Prescription Drug Patient Assistance Programs

Free or low-cost medications provided by pharmaceutical companies

Some pharmaceutical companies offer medication assistance programs to low-income individuals and families. These programs typically require a doctor's consent and proof of financial status. They may also require that you have either no health insurance, or no prescription drug benefit through your health insurance. Please use the contact information provided for specific eligibility requirements and application information.

 

Company Program Products Covered Contact Information
Abbott Laboratories Patient Assistance Program Most Abbott Laboratories pharmaceutical products including: Depakote (divalproex sodium) Abbott Laboratories
Patient Assistance Program
200 Abbott Park Road
D31C, J23
Abbott Park, IL 60064-6163
(800) 222-6885
AstraZeneca AstraZeneca Foundation Patient Assistance Program Seroquel® (quetiapine fumarate) Tablets Patient Assistance Program
AstraZeneca Foundation
P.O. Box 15197
Wilmington, DE 19850-5197
(800) 424-3727
Bristol-Myers Squibb Bristol-Myers Squibb Patient Assistance Foundation, Inc. Many Bristol-Myers Squibb pharmaceutical products including: Serzone (nefazodone hydrochloride) BuSpar (buspirone HCl, USP) Bristol-Myers Squibb
Patient Assistance
Foundation, Inc.
P.O. Box 4500
Princeton, NJ 08543-4500
Mailcode P25-37
(800) 332-2056
(609) 897-6859 (fax)
Forest Pharmaceuticals,
Inc.		 Forest Pharmaceuticals Patient Assistance Program Celexa (citalopram hydrobromide) Forest Pharmaceuticals, Inc.
Patient Assistance Program
13600 Shoreline Drive
St. Louis, MO 63045
(800) 851-0758
GlaxoSmithKline GlaxoSmithKline Patient Assistance Program (Bridges to Access)

All marketed Glaxo Wellcome prescription products used in an outpatient setting including: Paxil (paroxetine HCl) Paxil CR (paroxetine HCl) Wellbutrin SR (bupropion hydrochloride)

GlaxoSmithKline Inc.
Patient Assistance Program
P.O. Box 52185
Phoenix, AZ 85072-2185
(866) 728-4368
(800) 750-9832 (fax)
GlaxoSmithKline Orange Card All outpatient GSK prescription products are included. GlaxoSmithKline's OTC products and in-patient prescription medicines are not covered. G SK Customer
Response Center
(888) 825-5249
Ivax Pharmaceuticals, Inc. Clozapine Patient Assistance Program Clozaril (clozapine) Clozapine Patient
Assistance Program
4400 Biscayne Blvd.
Miami, FL 33137
(800) 507-8334
(800) 507-8339 (fax)
Janssen Pharmaceutica Janssen Patient Assistance Program Janssen's medical prescription products Janssen Patient
Assistance Program
P.O. Box 221857
Charlotte, NC 28222-1857
(800) 652-6227
(888) 526-5168 (fax)
Janssen Pharmaceutica The Risperdal Patient Assistance Program and The Risperdal Reimbursement Support Program Risperdal® (risperidone) Janssen Cares
The Risperdal Patient
Assistance Program
P.O. Box 222098
Charlotte, NC 28222-2098
(800) 652-6227
Monday through Friday
(9:00 am - 5:00 pm E.T.)
(888) 526-5170 (fax)
Eli Lilly and Company Lilly Cares Most Lilly prescription products and insulins Lilly Cares Program
Administrator
Lilly Cares
P.O. Box 230999
Centreville, VA 20120
(800) 545-6962
Eli Lilly and Company LillyAnswers Card All Lilly retail products will be offered including commonly prescribed drugs to seniors, such as Evista for osteoporosis, Humulin and Humalog for diabetes, Prozac for depression and Zyprexa for schizophrenia. (877) 795-4559 (877-RX-LILLY)
www.lillyanswers.com
Novartis Pharmaceuticals Novartis Patient Assistance Program Certain single source and/or life sustaining products. Controlled substances are not included. Novartis Pharmaceuticals
Patient Assistance Program
P.O. Box 8609
Somerville, NJ 08876
(800) 277-2254
Novartis Pharmaceuticals Novartis Care Card Most Novartis products including: Clozaril (clozapine) Mellaril (thioridazine HCI) Ritalin (methylphenidate hydrochloride) Ritalin SR (methylphenidate hydrochloride USP sustained-release tablets) Call (866) 974-CARE (2273) for more information about the Novartis Care Card program.
Organon Inc. Remeron Indigent Patient Program Remeron® (mirtazapine) Your physician must contact their local Organon sales representative for the forms to qualify for the program.
Pfizer Inc. Pfizer Prescription
Assistance
 This program covers most Pfizer outpatient products with chronic indications. Aricept®, Diflucan®, Geodon and Zithromax® are covered by separate programs. Pfizer Prescription
Assistance
P.O. Box 230970
Centreville, VA 20120
(800) 646-4455
Pfizer Inc. Geodon Patient Assistance Program
 Geodon Geodon Patient
Assistance Program
P.O. Box 52119
Phoenix, AZ 85072
(866) 443-6366
Pfizer Inc. Pfizer for Living Share Card Program Most Pfizer prescription medicines available at a retail pharmacy (800) 717-6005
Pharmacia Corporation Pharmacia Patients in Need® (PIN) Foundation Most Pharmacia products including: Xanax (Alprazolam) Pharmacia Patients
in Need Foundation
P.O. Box 52059
Phoenix, AZ 85072
(800) 242-7014
(480) 314-7163 (fax)
Solvay Pharmaceuticals
Inc.
 Solvay Patient Assistance Program Lithobid (lithium carbonate) Solvay Patient
Assistance Program
c/o Express Scripts
Specialty
Distribution Service
PO Box 66550
St. Louis, MO 63166-6550
(800) 256-8918
(800) 276-9901 (fax)
Wyeth Pharmaceuticals Wyeth Pharmaceuticals Patient Assistance Program Most Wyeth products including: Effexor (venlafaxine HCl) Tablets
Effexor XR (venlafaxine HCl) Extended-Release Capsules		 Wyeth Pharmaceuticals Patient
Assistance Program
P.O. Box 13806
Philadelphia, PA 19101-9649

 

For more information on Patient/Drug Assistance Programs access the following websites:
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