co-Pay and Patient Assistance Programs*

March/April 2012


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.


* By law residents of the state of Massachusetts are not eligible for drug co-pay programs.


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