Other HIV Copay Programs

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 800-222-6885abbviepaf.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 877-714-2947egrifta.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. 800-533-1037viivhcdxresource.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. 866-862-1211radiesse-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. 866-310-7551needymeds.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 877-714-2947serostim.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. 877-436-6243monogramvirology.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.

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