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ACRIA Update
Fall 2004 - Vol.13 No. 4
DRUG COMPANY PATIENT ASSISTANCE PROGRAM CONTACT NUMBERS
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 drug. 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
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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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