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Patient Assistance Program Eligibility Criteria and Medicare Part D

Will your Medicare patients be eligible for Patient Assistance Programs?
Updates are made as they are received. Last updated Apirl 8, 2011.

No Medicare Patients may apply for PAPs

Acorda

Alaven

American Regent

Arch

Auxilium

Axcan

Bausch & Lomb

Baxter

Cangene

Cephalon

CSL Behring

Cubist
Ecr

Eisai (Part D see below)

Eurand

EUSA

Ferndale

Grifols

Lundeck

Mallinckrodt (Part D below )

MEDA (see below)

MedImmune

Nutricia North America

Ocusoft

Organogenesis

Purdue

Reckitt-Benckiser

Romark

Sanofi Pasteur

Sunovion

The Medicine Company

Three Rivers

Triax

Valeant (Part D see below)

Watson

Medicare Patients without a Part D plan may apply for PAPs

Amgen (Part D see below)

Amylin

Astellas Pharma (Part D see below)

AstraZeneca (Part D see below)

Bayer

Boehringer Ingleheim (Part D see below)

Daiichi Sankyo

Eli Lilly (Part D see below)

Genzyme (Part D see below)

Graceway

Intermune

King

Novo-Nordisk (Part D see below)

Sigma Tau

Strativa

Teva

Ucyclyd Pharma (case by case)

Wellspring

All Medicare Patients may apply for PAPs

Abbott *

Accredo

Actelion (Part D only)

Alcon

Alexion (case by case review)

Allergan*

Ascend

AstraZeneca-Part D enrollees use AZ & Me Savings Programs for people with Medicare Part D

Beach

Biogen (case by case)

BioMarin(case by case)

Boehringer Ingleheim-Part D enrollees use Patient Assistance Program for Medicare Beneficiaries

Bristol Myer Squibb*

Celgene

Cetylite

Columbia

Cornerstone

Dendreon Corporation

Diplomat Pharmacy

EMD Serono (case by case)

Endo

Eyetech

Forest (denial letter needed)

Fresenius

Galderma

Genentech

Gilead*

GlaxoSmithKline-Part D enrollees use GSK Access program

Glenwood- (case by case)

GTX

Johnson & Johnson*

Lundbeck

Mallinckrodt case by case

Merck*

Merck/Schering Plough *

Millenium (case by case)

NitroMed

Novartis

Pfizer* (Some medications may not be available to Part D enrollees)

Salix (Part D if med not covered)

Sanofi-Aventis (Appeal process for Medicare enrolled, financially-needed patients who have a life threatening condition confirmed by physician)

Shire

SOBI (Part D if med not covered)

Stiefel

Takeda*

UCB

URL

Validus (case by case)

ViiV Healthcare

Viropharma
Wyeth (Part D enrollees must submit a hardship letter or LIS denial letter)

Amgen- Sensipar and Enbrel only

Astellas Pharma - Prograf and Amevive

Eisai - Aricept only

Eli Lilly - Zyprexa, Forteo and Humatrope only through LillyMedicareAnswers


Genzyme - Renagel only through Renagel Part D PAP

Jazz-xyrem case by case, Luvox Cr point of sale discount card

MEDA-patients in Donut Hole may be considered

Novo-Nordisk-patients in Donut Hole may apply

Questor (Part D only)

Valeant - Only if drugs not in patient's Part D plan; Part D enrollees ineligible for Infergen PAP

LIS = Low-Income Subsidy within Part D
*Will consider allowing some Part D enrollees to apply for PAPs; contact the company for more information.

If you should have additional information about a pharmaceutical company's response to Medicare Part D and its PAP, please contact us.

 

 

 
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