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.
Medicare Rights Center
HIV Medicine Association
Kaiser Family Foundation
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
Pharmaceutical Research and Manufacturers of America (PhRMA)
National CDC STD/HIV Hotline
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.
In Alabama : (800) 228-0469
National: (334) 206-5364
In Alaska : (800) 478-2437
National: (907) 276-4880
In Arkansas : (800) 342-2437
National: (501) 661-2408
In Arizona : (800) 334-1540
National: (602) 230-5819
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
Denver only: (303) 782-5186
In Colorado : (800) 252-2437
In Delaware : (800) 422-0429
National: (302) 652-6776
District of Columbia
AIDS Information Line
In metro DC. & VA: (800) 322-7432
In Florida , in English: (800) 352-AIDS
In Haitian Creole: (800) 243-7101
In Spanish: (800) 545-SIDA
National: (850) 681-9131
Ocala/Marion County Community AIDS Network (OMCCAN): (352)-629-5124
AIDS Information Line
In Georgia : (800) 551-2728
National: (404) 876-9944
In Hawaii : (800) 321-1555
National: (808) 922-1313
AIDS Foundation Hotline
In Idaho : (800) 926-2588
National: (208) 321-2777
In Illinois : (800) 243-2437
In Illinois TTY/TDD: (800) 782-0423
National: (217) 785-7165
In Iowa : (800) 445-2437
National: (515) 244-6700
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.
In Maine : (800) 851-2437
National: (800) 775-1267
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
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.
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
National: (612) 373-2437
In Minnesota : (800) 248-2437
AIDS Information Line
National: (800) 533-2437
In Mississippi : (800) 826-2961
National: (601) 576-7723
In Montana : (800) 233-6668
National: (406) 444-1573
National: (800) 782-2437
AIDS Information Line
In Nevada : (800) 842-2437
In New Hampshire : (800) 752-2437
National: (603) 271-4502
In New Jersey: (800) 624-2377 (24 hrs, 7 days)
TTY/TDD: (201) 926-8008
National: (973) 926-7443
In New Mexico : (800) 545-2437
National: (505) 476-3612
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
In North Carolina : (800) 342-2437
National: (919) 733-3039
In North Dakota : (800) 472-2180
National: (701) 328-2378
In Ohio : (800) 332-2437
In Ohio TTY/TDD: (800) 332-3889
National: (614) 466-6374
In Oklahoma : (800) 535-2437
National: (918) 834-4194
Area codes 503, 206 and 208: (800) 777-2437
Voice & TTY: (503) 223-2437
National: (503) 223-2437
In Pennsylvania: (800) 662-6080
Critical Path Project Hotline: (215) 545-2212
(215) 463- 7160 (publications orders)
National: (717) 783-0573
Linea de Infor SIDA y Enfermedades de Transmision Sexual
In Puerto Rico: (800) 981-5721
National: (809) 765-1010
National: (800) 726-3010
In South Carolina : (800) 322-2437
National: (803) 898-0749
In South Dakota : (800) 592-1861
National: (605) 773-3737
In Tennessee : (800) 525-AIDS
National: (615) 741-7500
In Texas : (800) 299-2437
National: (572) 490-2500
AIDS Information Line
In Utah : (800) 366-2437
National: (801) 487-2100
In Vermont : (800) 882-2437
National: (802) 863-7245
In Virginia: (800) 533-4148
In Virginia Hispanic line: (800) 322-7432
National: (804) 371-7455
In Washington : (800) 272-2437
National: (360) 236-3466
In West Virginia : (800) 642-8244
National: (304) 558-2950
In Wisconsin : (800) 334-2437
National: (414) 273-2437
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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