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HIV Co-Pay & Patient Assistance Programs*

*By law residents of the state of Massachusetts
are not eligible for drug co-pay programs.
Drug COMPANY CO-PAY PROGRAM PATIENT ASSISTANCE DETAILS
Aptivus Boehringer Ingelheim N/A 800-556-8317 / needymeds.org Patient assistance program only.
Atripla Bristol-Myers Squibb and Gilead 866-784-3431 / atripla.com 866-290-4767 atripla.com Co-pay program covers up to $200 per month per prescription. Card available through provider.
Combivir ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842 / viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Complera Gilead and Janssen Therapeutics 877-505-6986 / compl era.com 800-226-2056 / complera.com Co-pay program covers up to $200 per month per prescription. Card available through your provider.
Crixivan Merck & Co. N/A 800-850-3430 merck.com/merckhelps Patient assistance program only.
Edurant Janssen Therapeutics 866-961-7169 / edurant-info.com 800-652-6227 / jjpaf.org Co-pay program: Patient pays only first $5, then unlimited coverage on co-pays. Call toll-free number or go to jjpaf.org.
Emtriva Gilead Sciences 877-505-6986 / truvada.com 800-226-2056 / truvada.com Co-pay program covers up to $200 per month per prescription. Card available through provider.
Epivir
(lamivudine)
ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842 / viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription for Epivir. Card available through provider, or you can print the card online. Available as generic.
Epzicom ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842 / viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Fuzeon Genentech/Roche N/A 877-757-6243 / fuzeon.com Patient assistance program only. Also go to genentech.com.
Intelence Janssen Therapeutics 866-961-7169 / intelence-info.com/ 800-652-6227 / jjpaf.org Co-pay program: Patient pays only first $5, then unlimited coverage on co-pays. Call toll-free number or go to jjpaf.org.
Invirase Genentech/Roche N/A 877-757-6243 / genentech.com Patient assistance program only.
Isentress Merck & Co. 888-204-3713 / isentress.com 800-850-3430 / isentress.com Co-pay program covers up to $400 per month per prescription. Get the card from your provider or you can print the card online.
Kaletra Abbott Laboratories 800-441-4987 / kaletra.com 800-222-6885 / kaletra.com Co-pay program covers up to $50 per month plus up to $50 off up to two other HIV meds that are part of a Kaletra regimen. Card available through provider.
Lexiva ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842 / viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Norvir Abbott Laboratories 800-441-4987 / norvir.com 800-222-6885 / norvir.com Co-pay program covers up to $50 per month per prescription. Card available through provider. See abbottpatientassistancefoundation.org for patient assistance program.
Prezista Janssen Therapeutics 866-961-7169 / prezista.com 800-652-6227 / jjpaf.org Co-pay program: Patient pays first $5, then rest of co-pay is covered; no cap. Call toll free number or go to jjpaf.org.
Rescriptor ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842/  viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Retrovir
(zidovudine)
ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842/  viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Reyataz Bristol-Myers Squibb 888-281-8981 / reyataz.com 888-281-8981 / rayataz.com Co-pay program covers up to $200 per month per prescription.
Card available through provider or by calling the toll free number.
Selzentry ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842 / viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Sustiva Bristol-Myers Squibb 888-281-8981 / sustiva.com 888-281-8981 / bms.com Co-pay assistance covers up to $200 per month per prescription. Card available through provider, or by calling toll free number.
Trizivir ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842 / viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Trofile assay for Selzentry Monogram Biosciences N/A 877-436-6243 monogramvirology.com Tropism testing for Selzentry. Gateway patient assistance program for uninsured and underinsured.
Truvada Gilead Sciences 877-505-6986 / truvada.com 800-226-2056 / truvada.com Co-pay program covers up to $200 per month per prescription. Card available through provider.
Videx EC and Videx
(didanosine)
Bristol-Myers Squibb N/A bms.com No company co-pay or patient assistance program for Videx. Available as generic.
Viracept ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842 / viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
Viramune XR and Viramune Boehringer Ingelheim 877-411-8641 / viramunexr.com 800-556-8317 / needymeds.org Co-pay program covers up to $100 per month for Viramune XR. Get MasterCard debit card from provider.
Viread Gilead Sciences 877-505-6986 / truvada.com 800-226-2056 / truvada.com Co-pay program covers up to $200 per month per prescription. Card available through provider.
Zerit
(stavudine)
Bristol-Myers Squibb N/A bms.com No company co-pay or patient assistance program for Zerit. Available as generic.
Ziagen ViiV Healthcare 888-825-5249 / mysupportcard.com 877-784-4842 / viivhealthcareforyou.com Co-pay program covers up to $100 per month per prescription. Card available through provider or you can print the card online.
         

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