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Patient Assistance Programs

What are Patient Assistant Programs (PAPs)?
Many pharmaceutical companies offer PAPs. PAPs provide limited quantities of free or lowcost medications to those in need.

PAPs are available only to low-income patients who do not have prescription coverage. All have income guidelines, but most use the Federal Poverty Guidelines.

Each company establishes its own application process and selects which drugs are available on their programs and how long a person can receive assistance. The response time from application to delivery typically ranges from 2-6 weeks, depending on the program.

How do PAPs work?
Most require that the applicant submit an application form. The amount of information required varies. Some programs require detailed medical and financial information. A PAP may also require documentation (e.g., W-2, tax return) to verify the patient’s financial information.

All require a doctor’s signature. Some programs require the doctor complete a portion of the form while others only need a signed prescription.

Most send the medicines to the doctor’s office for distribution to patients, while others send the medicines directly to the patients. A few send a certificate or voucher for the patient to get the medicines from the pharmacy.

Most programs send a 3-month supply of the medicine at a time. A new application is needed for refills. A few programs offer refills without a new application.

How to learn more about PAPs?
The best place to learn about PAPs is the Internet. You can find information on the specifics of the PAP or download an application form by logging on the following websites:
www.needymeds.com    self-funded and cofounded by Dr. Richard J. Sagall, MD
www.rxassist.org    sponsored by the Robert Wood Johnson Foundation
www.helpingpatients.org    sponsored by the Pharmaceutical Research and Manufacturers of America (PhRMA)

What is Prescription for Good Health?
This is a program put together by the Columbus Medical Association Foundation to help eligible patients filling out the necessary paperwork for PAPs. You can find out if you qualify for Prescription for Good Health by calling 1-877-223-1505.


SOME EXAMPLES OF DRUG COMPANIES PATIENT ASSISTANCE PROGRAMS
PARTICIPATING COMPANYELIGIBILITYEXAMPLE OF DRUGS COVERED (Not a completed list)HOW TO OBTAIN APPLICATION
AstraZeneca US citizen with no prescription coverage;
Free medicine if annual income below $18,000 for single or below $24,000 for couple
Accolate, Atacand, Crestor, Pulmicort, Seroquel and Toprol XL www.astrazeneca-us.com/pap/

800-424-3727
Merck No prescription coverage; Free medicine if annual income below $18,000 for single, below $24,000 for couple, or below $35,000 for a family of four Fosamax, Cozaar, Diuril, Hyzaar, Maxalt, Singulair, Timoptic and Zocor www.merck.com/pap/
pap/consumer/index.jsp


800-727-5400
GlaxoSmithKline Bridges to Access No prescription drug coverage; $5-10 per prescription if annual income below $25,000 for single, or below 250% of the federal poverty level for household Advair and Serevent for asthma, Avandia for diabetes, Coreg and Lanoxin for heart problems, Flonase for allergies, Paxil and Wellbutrin for depression Only a healthcare advocate can enroll the patient

http://bridgestoaccess.gsk.com/
1.program_description/
1.4.patient_timeline.html


1-866-PATIENT
Pfizer Connection to Care No prescription drug coverage; Free medicine if annual income below $19,000 single or below $31,000 for family Lipitor, Norvasc, Zoloft, Zytrex, and Aricept www.pfizerhelpfulanswers.com

800-707-8990
Pfizer Pfriends No prescription drug coverage; 37%-50% off retail price if annual income below $30,000 for single or below $45,000 for family; 15%-25% off for below $30,000 for single or below $45,000 for family Lipitor, Norvasc, Zoloft, Zytrex, and Aricept www.pfizerhelpfulanswers.com

866-706-2400
Wyeth US citizen with no prescription coverage; Free medicine if annual income below $18,620 for single, below $24,980 for couple, or below $31,340 for a family of four Cordarone, Effexor, Lodine, Minocin, Phenergan, Premarin, Prempro and Protonix www.wyeth.com/contact/
contact_patient_assist.asp

800-568-9938
Miriam Chan, PharmD (10/19/2004)

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