Drug Name (Brand Name) Manufacturer Program Contact ...

Drug Name (Brand Name) Manufacturer

Abatacept (Orencia?)

Bristol-Myers Squibb

Adalimumab (Humira?)

Abbott Immunology

Alendronate (Fosamax?)

Merck

Belimumab (Benlysta?) Celecoxib (Celebrex?)

Human Genome Sciences and GlaxoSmithKline

Pfizer

Colcrys?

URL Pharma

Cyclosporine (Neoral?)

Novartis

Denosumab (Prolia?)

Amgen

Program Contact Information

The ORENCIA? (abatacept) Promise ProgramTM

1-800-ORENCIA Patient Assistance Application for HUMIRA? 1-866-4-HUMIRA Canada: 1-866-848-6472

The Merck Patient Assistance Program Patients: 1-800-727-5400 Healthcare professionals: 1-800- 994-2111

Benlysta Gateway 1-877-4-Benlysta

Pfizer RxPathways

1-866-706-2400

Colcrys Patient Assistance Program

1-888-811-8423

Novartis Pharmaceuticals Patient Assistance Program

1-800-277-2254

Amgen Assist

1-877-PROLIA-1

Etanercept (Enbrel?) Hydroxychloroquine (Plaquenil?) Infliximab (Remicade?)

Leflunomide (Arava?)

Meloxicam (Mobic?)

Mycophenolate Mofetil (CellCept?) Nabumetone (Relafen?) Naproxen (Naprosyn?) Paroxetine (Paxil?) Raloxifene (Evista?)

Amgen and Pfizer Pharmaceuticals ENBREL SupportTM

Sanofi-Synthelabo Inc.

1-888-4-ENBREL Sanofi Patient Assistance Program 1-800-992-9022

Centocor, US

Remicade Patient Assistance Program

1-866-489-5957

Sanofi Aventis

Sanofi Aventis Pharmaceuticals Patient Assistance Program

1-866-325-8233

Boehringer Ingelheim Pharmaceuticals, Boehringer Ingelheim Cares

Inc

Foundation, Inc.

1-800-556-8317

Roche (Genentech)

Genentech Access

1-877-757-6243

Glaxosmithkline

GSK for You

1-800-546-0420

Roche (Genentech)

Genentech Access 1-877-757-6243

Glaxosmithkline

GSK for You

1-800-546-0420

Eli Lilly and Company

Lilly TruAssist 1-877-RX-LILLY

Rituximab (Rituxan?)

Genentech, Inc.

Genentech Access

Sodium Hyaluronate (Hyalgan?)

Sanofi Aventis

1-877-757-6243

Sanofi Aventis Pharmaceuticals Patient Assistance Program

Teriperatide (Forteo?)

Eli Lilly and Company

Valdecoxib (Bextra?)

Pfizer

1-866-325-8233 Lilly TruAssist 1-877-RX-LILLY Pfizer RxPathways

XELJANZ (tofacitnib citrate) Pfizer

1-866-706-2400 XELSOURCE

Other Prescription Drug Assistance Programs

Description

1-855-493-5526 Contact Information

Medicare Part D Prescription Drug Plans

Medicare approved prescription drug Find a Plan

plans

800-633-4227 FREE

Low Income Subsidy (LIS)

Assistance from Social Security to help Low Income Subsidy

reduce costs from Part D plans

800-772-1213 FREE

NeedyMeds

Provides contact information for prescription assistance programs

NeedyMeds 978-281-6666

Prescription Assistance (PPA)

PPA provides information about 475 Partnership for Prescription

public and private Patient Prescription Assistance

Drug Assistance Programs

1-888-477-2669

National Alliance on Mental Illness (NAMI)

This organization provides information Find Support

about PPA programs for patients with

limited income

800-950-6264

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