notes: NOTE - Alert - Consumer Beware ~ see site: http://www.buysafedrugs.info/ ---------------- Partnership For Prescription Assistance https://www.pparx.org/Intro.php https://www.pparx.org/PPA_Directory.pdf --------------- www.phrma.org Drug Assistance Programs from Pharmaceutical Companies Most pharmaceutical companies run programs aimed to facilitate the accessibility to needed medications for patient who are in financial difficulties and are not eligible for Medicare, Medicaid or private insurance. These programs have different requirements and require the physician to register the patient. Programs are evolving rapidly, so I enjoin you to consult the Pharmaceutical Research and Manufacturers of America (PhRMA) web site (www.phrma.org) for an updated and complete Directory of Prescription Drug Patient Assistance Programs. You may call the company that makes the drug you need assistance on and inquire about the procedure necessary in your case. BELOW ARE PROGRAMS AND TOLL-FREE PHONE NUMBERS. 1. Amgen: Safety net® Program for Neupogen® SAFETY NET ® Program for NEUPOGEN® Products covered by program: NEUPOGEN® ( Filgrastim ) Program is designed to assist those patients who are medically indigent (patients may be uninsured or underinsured) . Eligibility is based on patient's insurance status and income level. To enroll a patient, providers should contact the Amgen SAFETY NET® Program by calling (800) 272-9376. 2. Bayer Indigent Patient Program Bayer Indigent Patient Program Products covered by program: Most Bayer pharmaceutical prescription medications used as recommended in prescribing information Physician Requests Should Be Directed To Bayer Indigent Program P. O. Box 29209 Phoenix, Arizona 85038-9209 (800) 998-9180 3. Boehringer Ingelheim Partners in Health Program Boehringer Ingelheim Partners in Health Program Products covered by program: Alupent®, MDI, Atrovent® , Catapres TTS®, Combivent®, Flomax®, Mexitil®, Serentil® for FDA-approved indications only Physician requests should be directed to Partners in Health, Boehringer Ingelheim Pharmaceuticals, Inc. (BIPI) P. O. Box 368 Ridgefield, Connecticut 06877-0368 (800) 556-8317 (for information and form) 4. Bristol-Myers Squibb Patient Assistance Program Bristol-Myers Squibb Patient Assistance Program Products covered by program: Many Bristol-Myers Squibb pharmaceutical products Physician requests should be directed to Bristol-Myers Squibb Patient Assistance Program P.O. Box 4500 Princeton, New Jersey 08543-2500 Mailcode P25-31 (800) 332-2056; (609) 897-6859 (fax) Eligibility: This program is designed to provide temporary assistance to patients with a financial hardship who are not eligible for prescription drug coverage through Medicaid or any other public or private health program. 5. DuPont Merck Pharmaceutical Company Patient Assistance Program DuPont Merck Pharmaceutical Company Patient Assistance Program Products covered by program: All marketed non-controlled prescription Physician requests should be directed to Michelle Paoli, Du Pont Merck Pharmaceutical Company P. O. Box 80723 Wilmington, Delaware 19880-0723 (800) 474-2762 Eligibility is based on the patient's insurance status and income level/assets. Patients should have exhausted all third-party insurance, Medicaid, Medicare, and all other available programs 6. Genentech: Uninsured Patient Assistance Program of Genentech Uninsured Patient Assistance Program of Genentech Products covered by program: Actimmune® (interferon gamma-lb), Activase® (alteplase recombinant) , Protropin® (somatrem for injection), Nutropin® (somatropin for injection), Nutropin AQ® (somatropin for injection), Rituxan® (rituximab) Physician requests should be directed to Genentech, Inc. P. O. Box 2586 Mail Stop #13 S. San Francisco, California 94083-2586 (800) 879- 2747, (415) 225-1366 (fax) 7. Genetics Institute: Neumega® Access Program Neumega ® Access Program (Genetics Institute inc.) Product covered by program: Neumega ® (oprelvekin) Physician requests should be directed to The Neumega ® Access Program (888) NEUMEGA (638- 6342) Eligibility: For uninsured and underinsured patients who have limited financial resources. 8. Glaxo Wellcome Patient Assistance Program Glaxo Wellcome Patient Assistance Program Products covered by program: All marketed Glaxo Wellcome prescription products. As all information has changed as of Oct. 2003, call 1- 866.728.4368 for specific up-to-date information. Eligibility: Glaxo Wellcome is dedicated to assuring that no one is denied access to our marketed prescription products as a result of their inability to pay. 9. Hoechst Marion Roussel Indigent Patient Program The Anzemet Patient Assistance Program and the Anzemet Reimbursement Program Hoechst Marion Roussel Indigent Patient Program Products covered by program: All prescription products manufactured by Hoechst Marion Roussel, except Rifadin, Rifamate, Rifater, Tenuate Anzemet is covered by another program. Physician requests should be directed to Indigent Patient Program, Hoechst Marion Roussel, Inc. P. O. Box 9950 Kansas City, Missouri 64134-0950 (800) 221-2025 The Anzemet Patient Assistance Program and the Anzemet Reimbursement Program (HMR) Physician requests should be directed to Anzemet Patient Assistance Program c/o Comprehensive Reimbursement Consultants (CRC) 8990 Springbrook Drive, Suite 200 Minneapolis, Minnesota 55433 (888) 259- 2219 10. Janssen Patient Assistance Program Janssen Patient Assistance Program Products covered by program: Janssen's medical prescription products [Duragesic ® (fentanyl transdermal) , Ergamisol® (levamisole) , Imodium ® (loperamide) , Nizoral ® Cream( ketaconazole cream), Nizoral® Shampoo ( ketaconazole shampoo), Nizoral ® Tablet ( ketaconazole tablet), Propulsid ® (cisapride), Sporanox ® ( itraconazole) , Vermox ® (mebendazole) Physician requests should be directed to Janssen Patient Assistance Program 1800 Robert Fulton Drive Reston, Virginia 22091-2346 (800) 544-2987 11. Lilly Cares Program Gemzar ® Patient Assistance Program Lilly Cares Program Products covered by program: Most Lilly prescription products and insulins (except controlled substances). Gemzar ® is covered under a separate program. Physician requests should be directed to Lilly Cares Program Administrator, Eli Lilly and Company P. O. Box 25768 Alexandria, Virginia 22313, (800) 545-6962 Gemzar ® Patient Assistance Program Product covered by program Gemzar ® (gemcitabine hydrochloride) Physician requests should be directed to Gemzar ® Reimbursement Hotline (888) 4-GEMZAR (888-243-6927) 12. Financial Assistance Program for ABELCET® Financial Assistance Program for ABELCET ® Product covered by program ABELCET ® (amphotericin B lipid complex injection) Physician requests should be directed to Financial Assistance Program for ABELCET ® The Liposome Company, Inc. One Research Way, Princeton, New Jersey 08540-6619 (800) 335-5476 13. The Merck Patient Assistance Program The Merck Patient Assistance Program Products covered by program: Most Merck products. Requests for vaccines and injectables are not accepted, with the exception of requests for anti-cancer injectable products. Physician requests should be directed to The Merck Patient Assistance Program -- Health care professionals with prescribing privileges may call (800) 994-2111 14. Novartis Patient Assistance Program Novartis Patient Assistance Program Products covered by program: Certain single source and/or life- sustaining products. Controlled substances are not included. Physician requests should be directed to Novartis Pharmaceuticals Patient Assistance Program P. O. Box 52052 Phoenix, Arizona 85072- 9170 (800) 257-3273 15. Ortho Biotech Procrit Line Procrit Line Ortho Biotech Products covered by program: Procrit® (Epoetin alfa) for non-dialysis use, LEUSTATIN ® (cladribine) Injection Physician requests should be directed to Ortho Biotech Procrit Line (800) 553-3851 or http://www.procrit. com 16. Parke-Davis Patient Assistance Program Parke-Davis Patient Assistance Program Products covered by program Accupril, Cognex, Dilantin, Loestrin, Neurontin, Rezulin, and Zarontin Physician requests should be directed to The Parke-Davis Patient Assistance Program P. O. Box 1058 Somerville, New Jersey 08876 (908) 725-1247 17. Pfizer Prescription Assistance Diflucan® and Zithromax® Patient Assistance Program Sharing the Care Program Pfizer Prescription Assistance Products covered by program: Most Pfizer outpatient products with chronic indications are covered by this program. Diflucan ® and Zithromax ® are covered by a separate program. Physician requests should be directed to Pfizer Prescription Assistance P.O. Box 25457 Alexandria, Virginia 22313-5457 (800) 646-2455 Diflucan ® and Zithromax ® Patient Assistance Program Products covered by program Diflucan ® (fluconazole) and Zithromax ® (azithromycin) Physician requests should be directed to Diflucan ® and Zithromax ® Patient Assistance Program (800) 869-9979 Sharing the Care Program Products covered by program: Certain Pfizer single-source products Requests should be directed to Sharing the Care Program, Pfizer Inc, 235 E. 42nd Street New York, New York 10017-5755 (800) 984-1500 18. Pharmacia& Upjohn RxMAP Prescription Medication Assistance Program RxMAP Prescription Medication Assistance Program (PHARMACIA & UPJOHN) Products covered by program: Numerous Pharmacia&UpJohn products Physician requests should be directed to RxMAP, P. O. Box 29043, Phoenix, Arizona 85038 (800) 242-7014 19. Procter& Gamble Pharmaceuticals Procter & Gamble Pharmaceuticals Products covered by program: Alora, Asacol, Dantrium Capsules, Didronel, Helidac, Macrodantin, Macrobid Physician requests should be directed to Procter & Gamble Pharmaceuticals, Inc. P. O. Box 231 Norwich, New York 13815 Attn: Customer Service Department (800) 448- 2878 20. Rhone-Poulenc Rorer Patient Assistance Program Rhone-Poulenc Rorer Patient Assistance Program Products covered by program: All products are included, with some limitations Physician requests should be directed to Medical Affairs / Patient Assistance Program Rhone-Poulenc Rorer Inc. P. O. Box 5094, 500 Arcola Road Mailstop #4C29 Collegeville, Pennsylvania 19426-0998 (610) 454-8110, (610) 454-2102 (fax) 21. Roche Medical Needs Program Roche Medical Needs Program for Roferon® -A (Interferon alpha-2a, recombinant) , Vesanoid ® (tretinoin), and Fluorouracil Injection Roche Medical Needs Program Products covered by program: Roche product line with some exceptions Physician requests should be directed to Roche Medical Needs Program Roche Laboratories, Inc. 340 Kingsland Street Nutley, New Jersey 07110 (800) 285-2484 Roche Medical Needs Program for Roferon ® -A (Interferon alpha-2a, recombinant) , Vesanoid ® (tretinoin), and Fluorouracil Injection Physician requests should be directed to Oncoline?/Hepline? Reimbursement Hotline (800) 443-6676 (press 2 or 3) 22. Roxane Laboratories Patient Assistance Program Roxane Laboratories Patient Assistance Program Products covered by program: Duraclon; Marinol ® (dronabinol) Capsules 2.5 mg; Oramorph SR ® (morphine sulfate sustained release) Tablets, 15 mg, 30 mg, 60 mg, and 100 mg; Roxanol® (morphine sulfate concentrated oral solution) 20 mg/mL and 120 mL bottles; Roxanol 100® (morphine sulfate concentrated oral solution) 100 mg/5 mL and 240 mL bottles; Roxicodone (oxycodone) Tablets 5 mg; Oral solution 5 mg/5 mL; Roxicodone Intensol® 20 mg/mL; Viramune ® (nevirapine) Physician requests should be directed to Nexus Healthcare, 4161 Arlingate Plaza, Columbus, Ohio 43228 (800) 274-8651 23. Sanofi Needy Patient Program Sanofi Needy Patient Program Products covered by program: Aralen ®, Breonesin ®, Danocrine ®, Drisdol ®, Hytakerol ®, Mytelase ®, NegGram ®, pHisoHex ®, Plaquenil ®, Primaquine ®, Skelid ®, Photofrin ®, Primacor® Physician requests should be directed to Sanofi Pharmaceuticals Needy Patient Program c/o Product Information Department 90 Park Avenue, New York, New York 10016, (800) 446-6267 24. Schering Laboratories Key Pharmaceuticals Commitment to Care Program Schering Laboratories Key Pharmaceuticals Commitment to Care Program Products covered by program: Most Schering/Key prescription drugs. Physician requests should be directed to: For Intron A/Eulexin: (800) 521-7157 For Other Products: Schering Laboratories/ Key Pharmaceuticals Patient Assistance Program, P. O. Box 52122, Phoenix, Arizona 85072, (800) 656-9485 25. Searle Patients in Need®Foundation Searle Patients in Need ® Foundation Products covered by program: Aldactazide ®, Aldactone ®, Calan® SR, Kerlone ®, Calan ®, Covera-HS®, Norpace ®, Norpace ® CR, Cytotec ® Physician requests should be directed to Administrator, Searle Patients in Need ® Foundation, 5200 Old Orchard Road, Skokie, Illinois 60077, (800) 542-2526, (847) 470-6633 (fax). Or local Searle Sales Representative 26. SmithKline Beecham Access to Care Program SmithKline Beecham Oncology Access to Care Program SmithKline Beecham Access to Care Program Products covered by program: Most SmithKline Beecham outpatient prescription products are covered. Controlled substances and vaccines are not covered. Kytril, Hycamtin and Paxil are covered under separate Access to Care programs. (See listings.) Physician requests should be directed to Access to Care Program, SmithKline Beecham, One Franklin Plaza-FPl320, Philadelphia, Pennsylvania 19101, (866) 265- 6491 or (800) 546-0420 SmithKline Beecham Oncology Access to Care Program Products covered by program: Kytril (granisetron HCl) and Hycamtin (topotecan HCl) Physician requests should be directed to The Oncology Access to Care Hotline (800) 699-3806 27. 3M Pharmaceuticals Indigent Patient Pharmaceutical Program 3M Pharmaceuticals Indigent Patient Pharmaceutical Program Products covered by program: Most drug products sold by 3M Physician requests should be directed to Medical Services Department, 275-2E- 13, 3M Center, P.O. Box 33275, St. Paul, Minnesota 55133-3275, (800) 328-0255, (612) 733-6068 (fax) 28. Wyeth-Ayerst Laboratories Indigent Patient Program Wyeth-Ayerst Laboratories Indigent Patient Program Products covered by program: Various products (not including scheduleII, III, or IV products) Physician requests should be directed to John E. James, Professional Services IPP, 555 E. Lancaster Avenue, St. Davids, Pennsylvania 19087, 29. Zeneca Pharmaceuticals Foundation Patient Assistance Program Zeneca Pharmaceuticals Foundation Patient Assistance Program Products covered by program: Accolate®, Arimidex®, Casodex®, Kadian®, Nolvadex®, Seroquel®, Sorbitrate®, Sular®, Tenoretic®, Tenormin®, Zestril®, Zoladex®, Zomig®. Physician requests should be directed to Patient Assistance Program, Zeneca Pharmaceuticals Foundation P.O. Box 15197, Wilmington, Delaware 19850-5197. (800) 424-3727 Thanks to Cancer Supportive Care http://www.cancersu pportivecare. com/drug_ assistance. html -> NOTE - Alert - Consumer Beware ~ see site: http://www.buysafedrugs.info/ Find Help with the cost of Medicine - http://www.needymeds.org/index.shtml ---------------- Partnership For Prescription Assistance https://www.pparx.org/Intro.php https://www.pparx.org/PPA_Directory.pdf --------------- www.phrma.org Drug Assistance Programs from Pharmaceutical Companies Most pharmaceutical companies run programs aimed to facilitate the accessibility to needed medications for patient who are in financial difficulties and are not eligible for Medicare, Medicaid or private insurance. These programs have different requirements and require the physician to register the patient. Programs are evolving rapidly, so I enjoin you to consult the Pharmaceutical Research and Manufacturers of America (PhRMA) web site (www.phrma.org) for an updated and complete Directory of Prescription Drug Patient Assistance Programs. You may call the company that makes the drug you need assistance on and inquire about the procedure necessary in your case. BELOW ARE PROGRAMS AND TOLL-FREE PHONE NUMBERS. 1. Amgen: Safety net� Program for Neupogen� SAFETY NET � Program for NEUPOGEN� Products covered by program: NEUPOGEN� ( Filgrastim ) Program is designed to assist those patients who are medically indigent (patients may be uninsured or underinsured) . Eligibility is based on patient's insurance status and income level. To enroll a patient, providers should contact the Amgen SAFETY NET� Program by calling (800) 272-9376. 2. Bayer Indigent Patient Program Bayer Indigent Patient Program Products covered by program: Most Bayer pharmaceutical prescription medications used as recommended in prescribing information Physician Requests Should Be Directed To Bayer Indigent Program P. O. Box 29209 Phoenix, Arizona 85038-9209 (800) 998-9180 3. Boehringer Ingelheim Partners in Health Program Boehringer Ingelheim Partners in Health Program Products covered by program: Alupent�, MDI, Atrovent� , Catapres TTS�, Combivent�, Flomax�, Mexitil�, Serentil� for FDA-approved indications only Physician requests should be directed to Partners in Health, Boehringer Ingelheim Pharmaceuticals, Inc. (BIPI) P. O. Box 368 Ridgefield, Connecticut 06877-0368 (800) 556-8317 (for information and form) 4. Bristol-Myers Squibb Patient Assistance Program Bristol-Myers Squibb Patient Assistance Program Products covered by program: Many Bristol-Myers Squibb pharmaceutical products Physician requests should be directed to Bristol-Myers Squibb Patient Assistance Program P.O. Box 4500 Princeton, New Jersey 08543-2500 Mailcode P25-31 (800) 332-2056; (609) 897-6859 (fax) Eligibility: This program is designed to provide temporary assistance to patients with a financial hardship who are not eligible for prescription drug coverage through Medicaid or any other public or private health program. 5. DuPont Merck Pharmaceutical Company Patient Assistance Program DuPont Merck Pharmaceutical Company Patient Assistance Program Products covered by program: All marketed non-controlled prescription Physician requests should be directed to Michelle Paoli, Du Pont Merck Pharmaceutical Company P. O. Box 80723 Wilmington, Delaware 19880-0723 (800) 474-2762 Eligibility is based on the patient's insurance status and income level/assets. Patients should have exhausted all third-party insurance, Medicaid, Medicare, and all other available programs 6. Genentech: Uninsured Patient Assistance Program of Genentech Uninsured Patient Assistance Program of Genentech Products covered by program: Actimmune� (interferon gamma-lb), Activase� (alteplase recombinant) , Protropin� (somatrem for injection), Nutropin� (somatropin for injection), Nutropin AQ� (somatropin for injection), Rituxan� (rituximab) Physician requests should be directed to Genentech, Inc. P. O. Box 2586 Mail Stop #13 S. San Francisco, California 94083-2586 (800) 879- 2747, (415) 225-1366 (fax) 7. Genetics Institute: Neumega� Access Program Neumega � Access Program (Genetics Institute inc.) Product covered by program: Neumega � (oprelvekin) Physician requests should be directed to The Neumega � Access Program (888) NEUMEGA (638- 6342) Eligibility: For uninsured and underinsured patients who have limited financial resources. 8. Glaxo Wellcome Patient Assistance Program Glaxo Wellcome Patient Assistance Program Products covered by program: All marketed Glaxo Wellcome prescription products. As all information has changed as of Oct. 2003, call 1- 866.728.4368 for specific up-to-date information. Eligibility: Glaxo Wellcome is dedicated to assuring that no one is denied access to our marketed prescription products as a result of their inability to pay. 9. Hoechst Marion Roussel Indigent Patient Program The Anzemet Patient Assistance Program and the Anzemet Reimbursement Program Hoechst Marion Roussel Indigent Patient Program Products covered by program: All prescription products manufactured by Hoechst Marion Roussel, except Rifadin, Rifamate, Rifater, Tenuate Anzemet is covered by another program. Physician requests should be directed to Indigent Patient Program, Hoechst Marion Roussel, Inc. P. O. Box 9950 Kansas City, Missouri 64134-0950 (800) 221-2025 The Anzemet Patient Assistance Program and the Anzemet Reimbursement Program (HMR) Physician requests should be directed to Anzemet Patient Assistance Program c/o Comprehensive Reimbursement Consultants (CRC) 8990 Springbrook Drive, Suite 200 Minneapolis, Minnesota 55433 (888) 259- 2219 10. Janssen Patient Assistance Program Janssen Patient Assistance Program Products covered by program: Janssen's medical prescription products [Duragesic � (fentanyl transdermal) , Ergamisol� (levamisole) , Imodium � (loperamide) , Nizoral � Cream( ketaconazole cream), Nizoral� Shampoo ( ketaconazole shampoo), Nizoral � Tablet ( ketaconazole tablet), Propulsid � (cisapride), Sporanox � ( itraconazole) , Vermox � (mebendazole) Physician requests should be directed to Janssen Patient Assistance Program 1800 Robert Fulton Drive Reston, Virginia 22091-2346 (800) 544-2987 11. Lilly Cares Program Gemzar � Patient Assistance Program Lilly Cares Program Products covered by program: Most Lilly prescription products and insulins (except controlled substances). Gemzar � is covered under a separate program. Physician requests should be directed to Lilly Cares Program Administrator, Eli Lilly and Company P. O. Box 25768 Alexandria, Virginia 22313, (800) 545-6962 Gemzar � Patient Assistance Program Product covered by program Gemzar � (gemcitabine hydrochloride) Physician requests should be directed to Gemzar � Reimbursement Hotline (888) 4-GEMZAR (888-243-6927) 12. Financial Assistance Program for ABELCET� Financial Assistance Program for ABELCET � Product covered by program ABELCET � (amphotericin B lipid complex injection) Physician requests should be directed to Financial Assistance Program for ABELCET � The Liposome Company, Inc. One Research Way, Princeton, New Jersey 08540-6619 (800) 335-5476 13. The Merck Patient Assistance Program The Merck Patient Assistance Program Products covered by program: Most Merck products. Requests for vaccines and injectables are not accepted, with the exception of requests for anti-cancer injectable products. Physician requests should be directed to The Merck Patient Assistance Program -- Health care professionals with prescribing privileges may call (800) 994-2111 14. Novartis Patient Assistance Program Novartis Patient Assistance Program Products covered by program: Certain single source and/or life- sustaining products. Controlled substances are not included. Physician requests should be directed to Novartis Pharmaceuticals Patient Assistance Program P. O. Box 52052 Phoenix, Arizona 85072- 9170 (800) 257-3273 15. Ortho Biotech Procrit Line Procrit Line Ortho Biotech Products covered by program: Procrit� (Epoetin alfa) for non-dialysis use, LEUSTATIN � (cladribine) Injection Physician requests should be directed to Ortho Biotech Procrit Line (800) 553-3851 or http://www.procrit. com 16. Parke-Davis Patient Assistance Program Parke-Davis Patient Assistance Program Products covered by program Accupril, Cognex, Dilantin, Loestrin, Neurontin, Rezulin, and Zarontin Physician requests should be directed to The Parke-Davis Patient Assistance Program P. O. Box 1058 Somerville, New Jersey 08876 (908) 725-1247 17. Pfizer Prescription Assistance Diflucan� and Zithromax� Patient Assistance Program Sharing the Care Program Pfizer Prescription Assistance Products covered by program: Most Pfizer outpatient products with chronic indications are covered by this program. Diflucan � and Zithromax � are covered by a separate program. Physician requests should be directed to Pfizer Prescription Assistance P.O. Box 25457 Alexandria, Virginia 22313-5457 (800) 646-2455 Diflucan � and Zithromax � Patient Assistance Program Products covered by program Diflucan � (fluconazole) and Zithromax � (azithromycin) Physician requests should be directed to Diflucan � and Zithromax � Patient Assistance Program (800) 869-9979 Sharing the Care Program Products covered by program: Certain Pfizer single-source products Requests should be directed to Sharing the Care Program, Pfizer Inc, 235 E. 42nd Street New York, New York 10017-5755 (800) 984-1500 18. Pharmacia& Upjohn RxMAP Prescription Medication Assistance Program RxMAP Prescription Medication Assistance Program (PHARMACIA & UPJOHN) Products covered by program: Numerous Pharmacia&UpJohn products Physician requests should be directed to RxMAP, P. O. Box 29043, Phoenix, Arizona 85038 (800) 242-7014 19. Procter& Gamble Pharmaceuticals Procter & Gamble Pharmaceuticals Products covered by program: Alora, Asacol, Dantrium Capsules, Didronel, Helidac, Macrodantin, Macrobid Physician requests should be directed to Procter & Gamble Pharmaceuticals, Inc. P. O. Box 231 Norwich, New York 13815 Attn: Customer Service Department (800) 448- 2878 20. Rhone-Poulenc Rorer Patient Assistance Program Rhone-Poulenc Rorer Patient Assistance Program Products covered by program: All products are included, with some limitations Physician requests should be directed to Medical Affairs / Patient Assistance Program Rhone-Poulenc Rorer Inc. P. O. Box 5094, 500 Arcola Road Mailstop #4C29 Collegeville, Pennsylvania 19426-0998 (610) 454-8110, (610) 454-2102 (fax) 21. Roche Medical Needs Program Roche Medical Needs Program for Roferon� -A (Interferon alpha-2a, recombinant) , Vesanoid � (tretinoin), and Fluorouracil Injection Roche Medical Needs Program Products covered by program: Roche product line with some exceptions Physician requests should be directed to Roche Medical Needs Program Roche Laboratories, Inc. 340 Kingsland Street Nutley, New Jersey 07110 (800) 285-2484 Roche Medical Needs Program for Roferon � -A (Interferon alpha-2a, recombinant) , Vesanoid � (tretinoin), and Fluorouracil Injection Physician requests should be directed to Oncoline?/Hepline? Reimbursement Hotline (800) 443-6676 (press 2 or 3) 22. Roxane Laboratories Patient Assistance Program Roxane Laboratories Patient Assistance Program Products covered by program: Duraclon; Marinol � (dronabinol) Capsules 2.5 mg; Oramorph SR � (morphine sulfate sustained release) Tablets, 15 mg, 30 mg, 60 mg, and 100 mg; Roxanol� (morphine sulfate concentrated oral solution) 20 mg/mL and 120 mL bottles; Roxanol 100� (morphine sulfate concentrated oral solution) 100 mg/5 mL and 240 mL bottles; Roxicodone (oxycodone) Tablets 5 mg; Oral solution 5 mg/5 mL; Roxicodone Intensol� 20 mg/mL; Viramune � (nevirapine) Physician requests should be directed to Nexus Healthcare, 4161 Arlingate Plaza, Columbus, Ohio 43228 (800) 274-8651 23. Sanofi Needy Patient Program Sanofi Needy Patient Program Products covered by program: Aralen �, Breonesin �, Danocrine �, Drisdol �, Hytakerol �, Mytelase �, NegGram �, pHisoHex �, Plaquenil �, Primaquine �, Skelid �, Photofrin �, Primacor� Physician requests should be directed to Sanofi Pharmaceuticals Needy Patient Program c/o Product Information Department 90 Park Avenue, New York, New York 10016, (800) 446-6267 24. Schering Laboratories Key Pharmaceuticals Commitment to Care Program Schering Laboratories Key Pharmaceuticals Commitment to Care Program Products covered by program: Most Schering/Key prescription drugs. Physician requests should be directed to: For Intron A/Eulexin: (800) 521-7157 For Other Products: Schering Laboratories/ Key Pharmaceuticals Patient Assistance Program, P. O. Box 52122, Phoenix, Arizona 85072, (800) 656-9485 25. Searle Patients in Need�Foundation Searle Patients in Need � Foundation Products covered by program: Aldactazide �, Aldactone �, Calan� SR, Kerlone �, Calan �, Covera-HS�, Norpace �, Norpace � CR, Cytotec � Physician requests should be directed to Administrator, Searle Patients in Need � Foundation, 5200 Old Orchard Road, Skokie, Illinois 60077, (800) 542-2526, (847) 470-6633 (fax). Or local Searle Sales Representative 26. SmithKline Beecham Access to Care Program SmithKline Beecham Oncology Access to Care Program SmithKline Beecham Access to Care Program Products covered by program: Most SmithKline Beecham outpatient prescription products are covered. Controlled substances and vaccines are not covered. Kytril, Hycamtin and Paxil are covered under separate Access to Care programs. (See listings.) Physician requests should be directed to Access to Care Program, SmithKline Beecham, One Franklin Plaza-FPl320, Philadelphia, Pennsylvania 19101, (866) 265- 6491 or (800) 546-0420 SmithKline Beecham Oncology Access to Care Program Products covered by program: Kytril (granisetron HCl) and Hycamtin (topotecan HCl) Physician requests should be directed to The Oncology Access to Care Hotline (800) 699-3806 27. 3M Pharmaceuticals Indigent Patient Pharmaceutical Program 3M Pharmaceuticals Indigent Patient Pharmaceutical Program Products covered by program: Most drug products sold by 3M Physician requests should be directed to Medical Services Department, 275-2E- 13, 3M Center, P.O. Box 33275, St. Paul, Minnesota 55133-3275, (800) 328-0255, (612) 733-6068 (fax) 28. Wyeth-Ayerst Laboratories Indigent Patient Program Wyeth-Ayerst Laboratories Indigent Patient Program Products covered by program: Various products (not including scheduleII, III, or IV products) Physician requests should be directed to John E. James, Professional Services IPP, 555 E. Lancaster Avenue, St. Davids, Pennsylvania 19087, 29. Zeneca Pharmaceuticals Foundation Patient Assistance Program Zeneca Pharmaceuticals Foundation Patient Assistance Program Products covered by program: Accolate�, Arimidex�, Casodex�, Kadian�, Nolvadex�, Seroquel�, Sorbitrate�, Sular�, Tenoretic�, Tenormin�, Zestril�, Zoladex�, Zomig�. Physician requests should be directed to Patient Assistance Program, Zeneca Pharmaceuticals Foundation P.O. Box 15197, Wilmington, Delaware 19850-5197. (800) 424-3727 Thanks to Cancer Supportive Care http://www.cancersu pportivecare. com/drug_ assistance. html
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name: Drug Assistance Programs -> Prescription Assistance Programs
notes: NOTE - Alert - Consumer Beware ~ see site: http://www.buysafedrugs.info/ ---------------- Partnership For Perscription Assistance https://www.pparx.org/Intro.php https://www.pparx.org/PPA_Directory.pdf --------------- www.phrma.org Drug Assistance Programs from Pharmaceutical Companies Most pharmaceutical companies run programs aimed to facilitate the accessibility to needed medications for patient who are in financial difficulties and are not eligible for Medicare, Medicaid or private insurance. These programs have different requirements and require the physician to register the patient. Programs are evolving rapidly, so I enjoin you to consult the Pharmaceutical Research and Manufacturers of America (PhRMA) web site (www.phrma.org) for an updated and complete Directory of Prescription Drug Patient Assistance Programs. You may call the company that makes the drug you need assistance on and inquire about the procedure necessary in your case. BELOW ARE PROGRAMS AND TOLL-FREE PHONE NUMBERS. 1. Amgen: Safety net® Program for Neupogen® SAFETY NET ® Program for NEUPOGEN® Products covered by program: NEUPOGEN® ( Filgrastim ) Program is designed to assist those patients who are medically indigent (patients may be uninsured or underinsured) . Eligibility is based on patient's insurance status and income level. To enroll a patient, providers should contact the Amgen SAFETY NET® Program by calling (800) 272-9376. 2. Bayer Indigent Patient Program Bayer Indigent Patient Program Products covered by program: Most Bayer pharmaceutical prescription medications used as recommended in prescribing information Physician Requests Should Be Directed To Bayer Indigent Program P. O. Box 29209 Phoenix, Arizona 85038-9209 (800) 998-9180 3. Boehringer Ingelheim Partners in Health Program Boehringer Ingelheim Partners in Health Program Products covered by program: Alupent®, MDI, Atrovent® , Catapres TTS®, Combivent®, Flomax®, Mexitil®, Serentil® for FDA-approved indications only Physician requests should be directed to Partners in Health, Boehringer Ingelheim Pharmaceuticals, Inc. (BIPI) P. O. Box 368 Ridgefield, Connecticut 06877-0368 (800) 556-8317 (for information and form) 4. Bristol-Myers Squibb Patient Assistance Program Bristol-Myers Squibb Patient Assistance Program Products covered by program: Many Bristol-Myers Squibb pharmaceutical products Physician requests should be directed to Bristol-Myers Squibb Patient Assistance Program P.O. Box 4500 Princeton, New Jersey 08543-2500 Mailcode P25-31 (800) 332-2056; (609) 897-6859 (fax) Eligibility: This program is designed to provide temporary assistance to patients with a financial hardship who are not eligible for prescription drug coverage through Medicaid or any other public or private health program. 5. DuPont Merck Pharmaceutical Company Patient Assistance Program DuPont Merck Pharmaceutical Company Patient Assistance Program Products covered by program: All marketed non-controlled prescription Physician requests should be directed to Michelle Paoli, Du Pont Merck Pharmaceutical Company P. O. Box 80723 Wilmington, Delaware 19880-0723 (800) 474-2762 Eligibility is based on the patient's insurance status and income level/assets. Patients should have exhausted all third-party insurance, Medicaid, Medicare, and all other available programs 6. Genentech: Uninsured Patient Assistance Program of Genentech Uninsured Patient Assistance Program of Genentech Products covered by program: Actimmune® (interferon gamma-lb), Activase® (alteplase recombinant) , Protropin® (somatrem for injection), Nutropin® (somatropin for injection), Nutropin AQ® (somatropin for injection), Rituxan® (rituximab) Physician requests should be directed to Genentech, Inc. P. O. Box 2586 Mail Stop #13 S. San Francisco, California 94083-2586 (800) 879- 2747, (415) 225-1366 (fax) 7. Genetics Institute: Neumega® Access Program Neumega ® Access Program (Genetics Institute inc.) Product covered by program: Neumega ® (oprelvekin) Physician requests should be directed to The Neumega ® Access Program (888) NEUMEGA (638- 6342) Eligibility: For uninsured and underinsured patients who have limited financial resources. 8. Glaxo Wellcome Patient Assistance Program Glaxo Wellcome Patient Assistance Program Products covered by program: All marketed Glaxo Wellcome prescription products. As all information has changed as of Oct. 2003, call 1- 866.728.4368 for specific up-to-date information. Eligibility: Glaxo Wellcome is dedicated to assuring that no one is denied access to our marketed prescription products as a result of their inability to pay. 9. Hoechst Marion Roussel Indigent Patient Program The Anzemet Patient Assistance Program and the Anzemet Reimbursement Program Hoechst Marion Roussel Indigent Patient Program Products covered by program: All prescription products manufactured by Hoechst Marion Roussel, except Rifadin, Rifamate, Rifater, Tenuate Anzemet is covered by another program. Physician requests should be directed to Indigent Patient Program, Hoechst Marion Roussel, Inc. P. O. Box 9950 Kansas City, Missouri 64134-0950 (800) 221-2025 The Anzemet Patient Assistance Program and the Anzemet Reimbursement Program (HMR) Physician requests should be directed to Anzemet Patient Assistance Program c/o Comprehensive Reimbursement Consultants (CRC) 8990 Springbrook Drive, Suite 200 Minneapolis, Minnesota 55433 (888) 259- 2219 10. Janssen Patient Assistance Program Janssen Patient Assistance Program Products covered by program: Janssen's medical prescription products [Duragesic ® (fentanyl transdermal) , Ergamisol® (levamisole) , Imodium ® (loperamide) , Nizoral ® Cream( ketaconazole cream), Nizoral® Shampoo ( ketaconazole shampoo), Nizoral ® Tablet ( ketaconazole tablet), Propulsid ® (cisapride), Sporanox ® ( itraconazole) , Vermox ® (mebendazole) Physician requests should be directed to Janssen Patient Assistance Program 1800 Robert Fulton Drive Reston, Virginia 22091-2346 (800) 544-2987 11. Lilly Cares Program Gemzar ® Patient Assistance Program Lilly Cares Program Products covered by program: Most Lilly prescription products and insulins (except controlled substances). Gemzar ® is covered under a separate program. Physician requests should be directed to Lilly Cares Program Administrator, Eli Lilly and Company P. O. Box 25768 Alexandria, Virginia 22313, (800) 545-6962 Gemzar ® Patient Assistance Program Product covered by program Gemzar ® (gemcitabine hydrochloride) Physician requests should be directed to Gemzar ® Reimbursement Hotline (888) 4-GEMZAR (888-243-6927) 12. Financial Assistance Program for ABELCET® Financial Assistance Program for ABELCET ® Product covered by program ABELCET ® (amphotericin B lipid complex injection) Physician requests should be directed to Financial Assistance Program for ABELCET ® The Liposome Company, Inc. One Research Way, Princeton, New Jersey 08540-6619 (800) 335-5476 13. The Merck Patient Assistance Program The Merck Patient Assistance Program Products covered by program: Most Merck products. Requests for vaccines and injectables are not accepted, with the exception of requests for anti-cancer injectable products. Physician requests should be directed to The Merck Patient Assistance Program -- Health care professionals with prescribing privileges may call (800) 994-2111 14. Novartis Patient Assistance Program Novartis Patient Assistance Program Products covered by program: Certain single source and/or life- sustaining products. Controlled substances are not included. Physician requests should be directed to Novartis Pharmaceuticals Patient Assistance Program P. O. Box 52052 Phoenix, Arizona 85072- 9170 (800) 257-3273 15. Ortho Biotech Procrit Line Procrit Line Ortho Biotech Products covered by program: Procrit® (Epoetin alfa) for non-dialysis use, LEUSTATIN ® (cladribine) Injection Physician requests should be directed to Ortho Biotech Procrit Line (800) 553-3851 or http://www.procrit. com 16. Parke-Davis Patient Assistance Program Parke-Davis Patient Assistance Program Products covered by program Accupril, Cognex, Dilantin, Loestrin, Neurontin, Rezulin, and Zarontin Physician requests should be directed to The Parke-Davis Patient Assistance Program P. O. Box 1058 Somerville, New Jersey 08876 (908) 725-1247 17. Pfizer Prescription Assistance Diflucan® and Zithromax® Patient Assistance Program Sharing the Care Program Pfizer Prescription Assistance Products covered by program: Most Pfizer outpatient products with chronic indications are covered by this program. Diflucan ® and Zithromax ® are covered by a separate program. Physician requests should be directed to Pfizer Prescription Assistance P.O. Box 25457 Alexandria, Virginia 22313-5457 (800) 646-2455 Diflucan ® and Zithromax ® Patient Assistance Program Products covered by program Diflucan ® (fluconazole) and Zithromax ® (azithromycin) Physician requests should be directed to Diflucan ® and Zithromax ® Patient Assistance Program (800) 869-9979 Sharing the Care Program Products covered by program: Certain Pfizer single-source products Requests should be directed to Sharing the Care Program, Pfizer Inc, 235 E. 42nd Street New York, New York 10017-5755 (800) 984-1500 18. Pharmacia& Upjohn RxMAP Prescription Medication Assistance Program RxMAP Prescription Medication Assistance Program (PHARMACIA & UPJOHN) Products covered by program: Numerous Pharmacia&UpJohn products Physician requests should be directed to RxMAP, P. O. Box 29043, Phoenix, Arizona 85038 (800) 242-7014 19. Procter& Gamble Pharmaceuticals Procter & Gamble Pharmaceuticals Products covered by program: Alora, Asacol, Dantrium Capsules, Didronel, Helidac, Macrodantin, Macrobid Physician requests should be directed to Procter & Gamble Pharmaceuticals, Inc. P. O. Box 231 Norwich, New York 13815 Attn: Customer Service Department (800) 448- 2878 20. Rhone-Poulenc Rorer Patient Assistance Program Rhone-Poulenc Rorer Patient Assistance Program Products covered by program: All products are included, with some limitations Physician requests should be directed to Medical Affairs / Patient Assistance Program Rhone-Poulenc Rorer Inc. P. O. Box 5094, 500 Arcola Road Mailstop #4C29 Collegeville, Pennsylvania 19426-0998 (610) 454-8110, (610) 454-2102 (fax) 21. Roche Medical Needs Program Roche Medical Needs Program for Roferon® -A (Interferon alpha-2a, recombinant) , Vesanoid ® (tretinoin), and Fluorouracil Injection Roche Medical Needs Program Products covered by program: Roche product line with some exceptions Physician requests should be directed to Roche Medical Needs Program Roche Laboratories, Inc. 340 Kingsland Street Nutley, New Jersey 07110 (800) 285-2484 Roche Medical Needs Program for Roferon ® -A (Interferon alpha-2a, recombinant) , Vesanoid ® (tretinoin), and Fluorouracil Injection Physician requests should be directed to Oncoline?/Hepline? Reimbursement Hotline (800) 443-6676 (press 2 or 3) 22. Roxane Laboratories Patient Assistance Program Roxane Laboratories Patient Assistance Program Products covered by program: Duraclon; Marinol ® (dronabinol) Capsules 2.5 mg; Oramorph SR ® (morphine sulfate sustained release) Tablets, 15 mg, 30 mg, 60 mg, and 100 mg; Roxanol® (morphine sulfate concentrated oral solution) 20 mg/mL and 120 mL bottles; Roxanol 100® (morphine sulfate concentrated oral solution) 100 mg/5 mL and 240 mL bottles; Roxicodone (oxycodone) Tablets 5 mg; Oral solution 5 mg/5 mL; Roxicodone Intensol® 20 mg/mL; Viramune ® (nevirapine) Physician requests should be directed to Nexus Healthcare, 4161 Arlingate Plaza, Columbus, Ohio 43228 (800) 274-8651 23. Sanofi Needy Patient Program Sanofi Needy Patient Program Products covered by program: Aralen ®, Breonesin ®, Danocrine ®, Drisdol ®, Hytakerol ®, Mytelase ®, NegGram ®, pHisoHex ®, Plaquenil ®, Primaquine ®, Skelid ®, Photofrin ®, Primacor® Physician requests should be directed to Sanofi Pharmaceuticals Needy Patient Program c/o Product Information Department 90 Park Avenue, New York, New York 10016, (800) 446-6267 24. Schering Laboratories Key Pharmaceuticals Commitment to Care Program Schering Laboratories Key Pharmaceuticals Commitment to Care Program Products covered by program: Most Schering/Key prescription drugs. Physician requests should be directed to: For Intron A/Eulexin: (800) 521-7157 For Other Products: Schering Laboratories/ Key Pharmaceuticals Patient Assistance Program, P. O. Box 52122, Phoenix, Arizona 85072, (800) 656-9485 25. Searle Patients in Need®Foundation Searle Patients in Need ® Foundation Products covered by program: Aldactazide ®, Aldactone ®, Calan® SR, Kerlone ®, Calan ®, Covera-HS®, Norpace ®, Norpace ® CR, Cytotec ® Physician requests should be directed to Administrator, Searle Patients in Need ® Foundation, 5200 Old Orchard Road, Skokie, Illinois 60077, (800) 542-2526, (847) 470-6633 (fax). Or local Searle Sales Representative 26. SmithKline Beecham Access to Care Program SmithKline Beecham Oncology Access to Care Program SmithKline Beecham Access to Care Program Products covered by program: Most SmithKline Beecham outpatient prescription products are covered. Controlled substances and vaccines are not covered. Kytril, Hycamtin and Paxil are covered under separate Access to Care programs. (See listings.) Physician requests should be directed to Access to Care Program, SmithKline Beecham, One Franklin Plaza-FPl320, Philadelphia, Pennsylvania 19101, (866) 265- 6491 or (800) 546-0420 SmithKline Beecham Oncology Access to Care Program Products covered by program: Kytril (granisetron HCl) and Hycamtin (topotecan HCl) Physician requests should be directed to The Oncology Access to Care Hotline (800) 699-3806 27. 3M Pharmaceuticals Indigent Patient Pharmaceutical Program 3M Pharmaceuticals Indigent Patient Pharmaceutical Program Products covered by program: Most drug products sold by 3M Physician requests should be directed to Medical Services Department, 275-2E- 13, 3M Center, P.O. Box 33275, St. Paul, Minnesota 55133-3275, (800) 328-0255, (612) 733-6068 (fax) 28. Wyeth-Ayerst Laboratories Indigent Patient Program Wyeth-Ayerst Laboratories Indigent Patient Program Products covered by program: Various products (not including scheduleII, III, or IV products) Physician requests should be directed to John E. James, Professional Services IPP, 555 E. Lancaster Avenue, St. Davids, Pennsylvania 19087, 29. Zeneca Pharmaceuticals Foundation Patient Assistance Program Zeneca Pharmaceuticals Foundation Patient Assistance Program Products covered by program: Accolate®, Arimidex®, Casodex®, Kadian®, Nolvadex®, Seroquel®, Sorbitrate®, Sular®, Tenoretic®, Tenormin®, Zestril®, Zoladex®, Zomig®. Physician requests should be directed to Patient Assistance Program, Zeneca Pharmaceuticals Foundation P.O. Box 15197, Wilmington, Delaware 19850-5197. (800) 424-3727 Thanks to Cancer Supportive Care http://www.cancersu pportivecare. com/drug_ assistance. html -> NOTE - Alert - Consumer Beware ~ see site: http://www.buysafedrugs.info/ ---------------- Partnership For Prescription Assistance https://www.pparx.org/Intro.php https://www.pparx.org/PPA_Directory.pdf --------------- www.phrma.org Drug Assistance Programs from Pharmaceutical Companies Most pharmaceutical companies run programs aimed to facilitate the accessibility to needed medications for patient who are in financial difficulties and are not eligible for Medicare, Medicaid or private insurance. These programs have different requirements and require the physician to register the patient. Programs are evolving rapidly, so I enjoin you to consult the Pharmaceutical Research and Manufacturers of America (PhRMA) web site (www.phrma.org) for an updated and complete Directory of Prescription Drug Patient Assistance Programs. You may call the company that makes the drug you need assistance on and inquire about the procedure necessary in your case. BELOW ARE PROGRAMS AND TOLL-FREE PHONE NUMBERS. 1. Amgen: Safety net® Program for Neupogen® SAFETY NET ® Program for NEUPOGEN® Products covered by program: NEUPOGEN® ( Filgrastim ) Program is designed to assist those patients who are medically indigent (patients may be uninsured or underinsured) . Eligibility is based on patient's insurance status and income level. To enroll a patient, providers should contact the Amgen SAFETY NET® Program by calling (800) 272-9376. 2. Bayer Indigent Patient Program Bayer Indigent Patient Program Products covered by program: Most Bayer pharmaceutical prescription medications used as recommended in prescribing information Physician Requests Should Be Directed To Bayer Indigent Program P. O. Box 29209 Phoenix, Arizona 85038-9209 (800) 998-9180 3. Boehringer Ingelheim Partners in Health Program Boehringer Ingelheim Partners in Health Program Products covered by program: Alupent®, MDI, Atrovent® , Catapres TTS®, Combivent®, Flomax®, Mexitil®, Serentil® for FDA-approved indications only Physician requests should be directed to Partners in Health, Boehringer Ingelheim Pharmaceuticals, Inc. (BIPI) P. O. Box 368 Ridgefield, Connecticut 06877-0368 (800) 556-8317 (for information and form) 4. Bristol-Myers Squibb Patient Assistance Program Bristol-Myers Squibb Patient Assistance Program Products covered by program: Many Bristol-Myers Squibb pharmaceutical products Physician requests should be directed to Bristol-Myers Squibb Patient Assistance Program P.O. Box 4500 Princeton, New Jersey 08543-2500 Mailcode P25-31 (800) 332-2056; (609) 897-6859 (fax) Eligibility: This program is designed to provide temporary assistance to patients with a financial hardship who are not eligible for prescription drug coverage through Medicaid or any other public or private health program. 5. DuPont Merck Pharmaceutical Company Patient Assistance Program DuPont Merck Pharmaceutical Company Patient Assistance Program Products covered by program: All marketed non-controlled prescription Physician requests should be directed to Michelle Paoli, Du Pont Merck Pharmaceutical Company P. O. Box 80723 Wilmington, Delaware 19880-0723 (800) 474-2762 Eligibility is based on the patient's insurance status and income level/assets. Patients should have exhausted all third-party insurance, Medicaid, Medicare, and all other available programs 6. Genentech: Uninsured Patient Assistance Program of Genentech Uninsured Patient Assistance Program of Genentech Products covered by program: Actimmune® (interferon gamma-lb), Activase® (alteplase recombinant) , Protropin® (somatrem for injection), Nutropin® (somatropin for injection), Nutropin AQ® (somatropin for injection), Rituxan® (rituximab) Physician requests should be directed to Genentech, Inc. P. O. Box 2586 Mail Stop #13 S. San Francisco, California 94083-2586 (800) 879- 2747, (415) 225-1366 (fax) 7. Genetics Institute: Neumega® Access Program Neumega ® Access Program (Genetics Institute inc.) Product covered by program: Neumega ® (oprelvekin) Physician requests should be directed to The Neumega ® Access Program (888) NEUMEGA (638- 6342) Eligibility: For uninsured and underinsured patients who have limited financial resources. 8. Glaxo Wellcome Patient Assistance Program Glaxo Wellcome Patient Assistance Program Products covered by program: All marketed Glaxo Wellcome prescription products. As all information has changed as of Oct. 2003, call 1- 866.728.4368 for specific up-to-date information. Eligibility: Glaxo Wellcome is dedicated to assuring that no one is denied access to our marketed prescription products as a result of their inability to pay. 9. Hoechst Marion Roussel Indigent Patient Program The Anzemet Patient Assistance Program and the Anzemet Reimbursement Program Hoechst Marion Roussel Indigent Patient Program Products covered by program: All prescription products manufactured by Hoechst Marion Roussel, except Rifadin, Rifamate, Rifater, Tenuate Anzemet is covered by another program. Physician requests should be directed to Indigent Patient Program, Hoechst Marion Roussel, Inc. P. O. Box 9950 Kansas City, Missouri 64134-0950 (800) 221-2025 The Anzemet Patient Assistance Program and the Anzemet Reimbursement Program (HMR) Physician requests should be directed to Anzemet Patient Assistance Program c/o Comprehensive Reimbursement Consultants (CRC) 8990 Springbrook Drive, Suite 200 Minneapolis, Minnesota 55433 (888) 259- 2219 10. Janssen Patient Assistance Program Janssen Patient Assistance Program Products covered by program: Janssen's medical prescription products [Duragesic ® (fentanyl transdermal) , Ergamisol® (levamisole) , Imodium ® (loperamide) , Nizoral ® Cream( ketaconazole cream), Nizoral® Shampoo ( ketaconazole shampoo), Nizoral ® Tablet ( ketaconazole tablet), Propulsid ® (cisapride), Sporanox ® ( itraconazole) , Vermox ® (mebendazole) Physician requests should be directed to Janssen Patient Assistance Program 1800 Robert Fulton Drive Reston, Virginia 22091-2346 (800) 544-2987 11. Lilly Cares Program Gemzar ® Patient Assistance Program Lilly Cares Program Products covered by program: Most Lilly prescription products and insulins (except controlled substances). Gemzar ® is covered under a separate program. Physician requests should be directed to Lilly Cares Program Administrator, Eli Lilly and Company P. O. Box 25768 Alexandria, Virginia 22313, (800) 545-6962 Gemzar ® Patient Assistance Program Product covered by program Gemzar ® (gemcitabine hydrochloride) Physician requests should be directed to Gemzar ® Reimbursement Hotline (888) 4-GEMZAR (888-243-6927) 12. Financial Assistance Program for ABELCET® Financial Assistance Program for ABELCET ® Product covered by program ABELCET ® (amphotericin B lipid complex injection) Physician requests should be directed to Financial Assistance Program for ABELCET ® The Liposome Company, Inc. One Research Way, Princeton, New Jersey 08540-6619 (800) 335-5476 13. The Merck Patient Assistance Program The Merck Patient Assistance Program Products covered by program: Most Merck products. Requests for vaccines and injectables are not accepted, with the exception of requests for anti-cancer injectable products. Physician requests should be directed to The Merck Patient Assistance Program -- Health care professionals with prescribing privileges may call (800) 994-2111 14. Novartis Patient Assistance Program Novartis Patient Assistance Program Products covered by program: Certain single source and/or life- sustaining products. Controlled substances are not included. Physician requests should be directed to Novartis Pharmaceuticals Patient Assistance Program P. O. Box 52052 Phoenix, Arizona 85072- 9170 (800) 257-3273 15. Ortho Biotech Procrit Line Procrit Line Ortho Biotech Products covered by program: Procrit® (Epoetin alfa) for non-dialysis use, LEUSTATIN ® (cladribine) Injection Physician requests should be directed to Ortho Biotech Procrit Line (800) 553-3851 or http://www.procrit. com 16. Parke-Davis Patient Assistance Program Parke-Davis Patient Assistance Program Products covered by program Accupril, Cognex, Dilantin, Loestrin, Neurontin, Rezulin, and Zarontin Physician requests should be directed to The Parke-Davis Patient Assistance Program P. O. Box 1058 Somerville, New Jersey 08876 (908) 725-1247 17. Pfizer Prescription Assistance Diflucan® and Zithromax® Patient Assistance Program Sharing the Care Program Pfizer Prescription Assistance Products covered by program: Most Pfizer outpatient products with chronic indications are covered by this program. Diflucan ® and Zithromax ® are covered by a separate program. Physician requests should be directed to Pfizer Prescription Assistance P.O. Box 25457 Alexandria, Virginia 22313-5457 (800) 646-2455 Diflucan ® and Zithromax ® Patient Assistance Program Products covered by program Diflucan ® (fluconazole) and Zithromax ® (azithromycin) Physician requests should be directed to Diflucan ® and Zithromax ® Patient Assistance Program (800) 869-9979 Sharing the Care Program Products covered by program: Certain Pfizer single-source products Requests should be directed to Sharing the Care Program, Pfizer Inc, 235 E. 42nd Street New York, New York 10017-5755 (800) 984-1500 18. Pharmacia& Upjohn RxMAP Prescription Medication Assistance Program RxMAP Prescription Medication Assistance Program (PHARMACIA & UPJOHN) Products covered by program: Numerous Pharmacia&UpJohn products Physician requests should be directed to RxMAP, P. O. Box 29043, Phoenix, Arizona 85038 (800) 242-7014 19. Procter& Gamble Pharmaceuticals Procter & Gamble Pharmaceuticals Products covered by program: Alora, Asacol, Dantrium Capsules, Didronel, Helidac, Macrodantin, Macrobid Physician requests should be directed to Procter & Gamble Pharmaceuticals, Inc. P. O. Box 231 Norwich, New York 13815 Attn: Customer Service Department (800) 448- 2878 20. Rhone-Poulenc Rorer Patient Assistance Program Rhone-Poulenc Rorer Patient Assistance Program Products covered by program: All products are included, with some limitations Physician requests should be directed to Medical Affairs / Patient Assistance Program Rhone-Poulenc Rorer Inc. P. O. Box 5094, 500 Arcola Road Mailstop #4C29 Collegeville, Pennsylvania 19426-0998 (610) 454-8110, (610) 454-2102 (fax) 21. Roche Medical Needs Program Roche Medical Needs Program for Roferon® -A (Interferon alpha-2a, recombinant) , Vesanoid ® (tretinoin), and Fluorouracil Injection Roche Medical Needs Program Products covered by program: Roche product line with some exceptions Physician requests should be directed to Roche Medical Needs Program Roche Laboratories, Inc. 340 Kingsland Street Nutley, New Jersey 07110 (800) 285-2484 Roche Medical Needs Program for Roferon ® -A (Interferon alpha-2a, recombinant) , Vesanoid ® (tretinoin), and Fluorouracil Injection Physician requests should be directed to Oncoline?/Hepline? Reimbursement Hotline (800) 443-6676 (press 2 or 3) 22. Roxane Laboratories Patient Assistance Program Roxane Laboratories Patient Assistance Program Products covered by program: Duraclon; Marinol ® (dronabinol) Capsules 2.5 mg; Oramorph SR ® (morphine sulfate sustained release) Tablets, 15 mg, 30 mg, 60 mg, and 100 mg; Roxanol® (morphine sulfate concentrated oral solution) 20 mg/mL and 120 mL bottles; Roxanol 100® (morphine sulfate concentrated oral solution) 100 mg/5 mL and 240 mL bottles; Roxicodone (oxycodone) Tablets 5 mg; Oral solution 5 mg/5 mL; Roxicodone Intensol® 20 mg/mL; Viramune ® (nevirapine) Physician requests should be directed to Nexus Healthcare, 4161 Arlingate Plaza, Columbus, Ohio 43228 (800) 274-8651 23. Sanofi Needy Patient Program Sanofi Needy Patient Program Products covered by program: Aralen ®, Breonesin ®, Danocrine ®, Drisdol ®, Hytakerol ®, Mytelase ®, NegGram ®, pHisoHex ®, Plaquenil ®, Primaquine ®, Skelid ®, Photofrin ®, Primacor® Physician requests should be directed to Sanofi Pharmaceuticals Needy Patient Program c/o Product Information Department 90 Park Avenue, New York, New York 10016, (800) 446-6267 24. Schering Laboratories Key Pharmaceuticals Commitment to Care Program Schering Laboratories Key Pharmaceuticals Commitment to Care Program Products covered by program: Most Schering/Key prescription drugs. Physician requests should be directed to: For Intron A/Eulexin: (800) 521-7157 For Other Products: Schering Laboratories/ Key Pharmaceuticals Patient Assistance Program, P. O. Box 52122, Phoenix, Arizona 85072, (800) 656-9485 25. Searle Patients in Need®Foundation Searle Patients in Need ® Foundation Products covered by program: Aldactazide ®, Aldactone ®, Calan® SR, Kerlone ®, Calan ®, Covera-HS®, Norpace ®, Norpace ® CR, Cytotec ® Physician requests should be directed to Administrator, Searle Patients in Need ® Foundation, 5200 Old Orchard Road, Skokie, Illinois 60077, (800) 542-2526, (847) 470-6633 (fax). Or local Searle Sales Representative 26. SmithKline Beecham Access to Care Program SmithKline Beecham Oncology Access to Care Program SmithKline Beecham Access to Care Program Products covered by program: Most SmithKline Beecham outpatient prescription products are covered. Controlled substances and vaccines are not covered. Kytril, Hycamtin and Paxil are covered under separate Access to Care programs. (See listings.) Physician requests should be directed to Access to Care Program, SmithKline Beecham, One Franklin Plaza-FPl320, Philadelphia, Pennsylvania 19101, (866) 265- 6491 or (800) 546-0420 SmithKline Beecham Oncology Access to Care Program Products covered by program: Kytril (granisetron HCl) and Hycamtin (topotecan HCl) Physician requests should be directed to The Oncology Access to Care Hotline (800) 699-3806 27. 3M Pharmaceuticals Indigent Patient Pharmaceutical Program 3M Pharmaceuticals Indigent Patient Pharmaceutical Program Products covered by program: Most drug products sold by 3M Physician requests should be directed to Medical Services Department, 275-2E- 13, 3M Center, P.O. Box 33275, St. Paul, Minnesota 55133-3275, (800) 328-0255, (612) 733-6068 (fax) 28. Wyeth-Ayerst Laboratories Indigent Patient Program Wyeth-Ayerst Laboratories Indigent Patient Program Products covered by program: Various products (not including scheduleII, III, or IV products) Physician requests should be directed to John E. James, Professional Services IPP, 555 E. Lancaster Avenue, St. Davids, Pennsylvania 19087, 29. Zeneca Pharmaceuticals Foundation Patient Assistance Program Zeneca Pharmaceuticals Foundation Patient Assistance Program Products covered by program: Accolate®, Arimidex®, Casodex®, Kadian®, Nolvadex®, Seroquel®, Sorbitrate®, Sular®, Tenoretic®, Tenormin®, Zestril®, Zoladex®, Zomig®. Physician requests should be directed to Patient Assistance Program, Zeneca Pharmaceuticals Foundation P.O. Box 15197, Wilmington, Delaware 19850-5197. (800) 424-3727 Thanks to Cancer Supportive Care http://www.cancersu pportivecare. com/drug_ assistance. html