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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 877-505-6986 / 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 877-505-6986 / edurant-info.com 800-226-2056 / jjpaf.org Patient pays $5, then covered up to $100 per prescription per month. 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 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.
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: patient pays first $5, then up to $100 a month per month per prescription. 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. 866-350-9232 / 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 or online.
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: patient pays first $5, then covers up to $100 per month per prescription. 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 (AZT or 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 888-477-2669 / bms.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   888-281-8981 / sustiva.com 888-477-2669 / 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 and Videx EC (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 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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