AIDS Treatment Data Network
611 Broadway, Suite 613, New York, NY, 10012 • www.atdn.org • Tel: (212) 260-8868 • (NYS) 800-734-7104
The Access Project collects and distributes information about medications available for HIV/AIDS and hepatitis co-infection through Medicaid, Medicare Part D, AIDS Drug Assistance Programs (ADAPs), and pharmaceutical industry sponsored patient assistance and expanded access programs (EAP). The Access Project is a program of the The Network (network@atdn.org)

Pfizer
Anti-Infective Patient Assistance Program

Products covered:

Diflucan (fluconazole)
Vfend (voriconazole)
Vibramycin (doxcycline)
Vistaril (hydroxyzine pamoate)
Zithromax (azithromycin) 1-800-869-9979
www.pfizer.com




Contact
Program Eligibility
The patient must meet the following criteria to qualify:
  • Must be a U.S. Citizen.
  • Has no health insurance or no prescription coverage.
  • Not eligible for Medicaid, ADAP, or other drug assistance programs.
  • Income must be lower than $25,000 for an individual, $40,000 for a family.
Enrollment Process
Doctors or patients can call to enroll. An application is then sent to the doctor's office for completion. An original prescription must be send along with the application back to the program.
Re-Application
The doctor can call for up to 90-days supply of the drug at a time. They will however need to reapply each time they call in a refill on the prescription. A refill request should be made at least two weeks prior to the drug running out.
Comments
The processing will take from 7 to 14-days to be completed and the drug to be available.

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Last modified: 11/16/2007
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