AIDS Community Research Initiative of America (ACRIA) - Fall 2004
Most drug companies have programs to provide free drug to people with no insurance, inadequate insurance, or financial difficulties. Each program has different requirements, and your healthcare provider often needs to make the phone call. The drug company will sometimes take your information over the phone, but will usually send you or your healthcare provider a form to fill out. If you don't qualify for public insurance such as ADAP or Medicaid and you meet the eligibility requirements of the program, you can get free drug. The drugs are alphabetized by brand name with the generic name in parentheses, followed by the company that manufactures the drug and the contact number for the Patient Assistance Program.
| Drug | Drug Company / Contact Number |
|---|---|
| Abelcet (amphotericin B) | The Liposome Company 1-800-345-2252 |
| Agenerase (amprenavir) | GlaxoSmithKline 1-866-728-4368 |
| Albenza (albendazole) | GlaxoSmithKline 1-866-728-4368 |
| Anadrol-50 (oxymetholone) | Solvay Pharmaceuticals 1-800-256-8918 |
| AndroGel (testosterone gel) | Solvay Pharmaceuticals 1-800-256-8918 |
| Asacol, 5-ASA (mesalamine) | Proctor & Gamble Pharmaceuticals 1-800-830-9049 |
| Atarax (hydroxyzine hydrochloride) | Pfizer, Inc. 1-800-707-8990 |
| Avandamet (rosiglitazone) | GlaxoSmithKline 1-866-728-4368 |
| Avandia (metformin) | GlaxoSmithKline 1-866-728-4368 |
| Bactroban (mupirocin) | GlaxoSmithKline 1-866-728-4368 |
| Beconase (beclomethasone) | GlaxoSmithKline 1-866-728-4368 |
| Biaxin (clarithromycin) | Abbott Laboratories 1-800-222-6885 |
| Blenoxane (bleomycin) | Bristol-Myers Squibb 1-877-758-7877 |
| Carnitor (levocarnitine) | National Organization for Rare Disorders 1-800-999-6673, press 3 |
| Cipro (ciprofloxacin) | Bayer 1-800-998-9180 |
| Combivir (AZT/3TC) | GlaxoSmithKline 1-866-728-4368 |
| Copegus | Hoffman-LaRoche 1-800-443-6676 |
| Crixivan (indinavir) | Merck & Co. 1-800-850-3430 |
| Cutivate (fluticasone) | GlaxoSmithKline 1-866-728-4368 |
| CytoGam (CMVIg) | MedImmune 1-877-480-8082 |
| Cytovene (ganciclovir) | Hoffman-LaRoche 1-800-772-5790 |
| Cytoxan (cyclophosphamide) | Bristol-Myers Squibb 1-877-758-7877 |
| Daraprim (pyrimethamine) | GlaxoSmithKline 1-866-728-4368 |
| Diflucan (fluconazole) | Pfizer, Inc. 1-800-707-8990 |
| Doxil (doxorubicin) | Ortho Biotech 1-800-609-1083 x203 |
| Duragesic (fentanyl transdermal) | Janssen Pharmaceuticals 1-800-652-6227 |
| Emtriva (emtricitabine) | Gilead Sciences 1-800-226-2056 |
| Epivir (3TC) | GlaxoSmithKline 1-866-728-4368 |
| Epogen (erythropoietin, EPO) | Amgen 1-800-272-9376 (if on dialysis) 1-800-553-3851 (if not on dialysis) |
| Epzicom (abacavir/3TC) | GlaxoSmithKline 1-866-728-4368 |
| Eskalith (lithium) | GlaxoSmithKline 1-866-728-4368 |
| Famvir (famciclovir) | Novartis 1-800-277-2254 |
| Floxin (ofloxacin) | Ortho-McNeil 1-800-577-3788 |
| Fortovase (saquinavir) | Hoffman-LaRoche 1-866-487-8591 |
| Fosamax (alendronate) | Merck & Co. 1-800-727-5400 |
| Fuzeon (T-20, enfuvirtide) | Hoffman-LaRoche 1-866-694-6670 (healthcare providers only) |
| Hepsera (adefovir) | Gilead Sciences 1-800-445-3235 |
| Hivid (ddC) | Hoffman-LaRoche 1-800-282-7780 |
| hydroxyurea (Hydrea, Droxia) | Bristol-Myers Squibb 1-800-272-4878 |
| Intron A (alfa interferon 2B) | Schering-Plough 1-800-521-7157 |
| Invirase (saquinavir) | Hoffman-LaRoche 1-800-282-7780 |
| Kaletra (lopinavir/ritonavir) | Abbott Laboratories 1-800-222-6885 |
| Klonopin (clonazepam) | Hoffman-LaRoche 1-800-443-6676 |
| Kytril (granisetron) | Hoffman-LaRoche 1-800-443-6676 |
| Lamictal (lamotrigine) | GlaxoSmithKline 1-866-728-4368 |
| Lamisil (terbinafine) | Novartis 1-800-277-2254 |
| Leukine (GM-CSF) | Immunex 1-800-321-4669 |
| Levaquin (levofloxacin) | Ortho-McNeil 1-800-577-3788 |
| Lexiva (fosamprenavir) | GlaxoSmithKline 1-866-728-43681 |
| Marinol (dronabinol) | Solvay Pharmaceuticals 1-800-256-8918 |
| Mepron (atovaquone) | GlaxoSmithKline 1-866-728-4368 |
| Megace (megestrol acetate) | Bristol-Myers Squibb 1-800-272-4878 |
| Mevacor (lovastatin) | Merck & Co. 1-800-727-5400 |
| Mycelex (clotrimazole) | Ortho-McNeil 1-800-577-3788 |
| Neupogen (filgrastrin, G-CSF) | Amgen 1-800-272-9376 |
| NeuTrexin (trimetrexate) | MedImmune 1-800-887-2467 |
| Nizoral (ketoconazole) | Janssen Pharmaceuticals 1-800-652-6227 (tablets only) |
| Norvir (ritonavir) | Abbott Laboratories 1-800-222-6885 |
| Novantrone (mitoxantorone) | Immunex 1-877-447-3243 |
| Oxandrin (oxandrolone) | Bio-Technology General Corporation 1-866-692-6374 |
| Panretin Gel (alitretinoin) | Ligand Pharmaceuticals 1-877-654-4263 |
| Paxil (paroxetine) | GlaxoSmithKline 1-866-728-4368 |
| Pegasys (pegylated inferferon alfa-2a) | Hoffman-LaRoche 1-800-387-1258 |
| PEG-Intron (pegylated inferferon alfa-2b) | Schering-Plough 1-800-521-7157 |
| Pepcid (famotidine) | Merck & Co. 1-800-999-1796 |
| Procrit (erythropoietin, EPO) | Ortho Biotech 1-800-553-3851 |
| Proleukin (interleukin 2) | Chiron 1-866-385-4729 |
| Rebetol (ribavirin) | Schering-Plough 1-800-521-7157 |
| Rescriptor (delavirdine) | Agouron Pharmaceuticals 1-888-777-6637 |
| Retrovir (AZT) | GlaxoSmithKline 1-866-728-4368 |
| Reyataz (atazanavir) | Bristol-Myers Squibb 1-800-758-7877 |
| Ribasphere (ribavirin) | Three Rivers Pharmaceuticals 1-866-650-7422 |
| rifampin | Aventis 1-800-221-4025 |
| Rocephin (ceftriaxone) | Hoffman-LaRoche 1-800-526-6367 |
| Roferon-A (alfa interferon 2A) | Hoffman-LaRoche 1-800-443-6676 |
| Sandimmune (cyclosporin) | Novartis 1-800-277-2254 |
| Sandostatin (octreotide) | Novartis 1-800-277-2254 |
| Serostim (somatropin) | National Organization for Rare Disorders 1-800-999-6673, press 3 Serono Laboratories 1-800-714-2437 |
| Singulair (montelukast) | Merck & Co. 1-800-727-5400 |
| Sporanox (itraconazole) | Janssen Pharmaceuticals 1-800-652-6227 |
| Sustiva (efavirenz) | Bristol-Myers Squibb 1-800-474-2762 |
| Tagamet (cimetidine) | GlaxoSmithKline 1-866-728-4368 |
| Taxol (pacitaxel) | Bristol-Myers Squibb 1-800-272-4878 |
| Tegretol (carbamazepine) | Novartis 1-800-277-2254 |
| Thalomid (thalidomide) | Celgene Corp. 1-888-423-5436 |
| Timolide/Timoptic (timolol) | Merck & Co. 1-800-727-5400 |
| Trizivir (AZT/3TC/abacavir) | GlaxoSmithKline 1-866-728-4368 |
| Truvada (emtricitabine/tenofovir) | Gilead Sciences 1-800-445-3235 |
| Valcyte (valganciclovir) | Hoffman-LaRoche 1-800-443-6676 |
| Valtrex (valaciclovir) | GlaxoSmithKline 1-866-728-4368 |
| VePesid (etoposide) | Bristol-Myers Squibb 1-800-272-4878 |
| Vibramycin (doxcycline) | Pfizer, Inc. 1-800-707-8990 |
| Videx (ddI) | Bristol-Myers Squibb 1-800-272-4878 |
| Viracept (nelfinavir) | Agouron Pharmaceuticals 1-888-777-6637 |
| Viramune (nevirapine) | Boehringer Ingelheim 1-800-274-8651 |
| Viread (tenofovir) | Gilead Sciences 1-800-445-3235 |
| Vistaril (hydroxyznie pamoate) | Pfizer, Inc. 1-800-707-8990 |
| Vistide (cidofovir) | Gilead Sciences 1-800-226-2056 |
| Vistaril (hydroxyzine) | Pfizer, Inc. 1-800-707-8990 |
| Wellbutrin (bupropion) | GlaxoSmithKline 1-866-728-4368 |
| Zantac (ranitidine) | GlaxoSmithKline 1-866-728-4368 |
| Zerit (d4T) | Bristol-Myers Squibb 1-800-272-4878 |
| Ziagen (abacavir) | GlaxoSmithKline 1-866-728-4368 |
| Zithromax (azithromycin) | Pfizer, Inc. 1-800-707-8990 |
| Zocor (simvastatin) | Merck & Co. 1-800-727-5400 |
| Zoloft (sertraline) | Pfizer, Inc. 1-800-707-8990 |
| Zovirax (acyclovir) | GlaxoSmithKline 1-866-728-4368 |
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