| *By law residents of the state of Massachusetts are not eligible for drug co-pay programs. |
| Drug | COMPANY | CO-PAY PROGRAM | PATIENT ASSISTANCE | DETAILS |
| Aptivus | Boehringer Ingelheim | N/A | 800-556-8317 / needymeds.org | Patient assistance program only. |
| Atripla | Bristol-Myers Squibb and Gilead | 866-784-3431 /atripla.com | 866-290-4767 atripla.com | Co-pay program covers up to $400 per month per prescription. Card available through provider. |
| Combivir | ViiV Healthcare | 888-844-8872 /mysupportcard.com | 877-784-4842 /viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. Must re-enroll and get new card for 2013. |
| Complera | Gilead Sciences and Janssen Therapeutics |
877-505-6986 / compl era.com | 800-226-2056 /gilead.com/us_advancing_access | Co-pay program covers up to $400 per month per prescription. Card available through your provider. |
| Crixivan | Merck & Co. | None. | 800-850-3430merck.com/merckhelps | Patient assistance program only. |
| Edurant | Janssen Therapeutics | 866-961-7169 /edurant-info.com | 800-652-6227 / jjpaf.org | Co-pay: patient pays first $5, then rest of co-pay is covered; no cap. Card available through your provider or at janssentherapeutics.com. |
| Emtriva | Gilead Sciences | 877-505-6986 /truvada.com | 800-226-2056 /gilead.com/us_advancing_access | Co-pay program covers up to $200 per month per prescription. Card available through provider. |
| Epivir (lamivudine) |
ViiV Healthcare | 877-844-8872 /mysupportcard.com | 877-784-4842 /viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. Must re-enroll and get new card for 2013. |
| Epzicom | ViiV Healthcare | 877-844-8872 /mysupportcard.com | 877-784-4842 /viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. Must re-enroll and get new card for 2013. |
| Fuzeon | Genentech/Roche | N/A | 877-757-6243 / fuzeon.com | Patient assistance program only. Also go togenentech.com. |
| Intelence | Janssen Therapeutics | 866-961-7169 /intelence-info.com/ | 800-652-6227 / jjpaf.org | Co-pay: patient pays first $5, then rest of co-pay is covered; no cap. Card available through your provider or at janssentherapeutics.com. |
| Invirase | Genentech/Roche | N/A | 877-757-6243 / genentech.com | Patient assistance program only. |
| Isentress | Merck & Co. | 866-350-9232 /isentress.com | 800-850-3430 / isentress.com | Co-pay program covers up to $400 per month per prescription. Card available online or through provider. |
| Kaletra | AbbVie, Inc. | 800-441-4987 /kaletra.com | 800-222-6885 / kaletra.com, orabbviepaf.org | Co-pay program covers up to $50 per month plus up to $50 off up to two other HIV meds that are part of a Kaletra regimen. Card available through provider. |
| Lexiva | ViiV Healthcare | 877-844-8872 /mysupportcard.com | 877-784-4842 /viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. Must re-enroll and get new card for 2013. |
| Norvir | AbbVie, Inc. | 800-441-4987 /norvir.com | 800-222-6885 / abbviepaf.org | Co-pay program covers up to $50 per month per prescription. Card available through provider. |
| Prezista | Janssen Therapeutics | 866-961-7169 /prezista.com | 800-652-6227 / jjpaf.org | Co-pay: patient pays first $5, then rest of co-pay is covered; no cap. Card available through your provider or at janssentherapeutics.com. |
| Rescriptor | ViiV Healthcare | 877-844-8872 /mysupportcard.com | 877-784-4842/ viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. |
| Retrovir (zidovudine) |
ViiV Healthcare | 877-844-8872 /mysupportcard.com | 877-784-4842/ viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. Must re-enroll and get new card for 2013. For Retrovir only, not generic. |
| Reyataz | Bristol-Myers Squibb | 888-281-8981 /reyataz.com | 888-281-8981 / bms.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider or by calling the toll-free number. |
| Selzentry | ViiV Healthcare | 877-844-8872 /mysupportcard.com | 877-784-4842 /viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. Must re-enroll and get new card for 2013. |
| Stribild | Gilead Sciences | 877-585-6986 /stribild.com | 800-226-2056 / stribild.com | Co-pay program covers up to $400 per month per prescription. Card available through provider. |
| Sustiva | Bristol-Myers Squibb | 888-281-8981 /sustiva.com | 888-281-8981 / bms.com | Co-pay program covers up to $200 per month per prescription. Card available through provider, or by calling toll-free number. |
| Trizivir | ViiV Healthcare | 877-844-8872 /mysupportcard.com | 877-784-4842 /viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. Must re-enroll and get new card for 2013. |
| Trofile assay for Selzentry | Monogram Biosciences | None. | 877-436-6243monogramvirology.com | Tropism testing for Selzentry. Gateway patient assistance program for uninsured and underinsured. |
| Truvada | Gilead Sciences | 877-505-6986 /truvada.com | 800-226-2056 /gilead.com/us_advancing_access | Co-pay program covers up to $200 per month per prescription. Card available through provider. |
| Videx EC (didanosine) |
Bristol-Myers Squibb | None. | bms.com | No company co-pay or patient assistance program for Videx. Available as generic. |
| Viracept | ViiV Healthcare | 877-844-8872 /mysupportcard.com | 877-784-4842 /viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. Must re-enroll and get new card for 2013. |
| Viramune XR | Boehringer Ingelheim | 877-411-8641 /viramunexr.com | 800-556-8317 / needymeds.org | Co-pay program for Viramune XR only: Patient pays first $25, remainder of co-pay is covered; no cap. Get MasterCard debit card from provider. No co-pay or PAP for Viramune (IR); available as generic. |
| Viread | Gilead Sciences | 877-505-6986 /truvada.com | 800-226-2056 /gilead.com/us_advancing_access | Co-pay program covers up to $200 per month per prescription. Card available through provider. |
| Zerit (stavudine) |
Bristol-Myers Squibb | None. | bms.com | No company co-pay or patient assistance program for Zerit. Available as generic. |
| Ziagen | ViiV Healthcare | 866-747-1170 /mysupportcard.com | 877-784-4842 /viivhealthcareforyou.com | Co-pay program covers up to $200 per month per prescription. Card available online or through provider. Must re-enroll and get new card for 2013. |
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