Ortho Biotech Products, L.P. Procter & Gamble Pharmaceuticals
Procter & Gamble Pharmaceuticals Patient Assistance Program
P 1-800-609-1083 | F 1-800-987-5572 P 1-800-830-9049 | F 1-866-277-9329 P 1-800-652-6227 | F 1-888-526-5168
Leustatin® (cladribine) Injection Patient Assistance Program
Sepracor Inc. P 1-800-553-3851 | F 1-800-987-5572 P 1-888-587-9438 P 1-888-878-6266 | F 1-866-418-9826
ORTHOVISCline P 1-866-633-8472 | F 1-800-987-5572 Sigma-Tau Pharmaceuticals, Inc. P 1-866-487-8591 P 1-800-999-6673 | F 1-203-798-2291 P 1-800-836-0114 | F 1-866-836-0567 P 1-800-443-6676
Matulane Patient Assistance Program (NORD)
P 1-800-999-6673 | F 1-203-798-2291 P 1-800-553-3851 | F 1-800-987-5572
Pegassist Patient Assistance Program P 1-866-247-5084 Solvay Pharmaceuticals Incorporated Ortho-McNeil Neurologics, Inc.
Solvay Pharmaceuticals Incorporated Patient Assistance Program
New Medicines. New Hope.® P 1-800-256-8918 | F 1-800-276-9901 P 1-800-652-6227 | F 1-888-526-5168 P 1-800-282-7780 Takeda Pharmaceuticals North America, Inc. Ortho Women’s Health & Urology, A Unit of
Roche Laboratories Patient Assistance Program P 1-877-757-6243 or 1-800-285-4484 Directory of Ortho-McNeil Pharmaceutical, Inc. P 1-800-830-9159 | F 1-800-497-0928
Roche Transplant Patient Assistance Program
PhRMA Member Company P 1-800-652-6227 | F 1-888-526-5168 P 1-800-772-5790 Together Rx Access™ Patient Assistance Programs
A free savings card. Participating companies include: Abbott, AstraZeneca,
OrthoNeutrogena, A Division of Ortho-McNeil Sanofi-Aventis
Bristol-Myers Squibb, GlaxoSmithKline, members of the Johnson & Johnson
Pharmaceutical, Inc.
Family of Companies, King Pharmaceuticals, Novartis, Pfizer, Sanofi-Aventis
P 1-866-268-7326
Group, Takeda and TAP Pharmaceutical Products Inc. P 1-800-652-6227 | F 1-888-526-5168
Eligard Reimbursement Hotline and Patient Assistance Program
P 1-800-444-4106 Pfizer Inc P 1-877-354-4273 | F 1-866-354-4273 Valeant Pharmaceuticals International
Valeant Cesamet Patient Assistance Program
Pfizer’s family of programs to help people without prescription coverage
Hyalgan Reimbursement Hotline and Patient Assistance Program
P 1-800-593-6910 | F 1-732-507-7614 save on many Pfizer medicines, no matter their age or income. People withP 1-800-992-9022 | F 1-877-366-0584 limited incomes may even qualify to get their Pfizer medicines for free.
Lovenox Reimbursement Services and Patient Assistance Program
Valeant Pharmaceuticals International Patient Assistance Program
P 1-866-706-2400 P 1-888-632-8607 | F 1-888-875-9951 P 1-800-511-2120 | F 1-732-507-7610 Pfizer specialty product patient assistance programs:Vistakon Pharmaceuticals, LLC P 1-800-996-6626 | F 1-800-996-6627 P 1-877-744-5675 | F 1-800-708-3430 P 1-866-815-6874 | F 1-800-544-2987
Sanofi-Aventis Patient Assistance Program
P 1-800-221-4025 P 1-800-645-1280 | F 1-800-479-2562
RapAssist™ (Rapamune Patient Assistance Program)
Sanofi Pasteur P 1-877-472-7268 | F 1-800-378-7645 P 1-888-327-7787 | F 1-888-773-0121 P 1-877-798-8716
Wyeth Hemophilia Patient Assistance Program
P 1-888-999-2349 | F 1-703-310-2524 PriCara, Unit of Ortho-McNeil, Inc. Schering-Plough Corporation
Wyeth Oncology Patient Assistance Program
P 1-800-523-5870 | F 1-888-526-6615 P 1-888-638-6342 | F 1-866-836-0819 P 1-800-521-7157 P 1-800-652-6227 | F 1-888-526-5168 P 1-800-568-9938 P 1-800-656-9485 PhRMA companies have long been worldwide leaders not only in Bayer HealthCare Pharmaceuticals Cephalon, Inc.
The SUPPORT Program for Crixivan Reimbursement Support and
pharmaceutical innovation, but also in philanthropic initiatives—
P 1-800-582-7989 | F 1-877-408-4288
and their long-standing patient assistance programs are especially
P 1-877-322-4448 | F 1-866-639-5181 P 1-877-FENTORA (433-6867) P 1-800-850-3430
Compassionate Care (Fertility LifeLines™)
helpful. This Directory, www.PPARx.org and 1-888-4PPA-NOW P 1-866-538-7879 | F 1-781-681-2940 Merck/Schering-Plough Pharmaceuticals
(1-888-477-2669), further their goal of helping to make medicines
P 1-877-836-5724 | F 1-877-744-5615 P 1-866-209-7589
Merck/Schering-Plough Patient Assistance Program
Enzon Pharmaceuticals, Inc. P 1-800-347-7503
Enzon Pharmaceuticals Patient Assistance Program
Abbott Laboratories P 1-877-393-9071 | F 1-877-229-1421 P 1-800-675-8415 P 1-800-345-2252 Millennium Pharmaceuticals, Inc. P 1-800-222-6885 | F 1-866-898-1473 Genzyme Corporation P 1-866-VELCADE (835-2233) P 1-800-VIVITROL (848-4876)
Abbott Virology Patient Assistance Program
P 1-888-842-2937, option 7, option 3 | F 1-973-305-3545 P 1-800-745-4447, ext. 16634 Novartis Pharmaceuticals Corporation P 1-800-222-6885 | F 1-866-483-1305
Bayer Patient Assistance Program (Precose & Nimotop)
P 1-866-261-7730 GlaxoSmithKline P 1-800-277-2254 | F 1-866-470-1750 P 1-800-998-9180 P 1-800-448-6472 | F 1-866-323-0661 Daiichi Sankyo, Inc. P 1-866-728-4368 Boehringer Ingelheim Pharmaceuticals, Inc.
Ross Medical Nutritionals Patient Assistance Program
P 1-866-884-5906 | F 1-866-277-9335
Boehringer Ingelheim Cares Foundation, Inc. P 1-866-268-7327 P 1-800-222-6885 | F 1-866-483-1305 P 1-800-556-8317 | F 1-866-851-2827 P 1-866-265-6491 Eisai Inc.
Ross Metabolic Formula and Elecare Patient Assistance Program
P 1-866-884-5906 | F 1-866-277-9335 Bristol-Myers Squibb Company P 1-800-222-6885 | F 1-866-483-1305 P 1-800-523-5870 | F 1-800-526-6651 P 1-866-518-4357 | F 1-866-518-3994
Novartis Oncology Patient Assistance Program
P 1-866-884-5906 | F 1-866-277-9335 Janssen L.P. P 1-877-936-7527 | F 1-877-936-7528 P 1-800-861-0048 | F 1-888-776-2370 P 1-800-226-2072 | F 1-800-226-2059
Novartis Pharmaceuticals Patient Assistance Program
Bristol-Myers Squibb Patient Assistance Foundation, Inc. P 1-800-652-6227 | F 1-888-526-5168 P 1-800-277-2254 P 1-800-736-0003 | F 1-800-736-1611 P 1-866-272-8804 | F 1-866-272-8805 Johnson & Johnson Wound Management,
Novartis Patient Assistance Program for Transplant Products
P 1-888-436-2735 | F 1-888-508-8083
Bristol-Myers Squibb Patient Assistance Foundation, Inc. (Abilify®)
A Division of Ethicon, Inc. P 1-800-277-2254 | F 1-866-470-1750
Oncology Products (Ontak, Panretin, Targretin Capsules, Targretin Gel)
Safety Net Foundation® for Kineret and Sensipar
P 1-800-736-0003 | F 1-866-598-5561 P 1-866-613-4724 | F 1-866-573-4724 P 1-888-SN-AMGEN (762-6436) | F 1-800-981-6690 P 1-800-652-6227 | F 1-888-526-5168
Bristol-Myers Squibb Patient Assistance Foundation, Inc. (Oncology/Virology)
P 1-800-833-0166 | F 1-800-833-0168
Safety Net Foundation® for Oncology and Nephrology
P 1-800-736-0003 | F 1-866-694-2545 McNeil Pediatrics, A Division of McNeil-PPC, Inc. P 1-866-694-2550 | F 1-866-801-5631
Sandostatin LAR Patient Assistance Program
P 1-888-SN-AMGEN (762-6436) | F 1-877-727-2867
Bristol-Myers Squibb Patient Assistance Foundation, Inc. (Orencia®)
P 1-866-884-5906 | F 1-866-277-9335
(Products: Aranesp, Epogen, Kepivance, Neulasta, Neupogen, Vectibix)
Eli Lilly and Company P 1-800-652-6227 | F 1-888-526-5168 P 1-800-736-0003 | F 1-866-694-2545 Amylin Pharmaceuticals, Inc. MedPointe Healthcare, Inc.
Bristol-Myers Squibb Patient Assistance Foundation, Inc. (Sprycel®)
P 1-866-436-7836 P 1-877-862-4423 | F 1-866-899-8624 P 1-800-736-0003 | F 1-866-694-2545 P 1-800-330-7647 P 1-800-678-4657 Celgene Corporation P 1-800-545-6962 P 1-877-736-2778 | F 1-240-632-3815 Astellas Pharma US Inc. Merck and Co., Inc.
Patient Assistance Program for Organ Transplant
ACT (Accessing Coverage Today) for EMEND and ZOLINZA
Novo Nordisk Inc. P 1-888-423-5436, option 3 | F 1-800-822-2496 P 1-800-477-6472 P 1-877-795-4559 P 1-866-363-6379 | F 1-866-363-6389
Novo Nordisk Diabetes Patient Assistance Program
Centocor, Inc. P 1-866-310-7549 | F 1-866-441-4190 EMD Serono, Inc. P 1-800-477-6472
MS LifeLinesSM Patient Assistance Program
P 1-800-727-5400
Novo Nordisk Hormone Therapy Patient Assistance Program
P 1-866-489-5957 | F 1-866-489-5958 P 1-877-447-3243 | F 1-866-227-3243 P 1-866-668-6336 | F 1-866-441-4190 AstraZeneca Pharmaceuticals, LP P 1-800-506-3725
Novo Nordisk SevenSecure (for patients with inhibitors)
P 1-800-AZandMe (292-6363) P 1-888-628-6673 | F 1-800-528-5230 P 1-877-NOVO-777 | F 1-800-826-6993
Second Opinion for Mr. Peter Peterson Reason for Request: Mr. Peterson was told that he has an enlarged prostate by his physician, but no treatments were offered. Mr. Peterson wants to know what his options are. Disease History: Mr. Peterson is 55 years old. He has been having urination problems for a few years. His most troubling symptom is that he wakes 3 or more times a night to
Luminosity Acne Skincare Name:_______________________________________________ Birth Date:________ Age:_______ Phone #: ________________ Address:______________________________________________ City:_____________________ Zip Code:____________________ Email Address:____________________________ How did you hear about us? __________________________________________ HEALTH QUESTIONS: When did yo