Products covered by program: Most Lilly prescription products and insulins (except controlled substances). Gemzar ® is covered under a separate program. Physician requests should be directed to Lilly Cares Program Administrator, Eli Lilly and Company P. O. Box 25768 Alexandria, Virginia 22313, (800) 545-6962
Gemzar ® Patient Assistance Program
Products covered by program Gemzar ® (gemcitabine hydrochloride) Physician requests should be directed to Gemzar ® Reimbursement Hotline (888) 4-GEMZAR (888-243-6927)
Financial Assistance Program for ABELCET®
Products covered by program ABELCET ® (amphotericin B lipid complex injection) Physician requests should be directed to Financial Assistance Program for ABELCET ® The Liposome Company, Inc. One Research Way, Princeton, New Jersey 08540-6619 (800) 335-5476
The Merck Patient Assistance Program
Products covered by program: Most Merck products. Requests for vaccines and injectables are not accepted, with the exception of requests for anti-cancer injectable products. Physician requests should be directed to The Merck Patient Assistance Program — Healthcare professionals with prescribing privileges may call (800) 994-2111
Novartis Patient Assistance Program
Products covered by program: Certain single source and/or life-sustaining products. Controlled substances are not included. Physician requests should be directed to Novartis Pharmaceuticals Patient Assistance Program P. O. Box 52052 Phoenix, Arizona 85072-9170 (800) 257-3273
Ortho Biotech Procrit Line
Products covered by program: Procrit® (Epoetin alfa) for non-dialysis use, LEUSTATIN ® (cladribine) Injection Physician requests should be directed to Ortho Biotech Procrit Line (800) 553-3851 or http://www.procrit.com
Parke-Davis Patient Assistance Program
Products covered by program Accupril, Cognex, Dilantin, Loestrin, Neurontin, Rezulin, and Zarontin Physician requests should be directed to The Parke-Davis Patient Assistance Program P. O. Box 1058 Somerville, New Jersey 08876 (908) 725-1247
Pfizer Prescription Assistance, Diflucan®, and Zithromax® Patient Assistance Program, Sharing the Care Program
Pfizer Prescription Assistance
Products covered by program: Most Pfizer outpatient products with chronic indications are covered by this program. Diflucan ® and Zithromax ® are covered by a separate program. Physician requests should be directed to Pfizer Prescription Assistance P.O. Box 25457 Alexandria, Virginia 22313-5457 (800) 646-2455
Diflucan ® and Zithromax ® Patient Assistance Program
Products covered by program Diflucan ® (fluconazole) and Zithromax ® (azithromycin) Physician requests should be directed to Diflucan ® and Zithromax ® Patient Assistance Program (800) 869-9979
Sharing the Care Program
Products covered by program: Certain Pfizer single-source products Requests should be directed to Sharing the Care Program, Pfizer Inc, 235 E. 42nd Street New York, New York 10017-5755 (800) 984-1500
Pharmacia& Upjohn RxMAP Prescription Medication Assistance Program
Products covered by program: Numerous Pharmacia&UpJohn products Physician requests should be directed to RxMAP, P. O. Box 29043, Phoenix, Arizona 85038 (800) 242-7014
Procter& Gamble Pharmaceuticals
Products covered by program: Alora, Asacol, Dantrium Capsules, Didronel, Helidac, Macrodantin, Macrobid Physician requests should be directed to Procter & Gamble Pharmaceuticals, Inc. P. O. Box 231 Norwich, New York 13815 Attn: Customer Service Department (800) 448-2878
Rhone-Poulenc Rorer Patient Assistance Program
Products covered by program: All products are included, with some limitations Physician requests should be directed to Medical Affairs / Patient Assistance Program Rhone-Poulenc Rorer Inc. P. O. Box 5094, 500 Arcola Road Mailstop #4C29 Collegeville, Pennsylvania 19426-0998 (610) 454-8110, (610) 454-2102 (fax)
Roche Medical Needs Program
Roche Medical Needs Program for Roferon® -A (Interferon alpha-2a, recombinant), Vesanoid ® (tretinoin), and Fluorouracil Injection
Products covered by program: Roche product line with some exceptions Physician requests should be directed to Roche Medical Needs Program Roche Laboratories, Inc. 340 Kingsland Street Nutley, New Jersey 07110 (800) 285-2484
Roche Medical Needs Program for Roferon ® -A (Interferon alpha-2a, recombinant), Vesanoid ® (tretinoin), and Fluorouracil Injection
Should physician requests be directed to Oncoline?/Hepline? Reimbursement Hotline (800) 443-6676 (press 2 or 3)
Roxane Laboratories Patient Assistance Program
Products covered by program: Duraclon; Marinol ® (dronabinol) Capsules 2.5 mg; Oramorph SR ® (morphine sulfate sustained release) Tablets, 15 mg, 30 mg, 60 mg, and 100 mg; Roxanol® (morphine sulfate concentrated oral solution) 20 mg/mL and 120 mL bottles; Roxanol 100® (morphine sulfate concentrated oral solution) 100 mg/5 mL and 240 mL bottles; Roxicodone (oxycodone) Tablets 5 mg; Oral solution 5 mg/5 mL; Roxicodone Intensol® 20 mg/mL; Viramune ® (nevirapine) Physician requests should be directed to Nexus Healthcare, 4161 Arlingate Plaza, Columbus, Ohio 43228 (800) 274-8651
Sanofi Needy Patient Program
Products covered by program: Aralen ®, Breonesin ®, Danocrine ®, Drisdol ®, Hytakerol ®, Mytelase ®, NegGram ®, pHisoHex ®, Plaquenil ®, Primaquine ®, Skelid ®, Photofrin ®, Primacor® Physician requests should be directed to Sanofi Pharmaceuticals Needy Patient Program c/o Product Information Department 90 Park Avenue, New York, New York 10016, (800) 446-6267
Schering Laboratories Key Pharmaceuticals Commitment to Care Program
Products covered by program: Most Schering/Key prescription drugs. Physician requests should be directed to: For Intron A/Eulexin: (800) 521-7157 For Other Products: Schering Laboratories/ Key Pharmaceuticals Patient Assistance Program, P. O. Box 52122, Phoenix, Arizona 85072, (800) 656-9485
Searle Patients in Need®Foundation
Products covered by program: Aldactazide ®, Aldactone ®, Calan® SR, Kerlone ®, Calan ®, Covera-HS®, Norpace ®, Norpace ® CR, Cytotec ® Physician requests should be directed to Administrator, Searle Patients in Need ® Foundation, 5200 Old Orchard Road, Skokie, Illinois 60077, (800) 542-2526, (847) 470-6633 (fax). Or local Searle Sales Representative
SmithKline Beecham Access to Care Program, SmithKline Beecham Oncology Access to Care Program
SmithKline Beecham Access to Care Program
