Monetary Help for HIV-AIDS

HIV CO-PAY ASSISTANCE PROGRAMS (PAPs)*

*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. 800-850-3430 merck.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 to genentech.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, or abbviepaf.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. 877-436-6243 monogramvirology.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.

OTHER co-pay & patient assistance programs (PAPs)*

*By law residents of the state of Massachusetts
are not eligible for drug co-pay programs.
Hepatitis B
Drug COMPANY CO-PAY PROGRAM PATIENT ASSISTANCE DETAILS
Baraclude Bristol-Myers Squibb 855-898-0267 855-898-0267 / bmspaf.org Co-pay program covers $200 per month, per prescription. Ask operator to speak to someone about the Baraclude Co-pay Discount Benefits Program, and have card mailed to you.
Epivir-HBV ViiV Healthcare 888-825-5249 866-475-3678 /gskforyou.com Co-pay program covers $200 per month, per prescription.
Hepsera Gilead Sciences None. 800-226-2056 /
gilead.com/us_advancing_access
PAP only, no co-pay program.
Tyzeka Novartis None. 800-277-2254 /
pparx.org
PAP only, no co-pay program. PAP is through Novartis Patient Assistance Foundation, Inc.
Viread Gilead Sciences 877-627-0415 800-226-2056 / gilead.com/us_advancing_access Co-pay program covers after first $50 and up to $200 per month for patients who are uninsured or pay their prescription costs in full.
Hepatitis C
Drug COMPANY CO-PAY PROGRAM PATIENT ASSISTANCE DETAILS
Copegus
(ribavirin)
Genentech None. 888-941-3331 / pegasysaccesssolutions.com PAP only, no co-pay program.
Incivek Vertex Pharmaceuticals 855-837-8394 / incivek.com 855-837-8394 / incivek.com Co-pay program covers up to 20% of total cost over the course of treatment, including co-pays, co-insurance, or deductibles for those who have commercial insurance or are paying cash.
Pegasys
(peginterferon alfa-2a)
Genentech None. 888-941-3331 / pegasysaccesssolutions.com PAP only, no co-pay program.
PegIntron
(peginterferon alfa-2b)
Merck & Co. 866-939-4372 / pegintron.com / merck-cares.com 866-363-6379 / merckhelps.com Co-pay program covers up to $200 per month, per prescription.
Victrelis Merck & Co. 866-939-4372 / victrelis.com 866-363-6379 / merckhelps.com Co-pay program covers up to 20% of total cost over the course of treatment, including co-pays, co-insurance, or deductibles for those who have commercial insurance or are paying cash.
Other
Drug / ASSAY COMPANY CO-PAY PROGRAM PATIENT ASSISTANCE DETAILS
Androgel (testosterone gel 1% & 1.62%) Used to treat adult males who have low or no testosterone. AbbVie, Inc. 800-441-4987 / androgel.com 800-222-6885 / abbviepaf.org; pparx.org Co-pay: Patient pays first $10, then covers up to $50 per month. Card available through provider or you can print the card online.
Egrifta
Injectable approved for treating HIV-related excess belly fat (lipohypertrophy).
EMD Serono 877-714-2947 / egrifta.com 877-714-2947 / egrifta.com Co-pay program covers up to $500 of your co-pay or co-insurance, per prescription. AXIS Center provides education and support; go to website or call 877-714-2947.
Fulyzaq
Anti-diarrheal approved for use in those with HIV/AIDS and on antiretroviral therapy.
Salix Pharmaceuticals None at press time. / fulyzaq.com None at press time. / fulyzaq.com No PAP or co-pay program at this time.
Check website for updates.
HLA-Aware
HLA-B*5701 test to determine if a person can start taking Ziagen, Epzicom, or Trizivir.
LabCorp/ViiV None. 800-533-1037 / viivhcdxresource.com No co-pay program, PAP only. Covers entire cost of test for insured/uninsured. Test must be ordered by provider. Contact local ViiV rep, order online, or call.
Procrit
Treats anemia due to zidovudine therapy.
Janssen None. 800-652-6227 / jjpaf.org No co-pay program, PAP only.
Radiesse
Injectable facial filler approved for use in people with HIV to treat facial fat loss (lipoatrophy).
Merz Aesthetics None. 866-862-1211 / radiesse-fl.com No co-pay program. PAP is sliding scale based on patient’s annual income up to $80,000; reimbursement goes directly to physician.
Sculptra
Injectable facial filler approved for use in people with HIV to treat facial fat loss (lipoatrophy).
Valeant Pharmaceuticals International None. 866-310-7551 / needymeds.org No co-pay program. PAP provides two kits and one follow up kit. Free for those with an annual income below $22,340, and then on a sliding scale up to $61,940.
Serostim
Injectable human growth hormone used for treating HIV-associated wasting in those on ART.
EMD Serono 877-714-2947 / serostim.com 877-714-2947 / serostim.com Co-pay program covers up to $200 of your co-pay or co-insurance per prescription discount, with a maximum of 12 prescription discounts per lifetime.
Testim (testosterone gel 1%)
For adult males with low or no testosterone.
Auxilium 866-740-8252 / testim.com 888-877-9192 Co-pay program covers up to $40 per month. Card available through provider or you can print the card online.
Trofile Assay
A test used for determining the tropism of a person’s HIV to identify if a CCR5 antagonist (such as Selzentry) would be effective.
Monogram Biosciences None. 877-436-6243 / monogramvirology.com Financial assistance to uninsured / underinsured; assists in prior authorization or if insurance reimbursement is denied. ViiV also has Tropism Access Program (TAP) for ADAP eligible; contact local ASO, ViiV rep, or state ADAP.