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Patient assistance and drug co-pay programs
READ MORE HERE:
http://www.aidsmeds.com/articles/hiv_pap_copayment_2042_16390.shtml
FPC Patient co-pay
information 
FPC co-pay program chart

AIDS Action Baltimore
is a prominent member of the Fair Pricing Coalition (FPC). The FPC, which
was founded by the late Martin Delaney, is a national coalition of activists
who work on HIV drug pricing issues and who help control drug costs, thereby
insuring access for recipients of state AIDS Drug Assistance Programs (ADAPs),
Medicare, and Medicaid, as well as those who are privately insured,
underinsured and uninsured.
The FPC has been
negotiating with all major HIV drug manufacturers to require them to
institute patient co-pay programs. These new co-pay programs are a direct
result of several years of intense work and negotiations between the FPC and
representatives of the pharmaceutical industry.
Most, if not all, HIV
pharmaceutical companies already provide some level of patient assistance to
individuals who are unable to afford their HIV medications. Be sure to ask
your health care provider or pharmacy to contact the manufacturer directly
for updated details on a specific drug.
Most HIV drug
companies have also recently instituted co-pay assistance programs, which
may cover all or part of the drug co-pay for many privately-insured
patients, up to a specified amount, and for a pre-determined period of time,
for example, up to one year. Certain restrictions and eligibility
requirements apply. For example Medicare and Medicaid patients are not
eligible. Eligibility requirements may vary from program to program. Once
eligibility is established, most companies will provide patients with a
co-pay card which they can bring to your pharmacist or provide to your
mail-order pharmacy when filling your prescription.
Jeff Berry, Editor of
Positively Aware and member of the FPC states “In our current economic
crisis and with the continued rising costs associated with health care,
these new programs offer much-needed assistance to people who may have
insurance but are being adversely affected by rising co-pays and premiums.”
There are also many
other medications in addition to HIV antiviral drugs needed by people with
HIV, such as prescriptions for high cholesterol or diabetes. To find patient
assistance or drug co-pay programs for these and other types of drugs, visit
http://www.needymeds.com.
Below is a brief
description of currently available HIV co-pay programs prepared by Jeff
Berry, along with information regarding the recently announced BMS program,
which is scheduled to launch later this year. The Kaletra program is
scheduled to launch sometime in March.
Abbott: Positive
Partnership PLUS Card—In 2009, Abbott is launching a pilot program which
will expand to the Positive Partnership PLUS Card. Includes 12 months of
co-pay savings and covers Kaletra plus other ARVs, no income or co-pay
eligibility criteria. Patients can save up to $50 toward their Kaletra
co-pay, plus up to $100 of the cost of other HIV medications (up to $50 for
each additional ARV with a limit of $100 total—must be part of a Kaletra
regimen.) Visit http://www.kaletra.com
for more information.
Gilead: Truvada Co-pay
Assistance Program—Covers Truvada, Emtriva, and Viread. For high co-pays
only kicks in above $50 and up to $200/month. If health care provider does
not have the card, you can call toll-free 1-888-358-0398 and it will be
mailed to you. Atripla is currently not part of this program.
GSK: MySupportCard—Card
is valid for the amount of your actual out-of-pocket cost up to a maximum of
$100 for each prescription. All HIV drugs (Combivir, Epivir, Epzicom, Lexiva,
Retrovir, Trizivir, and Ziagen) are covered. Go to
http://www.mysupportcard.com for
more information and to print out the card.
Tibotec: Tibotec
Therapeutics Patient Savings Program—Covers Prezista and Intelence. Saves up
to 80% of the amount of your actual out-of-pocket cost up to $100 per drug,
per month. Visit
http://www.prezista.com/prezista/patient_assistance.html or call
toll-free 1-866-961-7169. BMS recently announced that they will be launching
a co-pay program sometime during the first half of 2009 which will include
Reyataz and Sustiva; details will be provided as they become available.
Merck does not have a
specific insurance co-pay assistance program, however they do have a patient
assistance program for Isentress and Crixivan called “Support.” Those
needing co-pay assistance for Crixivan or Isentress should use the “Support”
program.
Call 1-800-850-3430,
or visit http://www.isentress.com,
click on the site map, and then click “Support.” Pfizer does not offer
co-pay assistance for HIV medications, however, they do provide
reimbursement assistance, appeals assistance, and patient assistance for
Selzentry, Viracept and Rescriptor, and also offer information on obtaining
assistance with tropism testing. Call the Pfizer RSVP program at
1-888-327-RSVP (7787) M–F, 9:00 am – 8:00 pm Eastern Time; fax
1-888-773-0121, or write to Pfizer RSVP, PO Box 220574, Charlotte, NC.
28222-0574. For assistance with all other Pfizer medicines, call Pfizer
Helpful Answers (PHA) at 1-866-706-2400, or visit
http://www.pfizerhelpfulanswers.com. |