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Prescription
Drug Assistance Card Programs |
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Requirements: Medicare eligible. No other prescription drug coverage. |
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Company |
Annual Income |
Discount/Fees |
Covered Drugs |
For More
Information |
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Pfizer Share Card |
Individual -
$18,000 Household - $24,000 |
Patients pay a $15
fee for each 30-day supply of a Pfizer prescription medication at
participating pharmacies. |
All Pfizer
outpatient prescription drugs. |
1-800-717-6005 www.pfizersharecard.com |
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Lilly Answers Card |
Individual -
$18,000 Household - $24,000 |
Patients pay a $12
fee for each 30-day supply of a Lilly prescription medication at
participating pharmacies. |
All Lilly
outpatient prescription drugs. |
1-877-795-4559 www.lillyanswers.com |
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Together Rx(includes Abbott Laboratories, AstraZeneca, Aventis
Pharmaceuticals Inc., Bristol-Myers Squibb Co. GlaxoSmithKline, Janssen
Pharmaceutica Prod.,L.P., Novartis, Ortho-McNeil Pharmaceutical, Inc., Care
Cards,) |
Individual -
$28,000 Household - $38,000 |
Approximately
20-40% off retail prices. Each
company sets its own level of savings independently with a minimum discount
of 15% off its list price to wholesalers.
Actual consumer savings will vary. |
Together Rx
maintains a list of more than 150 covered drugs manufactured by participating
companies. |
1-800-865-7211 www.together-rx.com |
02/04
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Prescription
Drug Assistance Programs |
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For Seniors and Low Income
Individuals with no RX drug benefits |
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Company |
Annual Income |
Discount/Fees |
Covered Drugs |
For More
Information |
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IMCI (Independent
Medication Consultants, Inc.) |
Customers
who are ineligible, as well as those who are eligible, for pharmaceutical
Patient Assistance Programs (PAPs). |
IMCI officials
consider all cost reduction options, consult with the customer, prepare
written consultations for the customer’s physician(s), and focus upon
coordinating and simplifying the optimum medication cost reduction
initiatives for each specific customer and his/her physician(s). |
Experienced IMCI
pharmacists make appropriate evidence based cost reduction recommendations
that are acceptable to customers and physicians. |
1-859-594-4624 www.rxcostsavings.com |
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Merck Medco |
Individual -
$18,000 Couple - $24,000 Family/4 - $35,000 |
Your doctor must
fill out, sign, and date an application and include his or her state license
number. Medicines distributed through
the Merck Patient Assistance Program are free of charge to all eligible
patients. |
Most Merck
products. |
1-800-727-5400 www.merck.com |
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Pfizer Connection to Care Program |
Individual
- $16,000 Couple
- $25,000 or less |
Physicians must
attach an original signed prescription; Physicians need to provide their DEA
and/or state license number; Physicians must sign the application form. |
25 of Pfizer’s
medications including Lipitor, Zoloft, & Norvasc |
1-800-707-8990 |
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PhRMA (Pharmaceutical Research
& Manufacturers of America) |
An
interactive Web site was designed to help find patient assistance programs
for which you may qualify. |
PhRMA and 48 of its
member companies provide prescription drug medicines free of charge to
patients of all ages who may not otherwise have access to these necessary
medicines. |
Directs patients to
the patient assistance program that will best serve them. |
www.helpingpatients.org |
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Roche |
Roche provides
drugs for patients who lack prescription coverage and the means to pay for
the medications they need. |
A qualified patient
may enroll through his or her doctor and Roche will ship the prescription
directly to the doctor's office, usually within 48 hours. |
Roche provides more
than 35 medications in major therapeutic areas. |
1-877-757-6243 www.rocheusa.com |
02/04