HIV MEDICATION ASSISTANCE PROGRAMS
Most pharmaceutical companies provide patient assistance programs to individuals who are unable to
afford their HIV medications. These programs are generally for uninsured patients only and those who
qualify financially. Individuals should contact the manufacturer directly to see if they qualify for the
patient assistance program.
Several pharmaceutical companies have also implemented co-pay assistance programs, which may
cover all or part of the drug co-pay for many privately-insured patients, up to a specified amount, and
for a pre-determined period of time. Certain restrictions and eligibility requirements apply. Eligibility
requirements may vary from program to program. Once eligible, most companies will then provide you
with a co-pay card to submit to your pharmacy when filling your prescription.
Abbott: Positive Partnership PLUS Card—This program includes 12 months of co-pay savings and covers
Kaletra plus up to two other ARVs, no income or co-pay eligibility criteria. Patients can save up to $50
toward their Kaletra co-pay, plus up to $100 of the cost of other HIV medications (up to $50 for each
additional ARV with a limit of $100 total—must be part of a Kaletra regimen.) Patients must get their
card from their provider. Visit www.kaletra.com for more information. Norvir is currently not part of this
program.
Bristol-Myers Squibb: Reyataz and Sustiva Co-pay Benefit Program—covers Reyataz and Sustiva; for
high co-pays only. Patient responsible for first $50 plus any amount over $250. If healthcare provider
does not have card, patients can call 1-888-281-8981 or visit
www.bristolmyerscom/static/patient_assistance/data/programs
Bristol-Myers Squibb and Gilead Sciences: Atripla Co-pay Assistance Program—covers Atripla; for high
co-pays only. Patient responsible for first $50 plus any amount over $250. If healthcare provider does
not have card, patients can call toll-free 1-866-784-3431 and one will be mailed to them.
Gilead Sciences: Truvada Co-pay Assistance Program—Covers Truvada, Emtriva, and Viread. For high
co-pays only; kicks in above $50 and up to $200/month. If healthcare provider does not have the
card, patients can call toll-free 1-888-358-0398 and one will be mailed to them.
GlaxoSmithKline: MySupportCard—This is the easiest program to qualify for and to access, with no
income criteria. Card is valid for the amount of patient’s actual out-of-pocket cost up to a maximum of
$100 for each prescription. All GSK HIV drugs (Combivir, Epivir, Epzicom, Lexiva, Retrovir, Trizivir, and
Ziagen) are covered. Patients can get the card from their provider or print out the card online at www.
mysupportcard.com.
Merck: Isentress Patient Savings Coupon Program—Patients are responsible for the first $30 out-of-
pocket cost. The coupon provides savings towards your out-of-pocket cost over $30 up to a maximum
of $400 per prescription (regardless of the number of tablets supplied on the prescription) of
Isentress. Visit www.isentress.com or call toll-free 1-866-350-9232.
Tibotec: Tibotec Therapeutics Patient Savings Program—Covers Prezista and Intelence. Saves up to
80% of the amount of your actual out-of-pocket cost up to $100 per drug, per month. Patients can
visit www.prezista.com/prezista/patient_assistance.html or call toll-free 1-866-961-7169.
Pfizer does not offer co-pay assistance for HIV medications, however, they do provide reimbursement
assistance, appeals assistance, and patient assistance for Selzentry, Viracept and Rescriptor, and
also offer information on obtaining assistance with tropism testing. Call the Pfizer RSVP program at 1-
888-327-RSVP (7787) M–F, 9:00 am – 8:00 pm Eastern Time; fax 1-888-773-0121, or write to Pfizer
RSVP, PO Box 220574, Charlotte, NC. 28222-0574. For assistance with all other Pfizer medicines, call
Pfizer Helpful Answers (PHA) at 1-866-706-2400, or visit www.pfizerhelpfulanswers.com.
There may be medications in addition to HIV drugs that individuals must take to control side effects or
other conditions. To find patient assistance/ drug co-pay programs for these and other types of
drugs, visit www.needymeds.com.
afford their HIV medications. These programs are generally for uninsured patients only and those who
qualify financially. Individuals should contact the manufacturer directly to see if they qualify for the
patient assistance program.
Several pharmaceutical companies have also implemented co-pay assistance programs, which may
cover all or part of the drug co-pay for many privately-insured patients, up to a specified amount, and
for a pre-determined period of time. Certain restrictions and eligibility requirements apply. Eligibility
requirements may vary from program to program. Once eligible, most companies will then provide you
with a co-pay card to submit to your pharmacy when filling your prescription.
Abbott: Positive Partnership PLUS Card—This program includes 12 months of co-pay savings and covers
Kaletra plus up to two other ARVs, no income or co-pay eligibility criteria. Patients can save up to $50
toward their Kaletra co-pay, plus up to $100 of the cost of other HIV medications (up to $50 for each
additional ARV with a limit of $100 total—must be part of a Kaletra regimen.) Patients must get their
card from their provider. Visit www.kaletra.com for more information. Norvir is currently not part of this
program.
Bristol-Myers Squibb: Reyataz and Sustiva Co-pay Benefit Program—covers Reyataz and Sustiva; for
high co-pays only. Patient responsible for first $50 plus any amount over $250. If healthcare provider
does not have card, patients can call 1-888-281-8981 or visit
www.bristolmyerscom/static/patient_assistance/data/programs
Bristol-Myers Squibb and Gilead Sciences: Atripla Co-pay Assistance Program—covers Atripla; for high
co-pays only. Patient responsible for first $50 plus any amount over $250. If healthcare provider does
not have card, patients can call toll-free 1-866-784-3431 and one will be mailed to them.
Gilead Sciences: Truvada Co-pay Assistance Program—Covers Truvada, Emtriva, and Viread. For high
co-pays only; kicks in above $50 and up to $200/month. If healthcare provider does not have the
card, patients can call toll-free 1-888-358-0398 and one will be mailed to them.
GlaxoSmithKline: MySupportCard—This is the easiest program to qualify for and to access, with no
income criteria. Card is valid for the amount of patient’s actual out-of-pocket cost up to a maximum of
$100 for each prescription. All GSK HIV drugs (Combivir, Epivir, Epzicom, Lexiva, Retrovir, Trizivir, and
Ziagen) are covered. Patients can get the card from their provider or print out the card online at www.
mysupportcard.com.
Merck: Isentress Patient Savings Coupon Program—Patients are responsible for the first $30 out-of-
pocket cost. The coupon provides savings towards your out-of-pocket cost over $30 up to a maximum
of $400 per prescription (regardless of the number of tablets supplied on the prescription) of
Isentress. Visit www.isentress.com or call toll-free 1-866-350-9232.
Tibotec: Tibotec Therapeutics Patient Savings Program—Covers Prezista and Intelence. Saves up to
80% of the amount of your actual out-of-pocket cost up to $100 per drug, per month. Patients can
visit www.prezista.com/prezista/patient_assistance.html or call toll-free 1-866-961-7169.
Pfizer does not offer co-pay assistance for HIV medications, however, they do provide reimbursement
assistance, appeals assistance, and patient assistance for Selzentry, Viracept and Rescriptor, and
also offer information on obtaining assistance with tropism testing. Call the Pfizer RSVP program at 1-
888-327-RSVP (7787) M–F, 9:00 am – 8:00 pm Eastern Time; fax 1-888-773-0121, or write to Pfizer
RSVP, PO Box 220574, Charlotte, NC. 28222-0574. For assistance with all other Pfizer medicines, call
Pfizer Helpful Answers (PHA) at 1-866-706-2400, or visit www.pfizerhelpfulanswers.com.
There may be medications in addition to HIV drugs that individuals must take to control side effects or
other conditions. To find patient assistance/ drug co-pay programs for these and other types of
drugs, visit www.needymeds.com.
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