'Please note that this information is always subject to change'
Percocet: Patient Assistance prog. 800-474-2762
Percodan & Percocet by Dupont 800-474-2762
Morphine Sulfate by Astra USA 800-262-0460
MS Contin Purdue Frederick Co. 800-633-4741
Tylox by Ortho-McNeil Pharma. 800-797-7737
Roxane Laboratories Inc. Free 800-274-8651
3M Pharmaceuticals (800) 328-0255
Products include: Most drug products sold by 3M
Allergan, Inc.
Allergan Patient Assistance Program
c/o Judy McGee, Physician Services Representative
2525 Dupont Drive
Irvine, CA 92713
Products include: Betagen, Botox, Pilagan, Epifrin
Alza Pharmaceuticals
(415) 962-4243
Products include: Testoderm, Ocusert, Progestasert
Amgen
(800) 272-9376
Products include: Epogen, Neupogen
Astra USA, Inc.
(800) 488-FAIR (488-3247)
Products include: Foscavir injection=A0
Baxter Healthcare Corporation
(800) 423-2090
Products include: A Patient Assistance Program is being developed for
Gammagard S/D and should be ready in about 3-4 months.
Bayer Corporation
(800) 998-9180
Products include: Mycelex and several other products
Berlex Laboratories
(800) 473-5832, (800) 888-4112
Products include: Betapace, Betaseron for SC injection,
Fludara, Quinaglute
Dura-Tabs
Boehringer Ingelheim Pharmaceuticals, Inc. (800) 556-8317
Products include:
All products covered except controlled substances
Boots Pharmaceuticals, Inc.
Boots Cares Program
300 Tri-State International Center
Suite 200
Lincolnshire, IL 60069-4415
Attn: Sandy Bauco
Products include: Synthroid tablets
Bristol Myers Oncology
(800) 272-4878
Products include: Bicnu, Blenoxane, Ceenu, Cytoxan, Hydrea,
Ifex/Mesna, Lysodren, Megace, Mutamycin, Paraplatin, Platinol,
Rubex, Taxol, Vepesid
Ciba-Geigy Corporation
(800) 257-3273, (800) CHIRON-8 (245-7668)
Products include: Aredia, Cytadren, Actigall, Anafranil, Anturane,
Apresazide, Apresoline, Brethaire, Brethine, Cataflam, Desferal,
Esidrix,Esimil, Estraderm, Habitrol, Ismelin, Lamprene, Lioresal,
Lopressor,Lopressor/HCT Lotensin, Lotensin/HCT, Ludiomil, PBZ,
Regitine, Rimactane, Ser-Ap-Es, Slow-K, Tegretol, TEN-K, Tofranil,
Tofranil-PM,Transderm-Scop, Transdermal-Nitro, Voltaren
Connaught Laboratories, Inc.
(717) 839-4617
Products include: TheraCys BCG live intravesical
Convatec - A Bristol-Myers Squibb Company
Eli Lilly and Company
(800) 545-6962
Products include: Most all Lilly prescription products and insulins.
Fisons Pharmaceuticals
Gastrocon Patient Assistance Program
P.O. Box 1766
Rochester, NY 14603-1766
Products include: Gastrocrom capsules
Fujisawa
(800) 477-6472
Products include: Prograf
(708) 317-8636
Products include: NebuPent
Genentech, Inc.
(800) 879-4747
Products include: Actimmune, Activase, Protropin, Nutrpoin
Glaxo Wellcome
(800) 745-2967
Customer Service (800) 334-0032
Patient Assistance (800) 722-9294
Reimbursement Line (800) 423-6869
Products include: Aleran, Blenoxane, Imruan, Leukeran,
Myleran, Navelbine,Purinethol, Thioguanine, Zofran, Zovirax,
and allother Glaxo Wellcome products
Hoechst-Marion-Roussel, Inc.
(800) 362-7466
Customer Information Line (800) 552-3656
Products Include: Carafate, Altace, A/T/S, Claforan, Diabeta, Lasix,
Lorpox,Topicort, Trental, and other prescription products (except Rifadin,
Rifamate,Rifater, Tenuate)
Immunex
(800) 466-8639, (206) 587-0430
Products include: Leukine, Novantrone, Thioplex, and all other
currently marketed Immunex prescription products
Janssen
(800) 544-2987
Products include: Duragesic, Ergamisol, Hismanal, Imodium,
Nizoral tablets, Propulsid, Sporanox capsules, Vermox
Knoll Pharmaceutical Company
(800) 524-2474
Products include: Isoptin, Rythmol, Santyl
Lederle Oncology
(800) LED-CARE (533-2273)
Products include: Mitoxantrone, Leucovorin, Methotrexate, Thiotepa,
and all other oral pharmaceutical products (except controlled drugs)
Liposome Company, Inc.
Financial Assistance Program: (800) 335-5476
Reimbursememt: (800) 345-2252
Executive Offices: (609) 452-7060
Products include: Abelcet
McNeil Pharmaceutical
(800) 682-6532
Products include: Prescription products prescribed according to
approved labeled indications and dosage regimens
Merck Human Health Division
(800) NSC-MERCK (672-6372)
Products include: Many Merck products
Miles Inc. Pharmaceutical Division
(800) 998-9180
Products include: All Miles, Inc. prescription
medications used as
recommended in prescribing information
Nabi (formerly known as Univax)
(800) 789-2099
Products include: WinRho SD
Ortho Biotech
(800) 553-3851
Products include: Leustatin, Procrit
Parke-Davis
(800) 755-0120
Products include: Most Parke-Davis medications,
including Accupril, Cognex, Cilatin, Lopid, Neurotin, Nitrostar,
Sublingual, Procan SR, Zarontin
Pfizer, Inc.
(800) 646-4455
Products include: Diflucan, and all other Pfizer products
Pharmacia & Upjohn
(800) 366-5570
Products include: Adriamycin, EMCYT, Fragmin, Idamycin,
Zinecard, Adrucil, Azulfidine, Dipentum, Folex PFS, Meosar,
Vincasar, Mycotubin
Proctor & Gamble Pharmaceuticals, Inc.
(800) 448-4878
Products include: Asocial, Tantrum capsules, Didronel, Entex,
Macrodantin, Macrobid
Purdue Frederick
(203) 853-0123, ext. 4800
Products include: Alferon N, MS Contin, OxyContin
Rhone-Poulenc Rorer, Inc.
(610) 454-8298
Products include:
All products are eligible, with some limitations on supply
Roche Laboratories
(800) 443-6676, (800) 285-4484
Products include: Matulane, Roferon-A, and all other Roche product
line
Roxane (800) 274-8651
Customer Service (800) 348-0120
Medical Information (800) 327-4865
Products include: Marinol, Oramorph, Roxanol, Roxicodane, Torecan
Sandoz
(800) 447-6673, (203) 746-8958
The second number is to NORD, Inc., the parent company of Sandoz.
Products include: Clorazil, DynaCirc, Eldepryl, Lescol, Sandimmune,Sandoglobulin,
Sandostatin
Sanofi Winthrop Pharmaceuticals
(800) 446-6267
Products include: Aralen, Breonesin, Bronkometer, Danocrine,
Drisdol,Hytaketol, Isuprel, Mytelase, NegGram, pHisoHex,
Primaquine, Plaquenil, Trancopal
Schering Oncology
(800) 521-7157
Products include: Intron-A, Eulexin, and all other products
Searle
(800) 542-2526
Products include: antihypertensives - Aldactazide, Aldactone, Calan
SR, Kerlone;
antihypertensives/anti-anginal/antiarrhythmics - Calan; antiarrhythmics
- Norpace, Norpace CR; prevention of NSAID-induced gastric ulcers - Cytotec;
quinolone anti-infective -Maxaquin
Sequus Pharmaceuticals, Inc.
(800) 375-1658, (415) 323-9011
Products include: Doxil
Serono Laboratories, Inc.
(617) 982-9000
Products include: Metrodin (FSH)
Smithkline Beecham Pharmaceuticals
Access to Care Program
1 Franklin Plaza FP 1320
P.O. Box 7929
Philadelphia, PA 19101-7929
(800) 546-0420
Products include: Amoxil, Augmentin, Bactroban, Compazine, Dyazide,Famvir,
Kytril, Relafen, Riduara, Tagamet, and most
other Smithkline Beecham prescription products
Solvay Pharmaceuticals, Inc.
901 Sawyer Road
Marietta, GA 30062
Attn: Patient Assistance Program
(800) 788-9277, (770) 578-551
Products include: All medications distributed by Solvay
Syntex Laboratories, Inc.
(800) 822-8255, (202) 508-6568
Products include: All Syntax products
Tap
(800) 453-8438
Products include: Lupron
Wyeth-Ayerst Laboratories
(703) 706-5933
Products include: Norplant and other various products
Zeneca
(800) 424-372; (800) 767-4424
Products include: Arimidex, Casodex, Nolvadex, Zoladex
(800) 334-0089
Searches for federal, state, or local reimbursement agencies to help patients with payment. When patients call, a reimbursement specialist will ask about insurance prescription coverage, monthly household income earned or unearned, monthly medical expenses, and disability status. Based on this information, we will determine if patients qualify for federal, state, or local assistance.. We will also provide them with the addresses and telephone numbers of these programs so that they can apply.
Amgen Inc.
Amgen Reimbursement Hotline
Monday-Friday, 9 a.m.-5 p.m., EST
(800) 272-9376. In the Washington, D.C., metropolitan area, call (202)
637-6698.
The Amgen Reimbursement Hotline is a free information resource available to those who use or administer NEUPOGEN ® (filgrastim), also known as granulocyte colony stimulating factor. The hotline provides information on reimbursement policies, billing procedures and codes, and claims appeals for medically appropriate uses of NEUPOGEN ®. Reimbursement specialists maintain a database of insurer billing information and provide information on NEUPOGEN ® reimbursement. The hotline provides information about Amgen’s Safety NetTM Program, which provides NEUPOGEN ® free of charge to indigent patients who are under- or uninsured and have limited financial resources. The hotline refers indigent patients to appropriate available state or county-based funding.
Chiron Therapeutics
Proleukin® Reimbursement Hotline
Monday-Friday, 8 a.m.-5 p.m., PST
or leave a message after hours at (800) 775-7533.
Proleukin® (aldesleukin for injection), a recombinant interleukin-2 (rIL-2), is approved for metastatic renal cell carcinoma and metastatic melanoma. The Proleukin® Reimbursement Hotline helps to minimize claims-processing delays. Reimbursement specialists provide information about coding, prior authorization procedures, patient coverage status, and reimbursement amounts and limitations. They can also determine the status of and reasons for denied claims and assist with filing appeals for denied claims.
Genentech, Inc.
Genentech Reimbursement Hotline
Monday-Friday, 8 a.m.-5 p.m., PST
(800) 530-3083
Reimbursement specialists provide information, counseling, and even
hands-on assistance for problems with reimbursement for Genentech products:
Actimmune® (interferon gamma-1b), Activase® (alteplase, recombinant),
Nutropin® (somatropin [rDNA origin] for injection), Protropin®
(somatrem for injection), and Pulmozyme® (dornase alfa).
Information regarding Genentech programs, established to provide medically
indicated products to patients who are uninsured and have limited financial
resources, is also provided.
Single Point of Contact (SPOC)
9 a.m.-8 p.m. EST
(888) 249-4918; Fax (888) 249-4919
Genentech® BioOncology’s SPOC provides timely, one-step reimbursement assistance. Oncology nurse case managers will assist callers by: investigating benefits for new patients and those changing insurance or facing open enrollment; assisting with prior authorizations and medical reviews; helping with appeals and coverage denials; searching for alternative coverage for patients whose payers do not adequately cover Genentech® BioOncology products; answering questions related to product reimbursement; and consulting on coding/billing issues. Financial services include uninsured patient programs and office finance programs provided by an independent organization.
Roche Laboratories Oncoline
Monday-Friday, 9 a.m.-5 p.m., EST
(800) 443-6676
Reimbursement support program, biomedical literature searches, and access to databases of the National Cancer Institute.
Cost Assistance Program
Monday-Friday, 9 a.m.-5 p.m., EST
(800) 443-6676
The Cost Assistance Program (CAP) reimburses patient and third-party payer costs for purchase or reimbursement of Roferon®-A (interferon alpha-2a) over an annual total amount of 983 million units. Eligible parties must provide accurate records and documentation of expenditures.
Schering Sales Corporation
Schering’s Commitment to Care
Monday-Friday, 9 a.m.-6 p.m., EST
(800) 521-7157
Reimbursement Service
Reimbursement service for Intron ® A (interferon alfa 2-b, recombinant)
for injection and Eulexin ® capsules is handled through Schering’s
COMMITMENT TO CARE program. Reimbursement specialists provide assistance
to physicians, nurses, office managers, pharmacists, and patients with
insurance reimbursement, such as information on billing and guidelines
for specific insurance carriers. Service staff answer coding questions,
provide individualized help with claims filing and preauthorization requests,
and provide third-party support in challenging claim denials. Drug assistance
programs are available for uninsured patients based on financial status.
Drug Information Service
Schering’s Drug Information Service, a central, computerized service
available free of charge to health professionals, provides medical information
about interferons and flutamide. This specialized service collects data
from international and national sources, including published literature,
symposia, meeting abstracts, scientific reviews, editorials, and protocols,
and compiles that information into a customized report for health care
professionals. The service provides access to literature searches, information
on indicated uses for drugs, and information about new medical uses of
biologic therapy.