HIV Co-Pay and Patient Assistance Programs

HIV Co-Pay and Patient Assistance Programs*

March/April 2012

DrugCompanyCo-Pay ProgramPatient AssistanceDetails
AptivusBoehringer IngelheimN/A800-556-8317
needymeds.org
Patient assistance program only.
AtriplaBristol-Myers Squibb and Gilead866-784-3431
atripla.com
866-290-4767
atripla.com
Co-pay program covers up to $200 per month per prescription. Card available through provider.
CombivirViiV Healthcare888-825-5249
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.
CompleraGilead and Janssen Therapeutics877-505-6986
compl era.com
800-226-2056
complera.com
Co-pay program covers up to $200 per month per prescription. Card available through your provider.
CrixivanMerck & Co.N/A800-850-3430
merck.com/merckhelps
Patient assistance program only.
EdurantJanssen Therapeutics866-961-7169
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
EmtrivaGilead Sciences877-505-6986
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 Healthcare888-825-5249
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.
EpzicomViiV Healthcare888-825-5249
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.
FuzeonGenentech/RocheN/A877-757-6243
fuzeon.com
Patient assistance program only. Also go to genentech.com.
IntelenceJanssen Therapeutics866-961-7169
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.
InviraseGenentech/RocheN/A877-757-6243
genentech.com
Patient assistance program only.
IsentressMerck & 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.
KaletraAbbott Laboratories800-441-4987
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.
LexivaViiV Healthcare888-825-5249
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.
NorvirAbbott Laboratories800-441-4987
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.
PrezistaJanssen Therapeutics866-961-7169
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.
RescriptorViiV Healthcare888-825-5249
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 Healthcare888-825-5249
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.
ReyatazBristol-Myers Squibb888-281-8981
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.
SelzentryViiV Healthcare888-825-5249
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.
SustivaBristol-Myers Squibb888-281-8981
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.
TrizivirViiV Healthcare888-825-5249
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 SelzentryMonogram BiosciencesN/A877-436-6243 monogramvirology.comTropism testing for Selzentry. Gateway patient assistance program for uninsured and underinsured.
TruvadaGilead Sciences877-505-6986
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 SquibbN/Abms.comNo company co-pay or patient assistance program for Videx. Available as generic.
ViraceptViiV Healthcare888-825-5249
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 ViramuneBoehringer Ingelheim877-411-8641
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.
VireadGilead Sciences877-505-6986
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 SquibbN/Abms.comNo company co-pay or patient assistance program for Zerit. Available as generic.
ZiagenViiV Healthcare888-825-5249
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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