These programs offer assistance to people with private health insurance for the co-payments required to obtain HIV drugs at the pharmacy. Some companies offer co-pay assistance for all of their drugs, including non-HIV drugs.
Co-payment programs are for individuals with private insurance. These programs cannot be used for individuals with Medicare, Medicaid, Medicare Part D, or any other federal or state-funded healthcare benefit program. Individuals enrolled in a qualified health plan offered through a state or federally administered Marketplace or Exchange (Affordable Care Act) are eligible to receive co-pay program benefits provided they meet the eligibility criteria for the applicable co-pay coupon program
Some companies have made donations to the Patient Access Network (PAN) which has an HIV co-pay program. PAN will cover up to $4,000.00 in co-pay as well as other out of pocket prescription costs such as deductibles and co-insurance. Contact PAN for more information at www.panfoundation.org or 866-316-7263.
ABBVIE (formerly Abbott)
Drugs covered: Kaletra, Norvir
Contact Information: 800-222-6885, or go to the product websites (e.g. www.kaletra.com)
Program Details: The co-pay assistance covers the first $200 per Kaletra prescription per month, and the first $50 per Norvir prescription per month. Currently, a person must reapply for the program each year. The program is accessible online or through healthcare providers.
BOEHRINGER INGELHEIM (BI)
Drugs covered: None as of 6/30/2014
Contact Information: None
Program Details: The Boehringer Ingelheim co-pay program has been discontinued as of 6/30/2014 as the medication is now available in generic formulations. The patient assistance program is still in operation as of this date.
BRISTOL-MYERS SQUIBB (BMS)
Drugs covered: Atripla, Reyataz and Sustiva
Contact Information: 888-281-8981 for Sustiva, Reyataz or Atripla or go to the product websites (e.g. www.sustiva.com)
Program Details: The program covers up to $6,800 annually for your co-payments, deductibles and co-insurance in all commercially-insured plans for Atripla, Reyataz, and Sustiva. There is no monthly cap on the amount that can be covered, up to the annual maximum. There is also a reimbursement mechanism for individuals who may be required to pay for these costs out-of-pocket due to unforeseen challenges with accepting the co-payment assistance, including mail order patients. Currently, a person must reapply for the program each year. The program is accessible online or through healthcare providers.
HIV Drugs covered: Fuzeon
Contact Information: 866-422-2377, or go to www.genentech-access.com.
Program Details: Makes contributions to non-profit programs that will cover co-pays for both private insurance patients and Medicare Part D patients.
Drugs covered: Atripla, Complera, Emtriva, Stribild, Truvada, Tybost, Viread
Contact Information: 877-505-6986 or go to product websites (e.g. www.truvada.com)
Program Details: The program covers the first $6,000 per year of your co-payment for Atripla, Complera, and Stribild; the first $300 per month/$3,600 per year of your co-payment for Emtriva, Truvada and Viread; and the first $50 per month/$600 per year of your co-payment for Tybost. The program automatically renews annually for enrolled patients. The program is accessible through healthcare providers, community based organizations and pharmacies.
JANSSEN THERAPEUTICS (formerly Tibotec Therapeutics)
Drugs covered: Edurant, Intelence, Prezista
Contact Information: 866-961-7169 or go to product websites (e.g. www.prezista.com).
You can also get all of the relevant information or forms including an instant savings card at www.janssentherapeutics.com.
Program Details: After paying the first $5 of your co-payment, there is no limit on the amount of the remaining co-pay Janssen will cover. Currently, you must reapply for the program each year. The program is accessible online or through healthcare providers.
MERCK & CO.
Drugs covered: Isentress
Contact Information: 855-834-3467 or www.isentress.com or https://www.activatethecard.com/6919/
Program Details: The program covers the first $400 of your co-payment for Isentress for each of 12 eligible prescriptions. Currently, a person must reapply for the program after 12 prescriptions have been filled. The program is accessible online .
ViiV HEALTHCARE (formerly GlaxoSmithKline and Pfizer)
Drugs covered: Combivir, Epivir, Epzicom, Lexiva, Rescriptor, Retrovir, Selzentry, Trizivir, Tivicay, Triumeq, Viracept and Ziagen.
Contact Information: Call 1-877-844-8872. You can get the card from your provider or print out the card online at www.mysupportcard.com, or call the number above. To activate the new card, call 855-208-3317 or go to www.activatethecard.com/gsk.
Program Details: The program covers the first $200 per-month of your co-payment on Combivir, Epivir, Epzicom, Lexiva, Rescriptor, Retrovir, Selzentry, Trizivir, Viracept and Ziagen and the first $400 per-month of your co-payment for Tivicay and Triumeq.