Microsoft word - fpcco-pay program chart-1.doc

Company Phone
Number/Website
Approved
General Program Information
Abbott has launched a new patient co-pay assistance program called Positive Partnership Plus which covers 12 months of co-pays of up to $50 a month for Kaletra and is renewable. The program will also cover up to $50 a month for additional ARVs that are a part of a Kaletra regimen with a limit of $100 per month. There is no income eligibility criteria required for participation in the program. Program enrollment cards are accessed through a person’s primary care physician. If your physician is out of the cards you can also enroll through Abbott’s complimentary program Positive Partnership. Income information is not required in order to obtain Gilead’s co- pay assistance card. Clients call into the toll-free number and undergo a short phone screening (about 10 minutes); the card is mailed to them or they can access the card through their medical provider. Enrollees cannot also be accessing medications through a federal or state funded program (e.g. Medicaid, Medicare, ADAP, and SPAP). The card is good for 12 months and is renewable. It covers co-pays over $50 and will assist with up to $200 a month for each covered medication. (Please note that as of 2/20/09 Atripla is not included in Gilead’s co-pay assistance program.) Company Phone
Number/Website
Approved
General Program Information
Income information is not required in order to obtain a Patient Savings Card. Enrollees cannot also be accessing medications through a federal or state-funded program (e.g. Medicaid, Medicare, ADAP, SPAP) or a former employer retiree prescription plan. This card reduces the enrollee’s out-of-pocket co-pay costs by up to $100 each month for each GSK medication they are prescribed for up to two years following the card’s first use. The website has a lot of useful information and a list of pertinent FAQs. The card can be accessed through an enrollee’s medical provider or enrollees can download and print their own Patient Savings Card directly from the website after affirming the information they have provided is correct. Keep in mind that enrollees must keep the original card and present it to the pharmacy each month for two years; lost cards are not replaceable. Cards provided by medical providers are printed on card stock paper. Enrollees printing their own cards should be advised to print their cards on thicker card stock paper that will last. Company Phone
Number/Website
Approved
General Program Information
Merck does not have a specific insurance co-pay assistance program. They have a manufacturer patient assistance program for Isentress and Crixivan called “Support.” Merck is instructing persons needing co-pay assistance for Crixivan or Isentress to use the “Support” program. Since this is a patient assistance program enrollees receive medication and not a program card. The application can be obtained by calling the 1-800 number or going to the web link and downloading it. Maximum income guidelines are 400% of the Federal Poverty Level and the application asks for a Social Security number, though US citizenship is not required. The application has a prescriptive portion that must be completed by the enrollee’s physician. Completed applications must be mailed to the “Support” program. Enrollment is for 12 months and medications can be mailed to wherever the enrollee would like. Enrollees cannot also be accessing medications through a federal or state-funded program (e.g. Medicaid, Medicare, ADAP, SPAP) or a former employer retiree prescription plan. Enrollees can phone and have an application mailed to them or go to the web link and download and print one. The one page application asks for Social Security number and gross income. Enrollees can make up to 500% of the Federal Poverty Level. Completed applications can be submitted via mail or FAX. Co-pay cards are mailed to clients, are good for one year and are renewable. The card provides assistance for 80% of the enrollee’s actual out of pocket cost up to a total of $100 per month for each Tibotec medication prescribed.

Source: http://aidsactionbaltimore.org/FPCCoChart.pdf