










 Payment Assistance
Alpha’s
Web Sites
Alpha
Atlas
Drug Assistance Programs
Any
of these early warning signs may signal his presence. This guide
may help you to identify a possible oncoming infection and afford
you the opportunity to seek out the appropriate treatment.
Drug Assistance
Programs 2
Grants
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Financial & Travel Assistance |
State
Pharmaceutical Assistance Programs
The following
states have programs with specific financial eligibility guidelines
that offer assistance with out-patient medications to senior citizens
andror persons with disabilities:
- Connecticut:
CONN PACE Program—CoMecticut Pharmaceutical Assistance Contract
to the Elderly and the Disabled, 800-423-5026
- Delaware:
The Nemours Health Clinic Program
New Castle
County—302-429-8050
Kent and Sussex
County—800-292-9538
- Illinois:
Pharmaceutical Assistance Programs, 800-624-2459 or 217-524-0435
- Maine:
Elderly Low-Cost Drug Program--800-773-7894
- Maryland:
Pharmacy
Assistance Program--800-492-1974
- New
Jersey: PAAD Program - Pharmaceutical Assistance to the
Aged and Disabled--800-792-9745
- New
York: EPIC Program—800-332-3742
- Pennsylvania:
PACE Program - Pharmaceutical Assistance Contract for the Elderly--800-225-7223
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Payment
Assistance
Ask
your doctor to call for information and paperwork.
- BACTRIM
Roche Labs 800-526-6367
- CALAN Searle
800-542-2526
- CARDIZEM
Aventis 800-552-3656
- DILANTIN
Pfizer 800-438-1985
- EPOGEN Amgen
Inc. 800-272-9376
- IMURAN/ZOVIRAX
Burroughs Wellcome 800-722-9294
- NEUPOGEN
Amgen Inc. 800-272-9376
- SANDIMMUNE,
Novartis Pharma 800-447-6673
- NEUROL,
VASOTEC, PRILOSCEC Merck,
Sharp & Dome 800-637-2579
- ZANTAC Glaxo
800-452-9677
- MICRONASE
Upjohn (616)323-6004
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Needymeds.com
The Place to Learn about Pharmaceutical Manufacturer’s Drug
Assistance Programs http://www.needymeds.com/.
Many pharmaceutical manufacturers have special programs to assist
people who can’t afford to buy the drugs they need. One problem
is that it’s often hard to learn about these programs. Our
goal is to make this information easily accessible. (See
also the National Transplant Patient Resources Directory, page 4,
for other contacts.) Have your physician enquire with the companies
below about reimbursement, grants, and special payment programs.
from a pamphlet distributed by American Preferred Plan:
- Drug
companies:
*
Abbott Laboratories/Ross Laboratories, (202)637-6889, (800)922-3255
* Adria Laboratories Inc. (614)764-8100
* Allergan Prescription Pharmaceuticals (800)347-4500, extension
6219
* Boehringer Ingleheim (203)798-4131
* Bristol-Myers Squibb (800)736-0003
* Burroughs-Wellcome (919)248-4418
* Ciba-Geigy (908)277-5849
* Eli Lily and Co. (317)276-2950
* Genentech Inc. (800)879-4747
* Hoechst-Roussel (800)776-4563
* ICI/Stuart (302)886-2231
* Immunex Corp. (206)587-0430
* Johnson & Johnson (Ortho Biotechnology) (908)704-5232
* Johnson & Johnson (Janssen Pharmaceuticals) (908)524-9409
* Norwich-Eaton (607)335-2079
* Pfizer Pharmaceuticals (800)869-9979
* Sanofi Winthrop (212)907-2000
* Schering-Plough (800)822-7000
* Sigma-Tau (800)999-6673
* SmithKline Beecham (Program 1: all pharmaceuticals) (215)751-5760
* SmithKline Beecham (Program 2: Eminase and Triostat) (800)866-6273
* Syntex Laboratories (800)822-8255
* Wyeth-Ayerst Laboratories (215)971-5604
- Other companies:
*
3M Pharmaceuticals 800-328-0255
* Alza
Pharmaceuticals 415-962-4243
* Astra
USA, Inc. 800-488-3247
* Berlex
800-423-7539
* Fujisawa
Prograf Patient Assistance Program - 800-477-6472
* Hoffman-LaRouche
800-526-6367
* Knoll
800-526-0710
* Lederle
800-526-7870
* McNeil
Pharmaceut. 800-682-6532
* Miles
800-998-9180
* Ortho
Pharmaceuitcals 800-682-6532
* Pharmacia,
Inc. 800-795-9759
* Proctor
& Gamble 800-448-4878
* Rhone-Poulenc
Rorer 610-454-8298
* Roxane
Labs 800-274-8651
* Serono
617-982-9000
* Survanta
Lifeline 800-922-3255
* Zeneca
Pharmaceuticals 800-424-372
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Grants
National
Resources Educational Information, Financial Grants, Fundraising
Information, Medication Grants Listed in alphabetical order
are agencies that may offer assistance with educational information,
financial grants, fund raising information, and medication grants.
In addition, the following letters are noted after each agency name
to indicate resources offered:
- AMERICAN
CANCER SOCIETY (E, M) 1599 Clifton Road Atlanta, Georgia
30329 800-227-2345 Non-profit health organization
that supports education and research in cancer prevention, diagnosis,
detection and treatment, with special services available to cancer
patients. Some chapters offer limited medication grants.
- AMERICAN
KIDNEY FUND (ELF) 6110 Executive Boulevard, Suite 1010
Rockville, Maryland 20852 800-638-8299 Non-profit health organization
that provides limited grants to needy dialysis patients, transplant
recipients and donors to help cover the cost of health-related
expenses, transportation, medications, etc. Provides information
and support for kidney donation and transplantation as well as
general education and information on kidney diseases.
- AMERICAN
LUNG ASSOCIATION (E) 1740 Broadway New York, New York
10019 800-LUNG-USA/800-586-4872 Non-profit, voluntary health
organization that offers information to people considering lung
transplant, and to those individuals who are at any point in the
lung transplant process. Callers can receive a fact sheet on lung
transplantation and a list of trans- plant centers nationwide.
This association can provide referrals to local support groups,
as well as contacts with other people who have had a lung transplant
or are waiting for a transplant.
- AMERICAN
ORGAN TRANSPLANT ASSOCIATION (AOTA) (E, FR)
3335 Cartwright Rd. Missouri Citys, Texas 77459 281-261-2682
Private, non-profit group that provides numerous services to recipients
and their families. Including airfare and bus tickets, advice
on fund raising and establishing trust funds. Will act as trust
fund, no administrative fees collected. AOTA publishes a newsletter
for members. Individuals needing airfare or bus tickets must be
referred by their transplant center.
- CHILDREN’S
ORGAN TRANSPLANT ASSOCIATION (COTA) (FR) 2501 COTA Drive
Bloomington, Indiana 47403 800-366-2682 cota@cota.org http://www.cota.org
National, non-profit agency helps organize local
community in fund raising for the individual family in order to
assist with pediatric transplants and related expenses. COTA also
assists adults. All funds raised go to the individual, no administrative
fees collected.
- THE
NATIONAL HEART ASSIST AND TRANSPLANT FUND (E,F,FR) 519
West Lancaster Avenue, PRO. Box 163 Haverford, Pennsylvania 19041
800-NHATF99/800-642-8399 Private, non-profit group dedicated to
providing financial, social and emotional support to patients
needing heart, heartalung, or lung transplants and their families.
NHATF provides modest grants for transplant related costs. Provides
information on centers, support groups, and materials.Individuals
may establish regional restricted funds through NHATF. Assists
heart, heartalung, and lung transplant patients with fund raising
by providing expertise and by acting as a trust fund for monies
raised.
- National
Organization for Rare Disorders
(NORD),INC. (E,M) P. O. Box 8923 New Fairfield, Connecticut 06812-2783
800-447-6673/203-746-8958 http://www.rarediseases.org.
Serves as a clearinghouse for information for over 5,000 rare
disorders. This information is clearly written for the lay person.
NORD can also connect patients with the same or similar illnesses
with each other. Unfortunately, we don't manage the Sandoz drug
assistance program anymore. However, you can contact Novartis
(formerly Sandoz) at: 1-888-455-6655. Please contact us if we
can be of any further assistance. Sincerely, NORD Information
Services.
- ORGAN
TRANSPLANT FUND, INC. (FR, M) National Office
1027 South Yates Road Memphis, Tennessee 38119 800-489-3863 Offices
located in selected states. Assists candidates/recipients nationwide
in obtaining transplants and after care, as well as providing
essential support and referral services. Provides clients with
fund raising expertise and materials and assures that funds raised
are properly dispersed. Limited emergency grants available for
medications of not longer than 3 months duration. Administrative
fee collected.
- PHARMACEUTICAL
MANUFACTURERS ASSOCIATION (M) 1100 Fifteenth Street NW
Washington, DC 20005 This
association publishes the Directory of Prescription Drug Indigent
Programs from information provided by member companies. The
directory currently lists 59 programs alphabetically by company.
Each entry details how to apply, drugs that are covered, and basic
eligibility requirements. A free copy may be obtained by writing
to PMA, at the above address. The request must be received on
physician, health-care professional or agency letterhead.
- THE
TRANSPLANT FOUNDATION (E, M) 8002 Discovery Drive, Suite
310 Richmond, Virginia 23229 804-285-5115 National, non-profit
volunteer organization providing grants to post transplant recipients
to offset the costs of immunosuppressive medications. The number
of individuals who can receive assistance and the grant amounts
are determined by total contributions received each year. The
Foundation serves as a national clearinghouse for information,
as well as an advocate for the rights of transplant recipients.
- Transplant
Recipients International Organization (TRIO) http://www.trioweb.org . 1735 I St.
NW Suite 917 Washington DC 2006 (800) TRIO-386, (202) 293-0980,
fax (202) 293-0973. TRIO is an independent non-profit international
organization committed to improving the quality of life of transplant
candidates, recipients, andm their families. TRIO, through a network
of local chapters, serves its members in the areas of support,
advocacy, awareness and education. TRIO awards $1,000 scholarships
annually to transplant recipients wishing to pursue post-secondary
education. Clearinghouse for educational materials. Referrals
made to local chapters. World Children's Transplant Fund http://www.wctf.org/.
- The
World Children’s Transplant Fund (WCTF) 16000 Ventura
Blvd. Suite 103 Encino, California 91436 Phone: (818) 905-9283
Fax: (818) 905-9315 E-Mail to: info@wctf.org is a unique and special
organization. Our mission is to provide as many opportunities
as possible for lifesaving pediatric transplant surgery to children
of the world. Our goal is to assist nations in developing and
then sustaining independent pediatric organ transplant programs.
Coordinating and sharing of our medical resources enables children
of lesser developed countries access to the chance which children
of the United States routinely have...the chance for life. The
Strategy of the World Children's Transplant Fund focuses on developing
World Children's Transplant Centers attached to preexisting medical
facilities in each of the selected site locations.
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Financial
and Travel Assistance
- Air
Care Alliance http://www.aircareall.org/ The
Air Care Alliance is a nationwide association of humanitarian
flying organizations dedicated to community service. Using their
own time and general aviation aircraft, pilot members of these
organizations help hundreds of people each month. ACA members
help needy patients travel to facilities where they are able to
receive medical attention they would otherwise do without. There
is an Air Care Alliance member near you. Call the AIR CARE ALLIANCE
Hotline: 1-800-296-1217.
- AIRLIFELINE
AirLifeLine is a non-profit charitable organization
of private pilots nationwide who donate their time, aircraft,
and fuel to fly medical missions. To be considered for an AirLifeLine
flight, patients must be ambulatory and medically stable to fly,
as determined by a doctor. Also, they must be unable to afford
a commercial flight. This can be verified by a social worker,
a referring physician, or organization. If you'd like more information,
have your social worker or doctor call AirLifeLine at 800-446-1231.
If you'd like to make a contribution to AirLifeLine or know a
pilot who is interested in flying missions, call Air Life Line
or write: AirLifeLine, 1716 X Street, Sacramento, CA 95818.
- ARIZONA
HEALTHCARE COST CONTAINMENT SYSTEM (AHCCCS) (State
funded Medically Indigent / Medically Needy Healthcare Insurance)
Hours are 8 AM - 5 PM, Monday thru Friday. The main switchboard
phone number is (602) 254-5522. If calling on a rotary phone or
need Spanish translation, call (602) 234-3655. Certain restrictions
apply - call for info.
- THE
BARBARA ANNE DEBOER FOUNDATION Individual
Fund-Raising Program. Help is available for planning a campaign,
and managing the donations to insure full availability to you
and full tax credit to those who donate. For information about
this program call 1-800-895-8478.
- PediaHope
acts as an advocate in behalf of families with children
in catastrophic medical situations. PediaHope's mission is to
intercede with hospitals, physicians and insurers to resolve funding
issues. The focus of PediaHope is to remove barriers keeping children
from receiving urgent medical care. This includes placement on
organ and bone marrow transplant lists, cancer treatment, reconstructive
surgery and other major medical procedures. Krasi
Henkel, director, pediahope@juno.com phone:(703) 757-HOPE
fax: (304)728-0317
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