HIV and Financial Issues





Patient Assistance Programs

Virtually all pharmaceutical companies have programs for low-income patients who need their drugs but cannot afford them or cannot get them through another source.

Resources Medicare Rights Center www.medicarerights.org

HIV Medicine Association www.hivma.org

Kaiser Family Foundation www.kff.org

Patient Assistance Programs

Virtually all pharmaceutical companies have programs for low-income patients who need their drugs but cannot afford them or identify another public or private source to pay for them. Eligibility and availability varies widely. Consult the links below for more information about the individual medication you may need.

The Access Project http://www.aegis.com/factshts/network/access/pa.html

Pharmaceutical Research and Manufacturers of America (PhRMA) www.helpingpatients.org

HIV InSite http://hivinsite.ucsf.edu/InSite?page=md-rr-16

National Hotlines

National CDC STD/HIV Hotline (800) CDC-INFO

Nationwide test site referrals, counseling, literature (upon request), clinical trials information referrals, and a wide scope of other HIV/AIDS/STD/TB-related resource information. Open 24/7.

State Hotlines

Alabama AIDS Hotline In Alabama : (800) 228-0469 National: (334) 206-5364

Alaska AIDS Hotline In Alaska : (800) 478-2437 National: (907) 276-4880

Arkansas AIDS Hotline In Arkansas : (800) 342-2437 National: (501) 661-2408

Arizona AIDS Hotline In Arizona : (800) 334-1540 National: (602) 230-5819

California HIV/AIDS Hotline In California: (800) 367-AIDS In San Francisco and outside California : (415) 863-2437 Information available in English, Spanish and Filipino TDD for the deaf: 1-888-225-AIDS

Colorado AIDS Hotline Denver only: (303) 782-5186 In Colorado : (800) 252-2437

Delaware AIDS Hotline In Delaware : (800) 422-0429 National: (302) 652-6776

District of Columbia AIDS Information Line (202) 332-2437 In metro DC. & VA: (800) 322-7432

Florida AIDS Hotline In Florida , in English: (800) 352-AIDS In Haitian Creole: (800) 243-7101 In Spanish: (800) 545-SIDA TTY: 1-888-503-7118 National: (850) 681-9131 Ocala/Marion County Community AIDS Network (OMCCAN): (352)-629-5124

Georgia AIDS Information Line In Georgia : (800) 551-2728 National: (404) 876-9944

Hawaii STD/AIDS Hotlines In Hawaii : (800) 321-1555 National: (808) 922-1313

Idaho AIDS Foundation Hotline In Idaho : (800) 926-2588 National: (208) 321-2777

Illinois AIDS Hotline In Illinois : (800) 243-2437 In Illinois TTY/TDD: (800) 782-0423 National: (217) 785-7165

Iowa AIDS Hotline In Iowa : (800) 445-2437 National: (515) 244-6700

Louisiana AIDS Hotline In Louisiana: (504) 821-6050 In Louisiana : (800) 99-AIDS-9 (992-4379) TDD: (877) 566-9448 Hours of service 12 pm - 8 pm seven days per week.

Maine AIDS Hotline In Maine : (800) 851-2437 National: (800) 775-1267

Maryland AIDS Hotline In Maryland (Bilingual): (800) 638-6252 In Metro DC. & VA: (800) 322-7432 Hispanic AIDS Hotline: (301) 949-0945 Baltimore only TTY area: (410) 333-2437 National: (410) 767-5013

Massachusetts AIDS Hotline In Massachusetts : (800) 235-2331 National: (617) 536-7733 TTY/TDD: (617) 437-1672 Youth Only AIDS Line toll-free at (800) 788-1234, TTY: (617) 450-1427 Monday through Friday, 3:00 p.m. to 9:00 p.m.

Michigan AIDS Hotline In Michigan : (800) 872-2437 TTY/TDD: (800) 332-0849 Spanish: (800) 826-SIDA Teen Line: (800) 750-TEEN Health Care Workers: (800) 522-0399 National: (313) 446-9800

Minnesota AIDS Line National: (612) 373-2437 In Minnesota : (800) 248-2437

Missouri AIDS Information Line National: (800) 533-2437

Mississippi AIDS Hotline In Mississippi : (800) 826-2961 National: (601) 576-7723

Montana AIDS Hotline In Montana : (800) 233-6668 National: (406) 444-1573

Nebraska AIDS Hotline National: (800) 782-2437

Nevada AIDS Information Line In Nevada : (800) 842-2437

New Hampshire AIDS Hotline In New Hampshire : (800) 752-2437 National: (603) 271-4502

New Jersey AIDS Hotline In New Jersey: (800) 624-2377 (24 hrs, 7 days) TTY/TDD: (201) 926-8008 National: (973) 926-7443

New Mexico AIDS Hotline In New Mexico : (800) 545-2437 National: (505) 476-3612

New York

New York State HIV counseling hotline: (800) 872-2777 (M-F 2-8, S & S 10-6)

National: (716) 845-3170

New York State information hotline: (800) 541-2437 (information tapes 24 hrs; counselors Mon.-Fri. 8-8, Sat. & Sun. 10-6)

New York State Spanish hotline: (800) 233-SIDA

New York State counseling hotline for the deaf and hearing impaired: (800) 369-2437 TDD

NYC Department of Health AIDS Helpline: 1-800-TALK-HIV (counseling, recorded information, and testing information)

AIDS Institute experimental treatment info line: (800) 633-7444

GMHC AIDS Hotline: (212) 807-6655 (M-F 10-9, Sat 12-3)

GMHC TDD: (212) 645-7470

Body Positive Helpline 800-566-6599 ( 2-6pm Mon-Fri)

Long Island AIDS Hotline: (516) 385-AIDS (M-F 9-9, tape after hours)

AIDS Council of Northeastern New York AIDS Information Hotline: (518) 445-2437 (800) 201-AIDS

North Carolina AIDS Hotline In North Carolina : (800) 342-2437 National: (919) 733-3039

North Dakota AIDS Hotline In North Dakota : (800) 472-2180 National: (701) 328-2378

Ohio AIDS Hotline In Ohio : (800) 332-2437 In Ohio TTY/TDD: (800) 332-3889 National: (614) 466-6374

Oklahoma AIDS Hotline In Oklahoma : (800) 535-2437 National: (918) 834-4194

Oregon AIDS Hotline Area codes 503, 206 and 208: (800) 777-2437 Voice & TTY: (503) 223-2437 National: (503) 223-2437

Pennsylvania AIDS Hotline In Pennsylvania: (800) 662-6080 Critical Path Project Hotline: (215) 545-2212 (215) 463- 7160 (publications orders) National: (717) 783-0573

Puerto Rico Linea de Infor SIDA y Enfermedades de Transmision Sexual In Puerto Rico: (800) 981-5721 National: (809) 765-1010

Rhode Island AIDS Hotline National: (800) 726-3010

South Carolina AIDS Hotline In South Carolina : (800) 322-2437 National: (803) 898-0749

South Dakota AIDS Hotline In South Dakota : (800) 592-1861 National: (605) 773-3737

Tennessee AIDS Hotline In Tennessee : (800) 525-AIDS National: (615) 741-7500

Texas AIDSLINE In Texas : (800) 299-2437 National: (572) 490-2500

Utah AIDS Information Line In Utah : (800) 366-2437 National: (801) 487-2100

Vermont AIDS Hotline In Vermont : (800) 882-2437 National: (802) 863-7245

Virgin Islands AIDS Hotline (809) 773-2437

Virginia STD/AIDS Hotline In Virginia: (800) 533-4148 In Virginia Hispanic line: (800) 322-7432 National: (804) 371-7455

Washington AIDS Hotline In Washington : (800) 272-2437 National: (360) 236-3466

West Virginia AIDS Hotline In West Virginia : (800) 642-8244 National: (304) 558-2950

Wisconsin AIDS Hotline In Wisconsin : (800) 334-2437 National: (414) 273-2437

Wyoming AIDS Hotline National: (800) 327-3577



Patient Assistance and Drug Co-Pay Programs

In our current economic crisis and with the continued mounting costs associated with healthcare, drug co-pay programs may be a way to offer much-needed assistance to those who have insurance but are being adversely affected by increasing drug co-pays, health insurance premiums, and other rising costs associated with healthcare.

Most, if not all, HIV pharmaceutical companies already provide some level of patient assistance to individuals who are unable to afford their HIV medications. These are typically for uninsured patients only and those who qualify financially. Individuals and care providers can contact the manufacturer directly to see if a patient is eligible for a specific patient assistance program (PAP).

Several companies have also recently instituted co-pay assistance programs. Co-pay programs may cover all or part of the drug co-pay for many privately-insured individuals, 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, ADAP, Medicare, and Medicaid are not accepted), and eligibility requirements may vary from program to program. Individuals usually get their co-pay cards directly from their provider, or in some cases from the manufacturer's website or by calling a toll-free number. Once eligible they can bring the co-pay card to their pharmacy when filling a prescription and the pharmacy is then reimbursed for the amount covered.

These co-pay programs are the direct result of several years of intense work and negotiations between the Fair Pricing Coalition (FPC) and representatives of the pharmaceutical industry. The FPC, founded by the late Martin Delaney, works on HIV drug pricing issues and to help control costs, helping to ensure access to life-saving medications for recipients of state AIDS Drug Assistance Programs (ADAPs), Medicare, and Medicaid, as well as for those who are privately insured, underinsured and uninsured.

Nowadays many health insurers contract with Prescription Benefits Managers (PBMs) to reduce healthcare costs through the use of mail order pharmacies. Unfortunately many of the most widely-used mail order pharmacies in the U.S. do not honor co-pay cards, simply because their systems are not setup to handle them or they don't have the software to process this type of reimbursement. This is an important issue as more and more patients are required by their company's healthcare plan to acquire their medications through a mail-order pharmacy, and one that the Fair Pricing Coalition is currently working to address.

There may be medications in addition to HIV drugs that individuals must take, such as those needed to control other conditions including high cholesterol or diabetes. To find patient assistance or drug co-pay programs for these and other types of drugs, visit www.needymeds.com.

Together Rx is a prescription savings program for uninsured individuals sponsored by many of the nation's leading pharmaceutical companies. For more information call toll-free 1-800-966-0407, or patients can enroll online at www.TogetherRxAccess.com.

Below is a brief description of currently available HIV co-pay programs. For more information call the Project Inform Hotline at 1-800-822-7422, or visit www.positivelyaware.com and www.aidsmeds.com.

Abbott: Positive Partnership PLUS Card -- This program includes 12 months of co-pay savings and covers Kaletra plus up to two 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.) Patients must get their card from their provider. Visit www.kaletra.com for more information. Norvir is currently not part of this program.

Boehringer Ingelheim: Viramune Co-Pay Savings Card -- covers Viramune; card is valid for amount of patient's out-of-pocket cost up to $50 per month, for a total of 12 months. Patient must get card from their healthcare provider. The card is in the form of a MasterCard debit card, which must then be activated at www.viramune.com or by calling toll-free number on card. Debit card will be accepted at any pharmacy which accepts MasterCard, and should be accepted at all mail-order pharmacies as well. For patient assistance program visit www.rxhope.com or call 1-800-556-8317.

Bristol-Myers Squibb: Reyataz and Sustiva Co-pay Benefit Program -- covers Reyataz and Sustiva; for high co-pays only. Patient responsible for first $50 plus any amount over $250. If healthcare provider does not have card, patients can call 1-888-281-8981 or visit http://www.bristol-myers.com/static/patient_assistance/data/programs.html.

Bristol-Myers Squibb and Gilead Sciences: Atripla Co-pay Assistance Program -- covers Atripla; for high co-pays only. Patient responsible for first $50 plus any amount over $250. If healthcare provider does not have card, patients can call toll-free 1-866-784-3431 and one will be mailed to them.

Gilead Sciences: 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 healthcare provider does not have the card, patients can call toll-free 1-888-358-0398 and one will be mailed to them.

GlaxoSmithKline: MySupportCard -- This is the easiest program to qualify for and to access, with no income criteria. Card is valid for the amount of patient's actual out-of-pocket cost up to a maximum of $100 for each prescription. All GSK HIV drugs (Combivir, Epivir, Epzicom, Lexiva, Retrovir, Trizivir, and Ziagen) are covered. Patients can get the card from their provider or print out the card online at www.mysupportcard.com.

Merck: Isentress Patient Savings Coupon Program -- Patients are responsible for the first $30 out-of-pocket cost. The coupon provides savings towards your out-of-pocket cost over $30 up to a maximum of $400 per prescription (regardless of the number of tablets supplied on the prescription) of Isentress. Visit www.isentress.com or call toll-free 1-866-350-9232.

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. Patients can visit www.prezista.com/prezista/patient_assistance.html or call toll-free 1-866-961-7169.

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 www.pfizerhelpfulanswers.com.

Roche does not offer co-pay assistance for HIV medications, however they do provide patient assistance for Invirase and Fuzeon. Call 1-877-757-6243 or visit www.roche.com for more information.





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