Contact The Network for help getting drugs or services. Our national toll-free phone number is (800) 734-7104. We'll help explain what your options are and assist you in creating a plan. We'll describe programs like Medicaid, Medicare, Medicare Part D, ADAP, Clinical Trials, Patient Assistance Programs and more. Please do not send completed Patient Assistance Program applications to The Access Project at 611 Broadway, Suite 613, New York, NY, 10012.
Patient Assistance Programs
You may need to try a Patient Assistance Program, or try to get Medicaid or Medicare or private insurance first. Do not ever drop your private insurance without first seeing if your state will cover part or the whole premium, especially if you have children. The pharmaceutical industry has set up programs that offer medications for free, or sometimes at a very low price. You may have to apply directly to a specific company, or use a national service set up by a group of companies like pparx.org. Your doctor or another member of your health care team like a case manager will usually help you out to apply, and you may need to apply to more than one company for the treatments you need. Drug Companies often have programs that offer treatments to individuals
who can't afford them. Sometimes, they will provide the drug (or
possibly drugs) you need at no charge, but there are eligibility
criteria you must meet and forms to be filled out. They may also require
that you prove that you are not eligible for any public or private
insurance programs. Program eligibility varies widely. You must be able
to show that you cannot afford the drug when you apply. You should have
ready proof of income and medical expenses,doctor's prescription,
Medicare Part D status, and a Medicaid/Insurance denial letter. If you
are on an ADAP waiting list or your ADAP does not cover the drug you
need, have documentation (such as your ADAP's formulary or a letter from
the program stating you are on a wait list) ready as well.
If you
have insurance coverage, or make a certain amount of money per year, you
may be referred to a program that provides the drug at a reduced price.
In some cases, you can receive a drug although you have not met the
$2,700 doughnut hole required of Medicare Drug Prescription Plans. Your
state's ADAP may be able to help you if you have HIV. There may also be
other state programs. Some pharmaceutical companies are willing to help
you deal with the doughnut hole. There are hundreds of drugs used for
the management of AIDS and HIV-related illnesses, including hepatitis
treatments and vaccines. Drug names are listed by brand names, followed
by the chemical name of the drug. Sometimes only a generic drug name is
listed, and it will be difficult getting that drug through a drug
company program. Many of these Patient Assistance
Programs require a doctor to apply on behalf of
his/her patient. If you need help, or if there are drugs that are not on
this list or drugs which should no longer be on this list please drop us
a line at network@atdn.org.
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HIV Treatments
- Aptivus - (tipranavir) A protease inhibitor used to treat HIV. Must be taken with ritonavir. Currently approved in treatment experienced individuals. Patient Assistance Program
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Atripla - (efavirenz, emtricitabine, and tenofovir). Atripla is a combination of three HIV medicines. Patient Assistance Program Application. Also call 866-290-4767 for more information.
- Combivir - (retrovir and epivir) A pill containing the drugs Epivir and Retrovir. Both drugs are referred to as NRTIs. They are sometimes taken separately. Patient Assistance Program Information.
- Emtriva (emtricitabine) - A once a day pill that belongs to the nucleoside reverse transcriptase inhibitor family. Often combined with Viread and called Truvada. Patient Assistance Program for Emtriva. Also call 800-226-2056 between 9:00am and 8:00pm Eastern Time for more information
- Epzicom - (lamivudine and abacavir) A pill containing the drugs Epivir and Ziagen. Both drugs are referred to as NRTIs. They are sometimes taken separately. Patient Assistance Program Information. The HLA-B*5701 test is recommednded before starting this drug.
- Fuzeon - (enfuvirtide) - Fuzeon was the first entry inhibitor approved to treat HIV. It is a fusion inhibitor. Roche Patient Assistance , or call the toll-free number 1-877-75ROCHE (877-757-6243). Other Roche drug patient assistance programs are also listed.
- Invirase - (saquinavir mesylate) - Invirase is taken as a ritonavir boosted protease inhibitor. Roche Patient Assistance , or call the toll-free number 1-877-75ROCHE (877-757-6243).
- Intelence - (etravirine) - Intelence is the first NNRTI type of anti-HIV drug approved in almost a decade. It was tested mainly with another Tibotec drug, Prezista, and is approved for use by people with few treatment options as "salvage therapy". Application. The insurance benefit application form for Prezista and Intelence
- Isentress - (raltegravir) - Isentress is the first approved integrase inhibitor for HIV/AIDS treatment. Patient Assistance Program Application
- Kaletra - (lopinavir/ritonavir) A protease inhibitor used to treat HIV. Patient Assistance Program Application.
- Lexiva - (fosamprenavir) A protease inhibitor used to treat HIV. Taken with or without ritonavir depending on treatment history. Patient Assistance Program Information.
- Prezista - (darunavir) - Prezista is taken with ritonavir as a protease inhibitor for HIV/AIDS treatment. Patient Assistance Program Application
- Reyataz - (atazanavir) - Reyataz is a protease inhibitor taken with or without ritonavir, like several other protease inhibitors, depending on your treatment history. Patient Assistance Program Information. Application for Reyataz and other Bristol-Meyers Squibb oncology/virology medications.
- Selzentry - (maraviroc) - Selzentry is the first approved CCR5 co-receptor inhibitor for HIV. Pfizer RSVP Program call
1-888-327-7787 or more Information
- Monogram Trofile Assay - (receptor tropism test for CCR5 antagonists) - Selzentry is the first approved CCR5 co-receptor inhibitor treatment for people with resistance to other HIV medications. A receptor tropism assay is almost always taken before starting drugs such as Selzentry. Contact Monogram Biosciences or Pfizer, inc. for assistance in getting Trofile covered.
- Trizivir - (retrovir, epivir and abacavir) A pill that contains three NRTI type drugs. Frequently taken with another HIV medication. Patient Assistance Program Information. The HLA-B*5701 test is recommednded before starting this drug.
- Truvada (Viread and Emtriva) - A combination pill that contains Viread (tenofovir) and Emtriva (emtricitabine). Patient Assistance Program for Truvada. Also call 800-226-2056 between 9:00am and 8:00pm Eastern Time for more information
- Viramune (nevirapine) - A non-nucleoside (NNRTI) type drug used to treat HIV. Patient Assistance Program for Viramune
- Viread (tenofovir disoproxil fumarate) - A once a day pill that belongs to the nucleoside reverse transcriptase inhibitor family. Viread is actually a nucleotide reverse transcriptase inhibitor. Patient Assistance Program for Viread. Also call 800-226-2056 between 9:00am and 8:00pm Eastern Time for more information
- Ziagen - (abacavir) An NRTI used to treat HIV. Patient Assistance Program Information. The HLA-B*5701 test is recommednded before starting this drug, which is usually taken with other medications as a one pill a day drug called Epzicom.
We are working on updating every Patient Assistance Program for HIV/AIDS, Hepatitis, and other conditions. Please let us know if you don't see a drug you need. You should also check out the information and Education section of atdn.org www.atdn.org/educate.html in case the drug is generic or "off-patent", or for other drugs and programs not listed at our site.
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