New Jersey HIV/AIDS
Planning Group
Prescription Assistance
Resource Directory
September 2010
Prescription Assistance Programs
Prescription Assistance Program Information
Astra Zeneca
Aventis S.A.
Bertek / Mylan


Faulding Labs
Free Medicine
Glaxo Wellcome
Jones Medical
Contact KingKare: 866-734-7366 Ext OPT 2 King Pharm
Contact KingKare: 866-734-7366 Ext OPT 2 Mylan / Bertek
Novo Nordisk A/S
Be advised that the Organon PAP is no longer accepting new applications Ortho-McNeil
Procter & Gamble
Shire Richwood
Tap Pharm
Additional Resources
Rx Assist: Patient Assistance Programs:RxAssist offers a comprehensive database of patient assistance programs, as well as practical tools, news, and articles so that health care professionals and patients can find the information they need. RX4NJ: 888-793-6765 Web site designed to help low-income, uninsured New Jersey residents get access to patient assistance programs where they may qualify for free, or nearly free, prescription medicines. Positively Aware: Provides information on HIV medications and pharmaceutical manufacturers, HIV Drug Co-Pay Programs and HIV Patient Assistance Programs. Patient Savings Card:The Patient Savings Card is a way for eligible patients to save on their out of pocket costs for the following prescriptions: EPZICOM® (abacavir sulfate and lamivudine), LEXIVA® (fosamprenavir calcium), COMBIVIR® (lamivudine/zidovudine), TRIZIVIR® (abacavir sulfate, lamivudine, and zidovudine), EPIVIR® (lamivudine), ZIAGEN® (abacavir sulfate), RETROVIR® (zidovudine), SELZENTRY® (maraviroc), VIRACEPT® (nelfinavir), and/or RESCRIPTOR® (delavirdine). Reduced Cost Prescriptions are also available at retail chain pharmacies (such as Walmart, Walgreens, Target, etc.); supermarket pharmacies and at some privately owned pharmacies. Free Drugs for Low-Income Patients
We have developed software for the prescription assistance program industry for the past five years. We often get calls from visitors to our website seeking information on drug company prescription assistance programs. Therefore we have compiled a list of some of the major prescription aid programs as a service to our visitors. Descriptions of the plans have been copied from each company's literature. The AstraZeneca Foundation Patient Assistance Program was created in 1978 to provide AstraZeneca medications free of charge to low-income patients who do not have prescription coverage, do not qualify for government-funded programs, and do not have the means to pay for the medications themselves. Patients enroll annually and, if approved for the program, receive free medication delivered right to their door. Bristol Myers: Go to t
The Together Rx Card offers qualified Medicare beneficiaries’ savings on more than 160 medicines from seven major pharmaceutical companies at participating pharmacies nationwide. The Patient Assistance Program is designed to help qualified patients gain access to The U.S. pharmaceutical and biotechnology companies of the Johnson & Johnson Family of Companies have a number of ways to assist patients who do not have prescription drug coverage. As part of the company's efforts to provide access to our products for all Americans regardless of their ability to pay, Lilly has a long-standing program to offer free medication, through physicians, to patients who are otherwise unable to obtain their Lilly medicine. When patients who need access to specific prescription medications cannot afford them, they can work with their physician to find out about Merck's Patient Assistance Program. Novartis is committed to providing access to our medications for those most in need through the Novartis Pharmaceuticals Corporation's Patient Assistance Program (PAP). TPatient Assistance Program is a service to provide patients who, because of financial burden and/or lack of prescription drug coverage, may have difficulty paying for their treatment. For more information and to find out what products are covered under this program, please call: 1-800-577-3788 is an industry organization which is a one-stop source for all prescription assistance programs. All the leading pharmaceutical companies have/will be joining this organization. For more than thirty years, Pfizer has maintained a commitment to making its medicines available to patients in need. The Patient Assistance Program is designed to help qualified patients gain access to Procter & Gamble prescription medications free of charge. Through this program, qualified patients can receive a 90-day supply of their prescription and up to 3 refills. Schering-Plough is committed to improving the health and well-being of people throughout the world. Searle Patients in Need®Foundation - see Pfizer Connection to Care For many years, Wyeth has been committed to helping patients in need receive their medications free of charge. Psychotropic Medication
Brand Name
Pharmaceutical Company
Program Phone #
clozapine (generic)
Desyrel (150 & 300 mg pills
Haldol, Haldol Decanoate
Prolixin, Prolixin
Psychotropic Medication
Patient Assistance Programs
There are but a FEW of the psychotropic medications you can receive through a patient assistance program. If you do not see your medication listed, it does not mean there is no drug program available. I urge you to go the drug manufacturer's website to find out. You can usually find the application form directly on the pharmaceutical page on the net. Just
print it out.

Note: Some of these companies may prefer to speak directly with your doctor.
Brand Name
Pharmaceutical Company
Program Phone #
Patient Assistance Program
Clorpes (Clonidine)
Desyrel (150 & 300 mg
pills only)
Effexor & Effexor SR
SmithKline Pharmaceuticals, Inc. SmithKline Beecham Foundation Eskalith CR (Lithium)
Isoptin SR
c/o Express Scripts Specialty Distribution Loxitane
Organon, Remeron
SmithKline Pharmaceuticals, Inc. SmithKline Beecham Foundation SmithKline Pharmaceuticals, Inc. SmithKline Beecham Foundation Paxil & Paxil CR
Prolixin, Prolixin
Boehringer Ingelheim Pharmaceuticals, Inc. Serentil
SmithKline Pharmaceuticals, Inc. SmithKline Beecham Foundation Stelazine
Tegretol & Tegretol-XR
SmithKline Pharmaceuticals, Inc. SmithKline Beecham Foundation Thorazine
Schering Laboratories/Key Pharmaceuticals Wellbutrin & Wellbutrin


Material safety data sheet

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