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Drug Company Patient Assistance Program Contact Numbers

Fall 2004

Most drug companies have programs to provide free drug to people with no insurance, inadequate insurance, or financial difficulties. Each program has different requirements, and your healthcare provider often needs to make the phone call. The drug company will sometimes take your information over the phone, but will usually send you or your healthcare provider a form to fill out. If you don't qualify for public insurance such as ADAP or Medicaid and you meet the eligibility requirements of the program, you can get free drugs. The drugs are alphabetized by brand name with the generic name in parentheses, followed by the company that manufactures the drug and the contact number for the Patient Assistance Program.

Abelcet (amphotericin B)
The Liposome Company
1-800-345-2252

Agenerase (amprenavir)
GlaxoSmithKline
1-866-728-4368

Albenza (albendazole)
GlaxoSmithKline
1-866-728-4368

Anadrol-50 (oxymetholone)
Solvay Pharmaceuticals
1-800-256-8918

AndroGel (testosterone gel)
Solvay Pharmaceuticals
1-800-256-8918

Asacol, 5-ASA (mesalamine)
Proctor & Gamble Pharmaceuticals
1-800-830-9049

Atarax (hydroxyzine hydrochloride)
Pfizer, Inc.
1-800-707-8990

Avandamet (rosiglitazone)
GlaxoSmithKline
1-866-728-4368

Avandia (metformin)
GlaxoSmithKline
1-866-728-4368

Bactroban (mupirocin)
GlaxoSmithKline
1-866-728-4368

Beconase (beclomethasone)
GlaxoSmithKline
1-866-728-4368

Biaxin (clarithromycin)
Abbott Laboratories
1-800-222-6885

Blenoxane (bleomycin)
Bristol-Myers Squibb
1-877-758-7877

Carnitor (levocarnitine)
National Organization for Rare Disorders
1-800-999-6673, press 3

Cipro (ciprofloxacin)
Bayer
1-800-998-9180

Combivir (AZT/3TC)
GlaxoSmithKline
1-866-728-4368

Copegus
Hoffman-LaRoche
1-800-443-6676

Crixivan (indinavir)
Merck & Co.
1-800-850-3430

Cutivate (fluticasone)
GlaxoSmithKline
1-866-728-4368

CytoGam (CMVIg)
MedImmune
1-877-480-8082

Cytovene (ganciclovir)
Hoffman-LaRoche
1-800-772-5790

Cytoxan (cyclophosphamide)
Bristol-Myers Squibb
1-877-758-7877

Daraprim (pyrimethamine)
GlaxoSmithKline
1-866-728-4368

Diflucan (fluconazole)
Pfizer, Inc.
1-800-707-8990

Doxil (doxorubicin)
Ortho Biotech
1-800-609-1083 x203

Duragesic (fentanyl transdermal)
Janssen Pharmaceuticals
1-800-652-6227

Emtriva (emtricitabine)
Gilead Sciences
1-800-226-2056

Epivir (3TC)
GlaxoSmithKline
1-866-728-4368

Epogen (erythropoietin, EPO)
Amgen
1-800-272-9376 (if on dialysis)
1-800-553-3851 (if not on dialysis)

Epzicom (abacavir/3TC)
GlaxoSmithKline
1-866-728-4368

Eskalith (lithium)
GlaxoSmithKline
1-866-728-4368

Famvir (famciclovir)
Novartis
1-800-277-2254

Floxin (ofloxacin)
Ortho-McNeil
1-800-577-3788

Fortovase (saquinavir)
Hoffman-LaRoche
1-866-487-8591

Fosamax (alendronate)
Merck & Co.
1-800-727-5400

Fuzeon (T-20, enfuvirtide)
Hoffman-LaRoche
1-866-694-6670
(healthcare providers only)

Hepsera (adefovir)
Gilead Sciences
1-800-445-3235

Hivid (ddC)
Hoffman-LaRoche
1-800-282-7780

hydroxyurea (Hydrea, Droxia)
Bristol-Myers Squibb
1-800-272-4878

Intron A (alfa interferon 2B)
Schering-Plough
1-800-521-7157

Invirase (saquinavir)
Hoffman-LaRoche
1-800-282-7780

Kaletra (lopinavir/ritonavir)
Abbott Laboratories
1-800-222-6885

Klonopin (clonazepam)
Hoffman-LaRoche
1-800-443-6676

Kytril (granisetron)
Hoffman-LaRoche
1-800-443-6676

Lamictal (lamotrigine)
GlaxoSmithKline
1-866-728-4368

Lamisil (terbinafine)
Novartis
1-800-277-2254

Leukine (GM-CSF)
Immunex
1-800-321-4669

Levaquin (levofloxacin)
Ortho-McNeil
1-800-577-3788

Lexiva (fosamprenavir)
GlaxoSmithKline
1-866-728-4368

Marinol (dronabinol)
Solvay Pharmaceuticals
1-800-256-8918

Mepron (atovaquone)
GlaxoSmithKline
1-866-728-4368

Megace (megestrol acetate)
Bristol-Myers Squibb
1-800-272-4878

Mevacor (lovastatin)
Merck & Co.
1-800-727-5400

Mycelex (clotrimazole)
Ortho-McNeil
1-800-577-3788

Neupogen (filgrastrin, G-CSF)
Amgen
1-800-272-9376

NeuTrexin (trimetrexate)
MedImmune
1-800-887-2467

Nizoral (ketoconazole)
Janssen Pharmaceuticals
1-800-652-6227
(tablets only)

Norvir (ritonavir)
Abbott Laboratories
1-800-222-6885

Novantrone (mitoxantorone)
Immunex
1-877-447-3243

Oxandrin (oxandrolone)
Bio-Technology General Corporation
1-866-692-6374

Panretin Gel (alitretinoin)
Ligand Pharmaceuticals
1-877-654-4263

Paxil (paroxetine)
GlaxoSmithKline
1-866-728-4368

Pegasys (pegylated inferferon alfa-2a)
Hoffman-LaRoche
1-800-387-1258

PEG-Intron (pegylated inferferon alfa-2b)
Schering-Plough
1-800-521-7157

Pepcid (famotidine)
Merck & Co.
1-800-999-1796

Procrit (erythropoietin, EPO)
Ortho Biotech
1-800-553-3851

Proleukin (interleukin 2)
Chiron
1-866-385-4729

Rebetol (ribavirin)
Schering-Plough
1-800-521-7157

Rescriptor (delavirdine)
Agouron Pharmaceuticals
1-888-777-6637

Retrovir (AZT)
GlaxoSmithKline
1-866-728-4368

Reyataz (atazanavir)
Bristol-Myers Squibb
1-800-758-7877

Ribasphere (ribavirin)
Three Rivers Pharmaceuticals
1-866-650-7422

rifampin
Aventis
1-800-221-4025

Rocephin (ceftriaxone)
Hoffman-LaRoche
1-800-526-6367

Roferon-A (alfa interferon 2A)
Hoffman-LaRoche
1-800-443-6676

Sandimmune (cyclosporin)
Novartis
1-800-277-2254

Sandostatin (octreotide)
Novartis
1-800-277-2254

Serostim (somatropin)
National Organization for Rare Disorders
1-800-999-6673, press 3
Serono Laboratories
1-800-714-2437

Singulair (montelukast)
Merck & Co.
1-800-727-5400

Sporanox (itraconazole)
Janssen Pharmaceuticals
1-800-652-6227

Sustiva (efavirenz)
Bristol-Myers Squibb
1-800-474-2762

Tagamet (cimetidine)
GlaxoSmithKline
1-866-728-4368

Taxol (pacitaxel)
Bristol-Myers Squibb
1-800-272-4878

Tegretol (carbamazepine)
Novartis
1-800-277-2254

Thalomid (thalidomide)
Celgene Corp.
1-888-423-5436

Timolide/Timoptic (timolol)
Merck & Co.
1-800-727-5400

Trizivir (AZT/3TC/abacavir)
GlaxoSmithKline
1-866-728-4368

Truvada (emtricitabine/tenofovir)
Gilead Sciences
1-800-445-3235

Valcyte (valganciclovir)
Hoffman-LaRoche
1-800-443-6676

Valtrex (valaciclovir)
GlaxoSmithKline
1-866-728-4368

VePesid (etoposide)
Bristol-Myers Squibb
1-800-272-4878

Vibramycin (doxcycline)
Pfizer, Inc.
1-800-707-8990

Videx (ddI)
Bristol-Myers Squibb
1-800-272-4878

Viracept (nelfinavir)
Agouron Pharmaceuticals
1-888-777-6637

Viramune (nevirapine)
Boehringer Ingelheim
1-800-274-8651

Viread (tenofovir)
Gliead Sciences
1-800-445-3235

Vistaril (hydroxyznie pamoate)
Pfizer, Inc.
1-800-707-8990

Vistide (cidofovir)
Gilead Sciences
1-800-226-2056

Vistaril (hydroxyzine)
Pfizer, Inc.
1-800-707-8990

Wellbutrin (bupropion)
GlaxoSmithKline
1-866-728-4368

Zantac (ranitidine)
GlaxoSmithKline
1-866-728-4368

Zerit (d4T)
Bristol-Myers Squibb
1-800-272-4878

Ziagen (abacavir)
GlaxoSmithKline
1-866-728-4368

Zithromax (azithromycin)
Pfizer, Inc.
1-800-707-8990

Zocor (simvastatin)
Merck & Co.
1-800-727-5400

Zoloft (sertraline)
Pfizer, Inc.
1-800-707-8990

Zovirax (acyclovir)
GlaxoSmithKline
1-866-728-4368


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