I thought that I had previously posted this, couldn't find it in the archive,
so here it is.
 
Indigent Drugs
Prepared by the Staff of the Special Committee on Aging, United
States Senate, Senator David Pryor, Chairman
August 1994
This list was updated as of October 1994 by E. Loren Buhle, Jr. Ph.D
I recommend you use your SEARCHING tool in your word processor to
find either the drug or the pharmaceutical company.
 
The following drug companies have programs that will allow your patients to
receive free prescription drugs.
 
Each drug company offers about the same program. Some are a little different.
What it amounts to is either you, or the patient call the representative I
have
listed and request information on how to get signed up for their Indigent
Patient Program. The drug company will then send either you or the patient the
forms to fill out.
 
There are maybe 10 questions on each form. It is very simple. You send the
form
back with a prescription for the drugs, in the name of the patient, and they
mail you back a three month supply. Just pick up the phone and call the
patient
to come pick them up at your office.
 
 
Adria Laboratories
Contact: Adria Laboratories Patient Assistance program
P.O.Box 9525
McLean VA 22102
Phone: 1-800366-5570
 
Drugs Available:
Adriamycin PFS
Adrucil
Folex
Idamycin
Neosar
Tarabine
Vincasar
 
Two months supply. Physician must certify patient is unable to afford
the cost of the drug, and is unable to obtain assistanc elsewhere.
 
 
Allergan Prescription Pharmaceuticals
Contact: Judy McGee 1-800-347-4500 ext. 4280
 
Drugs Available:
Betagan
Bleph-10
Blephamide
FML
HMS
Oculinium
Pilogan
Propine
other OTC tear products
 
Course of therapy, up to a maximum of 6 months supply. Eligibility
criteria are at the physician's descretion.
 
 
Amgen, Inc.
Contact: Amgen Safety Net Programs
Medical Technology Hotlines: 1-800-272-9376 (202-637-6698 in
Washington, D.C.)
 
Drugs Available:
Epogen
Neupogen
 
Amgen's program consists of a universal patient program and a variable
cap prograam for uninsured patients. Enrollment in the program is based
on a patient's insurance and financial status.
 
 
Astra
Contact: F.A.I.R. (FOSCAVIR Assistance and Information on
Reimbursemebt)
1-800-488-3247
 
 
Foscavir (Foscarnet Sodium)
 
The physician must sign and  complete the application and return it
within seven days to the address indicated on the form. The
qualification form must also be accompanied by a signed prescription.
 
 
Boehringer Ingleheim Parmaceuticals, Inc.
Contact: PARTNERS IN HEALTH
1-800-556-8317
Products Available:
Persantine
Atrovent
Alupent
Catapres
 
Controlled substances are not covered. Maximum of three months. Patient
cannot have prescription coverage, cannot be eligible for Medicaid/State
assistance programs, and must meet annual income guidelines. Physician
must initiate request.
 
 
Bristol Myers Squibb #1
(General Indigent Patient Program)
Contact: Bristol-Myers Indigent Patient Program
P.O. Box 9445
McLean, VA 22102-9998
1-800-736-0003
1-703-760-0049 (FAX)
 
Products Available:
Duricef
Cefzil
BuSpar
Desyrel
Estrace
Ovcon-35
Ovcon-50
Natalins
Natalins RX
Vagistat-1
Mycostatin
 
Three months' supply. Physician's request.
 
 
Bristol Myers Squibb #2
(Cardiovascular Access Program)
Contact: Bristol-Myers Cardiovascular Access Program
P.O. Box 9445
McLean, VA 22102-9998
1-800-736-0003
1-703-760-0049 (FAX)
 
Products Available:
Capoten
Capozide
Corgard
Corzide
Klotrix
K-Lyte
Monopril
Naturetin
Pravochol
Pronestyl-SR
Questran Light
Ranzide
Saluron
Salutensin
Vasodilan
Betapen-VK
 
Three months' supply. The patient must work through an enrolled
physician, cannot be eligible for any other sources of drug coverage,
such as Medicaid, or private insurance, and must be deemed financially
eligbile, as determined by "means" and "liquid assets" tests.
 
 
Bristol Myers Squibb #3
Cancer Patient Access Program
Contact: Bristol-Myers Squibb
2400 West Lloynd Expressway
Evansville, IN 47721
Mail Code R-22
1-800-437-0994
Products Available:
BICNU
CEENU
Lysodren
Mutamycin
Mycostatin Pastilles
Paraplatin
Planitol
Planitol-AQ
VePesid
Blenoxance
Cytoxan
Lyophilized Cytoxan
Ifex
Mesnex
Megace
 
Two months' supply. Internal financial screening on a case-by-case
basis.
 
 
Burroughs-Wellcome
Contact Patient Information Services
Burroughs-Wellcome Co.
P.O. Box 52035
Phoenix AZ85072-9349
1-800-722-9294 (Program Enrollment)
 
Products Available:
Septra
Septra DS
Lanoxin
Mepron
AZT (Retrovir)
Zovirax
Zyloprim
Imuran
Wellcovorin
 
The products are available in a 30-day supply, with a maximum of 90 days
therapy. Eligibility criteria that have to be met:
Gross monthly income must be less than 200% of Federal poverty
guidelines.
All applications will be reviewed within establish criteria and on a
case-by-case basis.
Patients must be residents of the United States or territories.
All alternative funding sources must be investigated.
All required information must be provided for consideration of
eligibility.
Patients may be approved (occasionally) by exception if extreme
extenuating circumstances exist.
 
 
 
Ciba-Geigy Pharmaceuticals
Contact: Jackie LaGuardia, Senior Information Assistant
Ciba-Geigy Corporation
556 Morris Ave, D2058
Summit, NJ 07091
1-800-257-3273
All the company's products (including those distributed by Basal and
Summit) are covered under the program, which include:
Lopressor
Lotensin
Lioresal
Slow K
Tegretol
Voltaren
Brethine
Estraderm
Transderm Nitro
 
Ritalin and Rimactane are controlled substances and are not covered.
Up to a 3 months supply available.
 
 
Du Pont Merck
Contact: Darlene Samis
Du Pont Pharma
P.O. Box 80026
Wilmington, DE 19880-0026
1-800-474-2762
1-302-234-4327
Drugs Covered:
Coumadin
Lodosyn
Sinemet
Sinemet CR
Symmetrel
Trexan
Vaseretic
 
Controlled substances are not covered, which include Percodan and
Percocet. Thirty days' supply. The patient must be indigent and
ineligible for a Federal or State Government pharmaceutical assistance
program.
 
Genentech, Inc
Contact: Genentech Reimbursement Hotline
P.O. Box 2586
S. San Francisco, CA 94083-2586
1-800-530-3083
Products Available:
Protropin (Human Growth Hormone)
Activase (TPA, Tissue Plasminogen Activator)
Actimmune (Interferon Gamma-1b)
Nutropin
Pulmozyme
 
Quantity provided and eligibility requirements are variable. Patients
are asked to provide sufficiently detailed information to assure the
company that they are uninsured and cannot afford the required payments.
(For Activase: If an uninsured patient has a gross family income of
$25,000 or less, the company provides replacement product to the
hospital.)
 
 
Glaxo, Inc.
Contact: Laura N. Wright, Supervisor
Glaxco Indigent Patient Program
Glaxco, Inc.
P.O. Box 13438
Research Triangle Park
NC27709
1-800-452-9677
1-919-248-7971 (FAX)
Products Available:
Zantac
Ceftin
Ventolin
Beconase
Beconase AQ
Trandate
Maximum three months' supply. Patient must be a private outpatient
whom the physician considers medically indigent and who is not eligible
for any other third-party reimbursement.
 
 
Hoechst-Roussel, Pharmaceuticals, Inc.
Contact: Joyce Trotter, Field Forest Development
1-800-422-4779
Products Available:
Prokine (Sargramostim)
Lasix
Trental
Diabeta
 
Must show lack of insurance or ability to pay. The company indicated
that it provides other products to indigents upon receipt of a
prescription and a physician's letter certifying that the patient is
indigent. Eligibility is on a case-by-case basis. This policy covers
patients who are ineligible for a third-party payer or Medicaid coverage.
One course of therapy (usually two to three weeks).
 
 
Hoffman-LaRouche, Inc.
Contact: Inge Shanahan
Medical Communications Associate
Roche Laboratories
340 Kingsland Street
Nutley, NJ 07110
1-800-526-6367
Teleprompter #2
201-235-2765 (FAX) They do not accept FAXed applications.
Products Available: All products are covered including
Valium
Librium
Limbritol
Dalmane
Hivid
Bactrim
Bactrim DS
Klonopin
Efudex (Fluorouracil Injectible)
Gantrisin
Gantanol
Interferon 2-A Recombinate
Rocephin Injectible
Rocaltrol
 
Three months' supply. Eligibility limited to private practice
outpatients who are considered by the physician to be medically indigent
and who are not eligible to receive Roche drugs through any other
third-party reimbursement program. The physician's signature and DEA
number are required for all applications, whether or not the request is
for a controlled prescription drug. Drugs are shipped to registered DEA
addresses only.
 
 
Immunex Corporation
Contact: Professional Services Immunex Corporation
1-800-Immunex or 1-800-466-8639
206-587-0430
1-800-221-6820 (FAX)
Products Available:
Leukine 250 mcg
Leukine 500 mcg
Hydraea
Rubex
 
Three cycles. Physician must attest that the patient requires the drug
and that all the reimbursement options for the patient have been tried.
 
 
Janssen Parmaceutica #1
Contact: Professional Services Department
Janssen Pharmaceutica Inc.
1125 Trenton-Harbourton Road
P.O. Box 200 Office A32000
Titusville, New Jersey 08560-0200
1-800-526-7736
Products Available:
Ergamisol (Levamisole HCL)
Hismanal
Alfenta
Sufenta
Sublimaze
Risperdal (1-800-652-6227)
 
Varies by product, patient condition. Physician determines that patient
is indigent and not eligible for health insurance. Physicians may
request free medications by written or telephone requests, accompanied
by a signed and dated prescription and letter stating financial status
and need of the patient.
 
 
Janssen Parmaceutica #2
Contact: Janssen Patient Assistance Program
1800 Robert Fulton Drive
Reston, VA 22091
1-800-544-2987
Products Available:
Ergamisol (Levamisole HCL)
Nizoral
Sporanox
Duragesic
 
One or two months supply, varies by product. Patient must have less than
$25,000 total annual household income and can have Medicare or private
insurance, but cannot have prescription coverage.
 
 
Knoll Pharmaceuticals
Contact: Knoll Pharmaceuticals
Indigent Patient Program
30 N. Jefferson RD.
Whippany, N.J. 07981
1-800-524-2474
Drugs Available:
Isoptin
Rythmol
Santyl
Zostrix
Patients can enroll in the Heart-in Harmony program to receive
educational information. Contact the local company sales representative,
or call the patient help line.
 
Lederle Laboratories
Contact: Jerry Johnson, Pharm. D., Director
Induxtry Affairs
American Cyanamid, Inc.
One Cyanamid Plaza
Wayne, New Jersey 07470
1-800-533-2273
1-201-831-4484 (FAX)
Drugs Available:
Diamox
Artane
Mincoin
Leucovorin
Calcium Loxapine
Verelan
Rheumatrex
Maxzide
MyambutolPhysician has tomake the request. Patients have to be
financially indigent, and not eligible for coverage under third party
insurance or Medicaid reimbursement.
 
Eli Lilly, Inc.
Contact: Indigent Patient Program Administrator
Eli Lilly and Company
Patient Assistance Program
P.O. Box 9105
McLean, VA 22102-0105
1-800-545-6962
Products Available:
Ceclor
Keflex
Prozac
Dymelor
Axid
along with all insulin products such as Humulin and Iletin
 
This program does not cover controlled substances, which include Darvon
and Darvocet products. Quantities are dependent on the product and the
physician's instructions. Patient eligibility is determined on a
case-by-case basis in consultation with the prescribing physician.
Patients are not required to complete enrollment forms. Physicians are
asked to submit a written request containing specific information.
 
 
Marion-Merrell Dow, Inc.
Contact: Indigent Patient Program
P.O. Box 8480
Kansas City, MO 64114
1-800-362-7466
Products Available:
Cardizem
Cardizem SR
Cardizem CD
Carafate
Pavabid
Seldane
Seldane-d
Nicorette
Rifidin
Quinamm
Lorelco
Three months' supply. The physician determines whether the patient
is eligible for the program.
 
 
McNeil Pharmaceutical
Contact: Thomas Schwend, Manager
Medical Information
McNeil Pharmaceutical Corporation
P.O. Box 300
Route 202 South
Raritan, NJ 08869-0602
902-218-6894Products Available:
Pancrease
Parafon Forte DSC
Haldol
Vascor
Tolectin
Varies by product, patient condition. Physician determines the patient
is indigent and not eligible for health insurance. Physicians may
request free medications by written or telephone request, accompanied by
a signed and dated prescription and letter stating financial status and
need of patient.
 
Merck, Sharp, and Dohme
Contact: Complimentary Products Program
Merck and Co., Inc.
P.O. Box 106634
Atlanta, GA 30348
1-800-637-2579
 
Products Available:
Mevacor
Plendil
Pepcid
Prilosec
Prinivil
Proscar
Timoptic
Timolol
Clinoril
Flexeril
Periactin
Noroxin
Cogentin
Indocin
Aldomet
Dolobid
Vasoretic
Vasotec
No injectibles. Requests for three months' supply are generally
honored. The patient's physician must:
provide awritten statement of medical needindicate the existence
of financial hardshipindicate the lack of patient eligibility for
prescription coverage from insurance or government assistance
programs Physician must also send a signed and dated written
prescription with doctor's DEA number.
 
 
Miles Pharmaceuticals
Contact: Professional Services
Attention: Miles Indigent Patient Program
400 Morgan Ave
West Haven, Connecticut 06516
1-203-937-2373
Products Available:
Cipro
Nimotop
Tridesilon Cream
Medication quantities and duration of support is determined on a
case-by-case basis. Physician must certify that the patient is not
eligible for or covered by government funded reimbursement or insurance
programs for medication. Patient's income must be below federal poverty
lines.
 
 
Ortho Biotechnology
Contact: Jacob Drapkin, Director
Health Care Systems
Ortho Biotech Financial Assistance Program
1800 Robert Fulton Drive
Reston, VA 22091
908-704-5074
908-526-4997 (FAX)
Assistance Program is for:
PROCRIT (Epoetin alfa)
LEUSTATIN (cladribine) Injectible
Program Criteria:
Financial Assistance Program (FAP) 1-800-447-3437 provides PROCRIT
therapy free of charge to any qualifying nondialysis patient who cannot
obtain insurance coverage, is uninsureed or cannot afford the cost of
their treatment.
Cost Sharing Program 1-800-441-1366 limits the annual cost of
PROCRIT expenditures for a patient exceed approximately $8,500 for a
calendar year, regardless of third party coverage.
LEUSTATIN Financial Assistance Program 1-800-447-3437 provides
LEUSTATIN therapy free of charge toall persons who meet specific
criteria and lack financial resources and third-party insurance
necessary to obtain treatment.
 
Parke-Davis
Contact: Indigent Patient Program 201-540-2000
Products Available: All products except Centrax, those available include:
Dilantin
Mandelamine
Accupril
Pyridium
Nitrostat Sublingual
Tabrom
Ponstel
Procan
Anusol HC
Zarontin
 
All applications are taken over the phone. To apply, patient or doctor
calls Parke Davis with the following information:
Doctor's full name:
address:
phone number:
Patient's name:address:phone number:financial status:
 
 
Pfizer Pharmaceuticals, Inc #1
Contact: Mark Clark
Pfizer Indigent Patient Program
P.O. Box 25457
Alexandria, VA 22314
1-800-646-4455
 
Products Available:
Antivert
Marax
Diabinese
Cardura
Minizide
Navane
Sinequan
Zithromax
Feldene
Procardia
Procardia XL
Vibramycin
Vistril
Zoloft
Minipress
Minizide
Glucotrol
 
Up to three months' supply at one time, as prescribed by the physician.
Any patient that a physician is treating as indigent is eligible.
Patient must not be covered by third-party insurance or Medicaid.
Usually three to four weeks to receive medication. Refills are available
upon request by doctor.
 
 
Pfzier Inc, Program #2: Roerig Division
Contact: Diflucan Patient Assistance Program
1-800-869-9979
Product Covered:
Diflucan
 
Up to three months' supply at one time and then can reapply. Patient
must not have insurance or other third-party coverage. Patient must not
be eligible for a state AIDS drug assistance program. Patient must have
anincome of less than $25,000 a year without dependents; or less than
$40,000 a year with dependents.
 
 
Proctor & Gamble Pharmaceuticals, Inc
Contact: Customer Service
17 Eaton Avenue
Norwish, NY 13815
1-800-448-4878
1-607-335-2998 (FAX)
Products Available:
Asacol
Dantrium
Macrodantin
The quantity varies depending upon the situatin, but at least a one
month supply can be obtained upon receit of a physician's prescription.
The company relies on the physician's appraisal of the patient need. The
company also helps the patient identify other sources of financial help
to pay for the patient's medications.
 
R&D Laboratories
R&D Laboratories, Inc.
4094 Glencoe Avenue
Marina del Ray, California 90292
1-800-338-9066
Every R&D Laboratories pharmaceutical nutritional supplement has a
special Indigent Patient Program sticker. Patients bring the sticks from
their bottles of R&D products with them when they come to the dialysis
unit. Stickers are attached to the back of a booklet supplied by the
company and the completed booklet is returned to R&D Laboratories. For
every 12 stickers we receive from a unit, R&D sends nutritional product
of facility's choice for free distribution to indigent patients.
 
 
Sandoz Parmaceuticals, Inc.
Contact: Maria Hardin, Director
Sandoz Drug Cost Sharing Program
P.O. Box 8923
New Fairfield, CT 06812-1783
1-800-447-6673 (for all drugs)
1-800-937-6673 (for Clozaril)
The National Organization for Rare Disorders (NORD)/Sandoz Drug Cost
Share Program (DCSP) is solely administered by NORD.
Products available:
Sandimmune
Sandoglobulin
Sandostatin
Parlodel
Eldepryl
Clozaril (under a separate program)
 
Patient is awarded up to one year's supply of drug, which is shipped in
three month supplies via the mail-order pharmacy utilized by the
program. Clozaril-Patient is eligible to receive up to one year's supply
of the drug, dispensed only one week at a time, per dispensing
requirements of package label. NORD determines eligibility by medical
and financial criteria, and applies a cost share formula. The
patient/applicant must demonstrate financial need above and beyond the
availability of Federal and State funds, private insurance, or family
resources. NORD also determines patient eligibility for Clozaril
program.
 
Sanofi Winthrop Pharm, Inc.
Contact: Sanofi Winthrop
Product Information Department
90 Park Avenue
New York, NY 10016
1-212-907-2000
1-800-446-6267 (Push #1 twice when automated answering machine picks
up
Products Available:
Aralen
Danocrine
Winstrol
 
One unit or one month supply, as requireed. Subject to acceptance by the
company, patients can obtain medications by having their physician
contact the company to request the product, provide a written order for
the product, and confirm the patient's need.
 
 
Schering-Plough
Contact: For Intro/Eulexin Products:
Roger D. Graham Jr.
Marketing Manager
Oncology/Biotech
Service Program
Schering Laboratories
2000 Galloping Hill Road
Building K-5-2B2
Kenilworth, NJ 07033
For othe Schering products:
Drug Information Services Indigent Propgram
908-298-4000
1-800-526-4099
 
Products Available:
Inton-A - a supply for three months; renewals available for three
months at a time
Eulexin - Initial supply is for six months; renewals available for
six months at a time
Trinalin
Lotrimin
Lotrisone
Diprosone
Diprolene
Fulvicin
Proventil
Vancenase
Normodyne
Optimine
 
Where not specified, these drugs are provided for up to three month;
renewals available for three months at at time. Patient eligibility is
determined on a case-by-case basis, on inernal criteria. The
consutlation includes a review of the specific case, as well as the
availability of other means of health care assistance.
 
 
G.D. Searle and Co.
Contact: "Patients in Need" Foundation
Searle Co.
P.O. Box 5110
Chicago, IL 60680
1-800-542-2526
1-708-470-6280 (FAX)
For general information abou the program:
Laura Leber, Associate Director
Public Affairs
1-708-470-6280
 
Products Available
Aldactazide
Aldactone
Calan
Calan Sr
Cytotec
Kerlone
Nitrodisc
Norpace
Norpace CR
 
Supply is based on the physician's assessment of the needs for the
patient. The program is conducted through the physician, who determines
the patient's eligibility based on medical and economic need. Searle
provides suggested guidelines to the physician for determination of
patient eligibility.
 
 
Sigma-Tau Parmaceuticals, Inc.
Contact: Michelle McCourt
Carnitor Drug Assistance Program, Administrator
National Organization for Rare Disease Disorders
P.O. Box 8923
New Fairfield, CT 06812-1783
1-800-999-6673 or 203-746-6518
1-203-746-6481 (FAX)
Product available:
Carnitor (Levocarnitine)
 
Three months' supply, up to one year. The patient must have no other
means for obtaining the drug through insurance or State or Federal
Assistance, or liquid assets, and cannot afford to purchase the drug.
Must be a U.S. citizen or permanent resident.
 
 
SmithKline Beecham: Program #1
Contact: SB Access to Care Program
SmithKline Beecham Pharmaceuticals
One Franklin Plaza FP-1320
Philadelphia, PA 19101
1-800-546-0420 (patient requests)
1-215-751-5749 (physician requests)
Products Available:
Tagamet
Augmentin
Relafen
Dyazide
Riduara
Bactroban
Compazine
Amoxil
Ridaura
all other SmithKline Beecham prescription products
 
Individual physicians determine which patients are eligible and would
benefit most from the Access to Care Program. Physicians are required to
submit forms to enroll patients in the program. Three months' supply is
available at one time. Requests must originate from the physician.
 
 
Smithkline Beecham: Program #2
Contact: Eminase/Triostat Compassionate Care Programs
SmithKline Beecham Pharmaceuticals
One Franklin Plaza FP-1320
Philadelphia, PA 19101
1-800-866-6273
Products Available:
Eminase
Triostat
 
Patients must demonstrate ineligibility for other forms of medical
assistance and meet the program's income requirements (single patients
with annual incomes of $18,000 or less will be eligible, andpersons who
are married or have at least one dependent will be eligible if their
annual incomes are $25,000 or less). For each eligible patient,
hospitals should submit a Hospital Consent Form and an ApplicationForm
with any one of the following documents: a copy of the patient's medical
record, a pharmacy record, or the patient's bill.
 
 
Syntex Laboratories, Inc.
Contact: Cytovene Medical Information Line: 1-800-444-4200
General telephone number to inquire about indigent programs:
1-800-822-8255
Products Available:
Cytovene (anciclovir sodium) 500mg sterile powder
Naprosyn
Anaprox
Cardene
Synalar
Synemol
Ticlid
Toradol
Lidex
Nasalide
 
Up to 25 vials of Cytovene are available. Syntex provides Cytovene free
of charge when it is prescribed for an immunocompromised patient who has
been diagnosed as having cytomegalovirus (CMV) retinitis, if that
patient lacks the means to purchase the drug, and that patient is
ineligible for any form of third-party reimbursement to pay for that
drug.
 
 
Upjohn Company
Contact: Patient Consumer Information
Upjohn Company7000 Portage RdKalamazoo, MI 49001
616-323-6004
616-323-4551 (FAX)
Products Available:
Ansaid
Motrin
Provera
E-Mycin
Halcion
Xanax
Medrol
Cleocin
Lincocin
Loniten
Micronase
Orinase
Tolinase
 
Health Care Professionals should contact their local Upjohn
Representative. Generally, a three months' supply is provided. However,
a physician can request a supply for a longer period of time. The
physician deterines the patient's needs, and if insurance or other
social programs to help provide medications are available.
 
 
Wyeth-Ayerst Laboratories #1
Contact: Wyeth-Ayerst Laboratories Indigent Patient Program
Roger J. Eurbin, Professional Services, IPP
P.O. Box 8299
Philadelphia, PA 19101
1-800-568-9938
 
All Product Covered:
Sectral
Cyclospasmol
Premarin
Isordil
Phenegran
Orudis
Wytensin
Cardarone
Birth Control Pills for Family Planning Clinics:
TriphasilLo/OvralNordette
 
In general, one or two months supply or the closes trade package size
available is provided. For Cordarone, one month supply or up to two
bottles of 60 tablets is provided. The number of cycles of oral
contraceptives given to the patient is determined by a health care
provider or the family planning clinic. The patient must be medically
indigent, with no form of coverage for pharmaceutical products. The
family planning clinic determines eligibility for new and refill oral
contraceptive cycles.
 
Wyeth-Ayerst Laboratories #2
Contact: Norplan Foundation
P.O. Box 25223
Alexandria, VA 22314
703-706-5933
Norplant (levonorgestrel implants)
Eligibility deteremined on a case-by-case basis and limited to
individuals who cannot afford the product and who are ineligible for
coverage under private and public sector programs.
 
Zeneca Pharmaceuticals
Contact: Yvonne A. Graham, Manager, Professional Services
Zeneca Pharmaceuticals Group
P.O. Box 15197
Wilmington, DE 19850-5197
1-800-424-3727
302-886-2231
Products Available:
Nolvadex
Zestoretic
Bucladin-S
Kinesed
Sorbitrate
Tenormin
Tenoretic
Zestril
 
One to three months supply with application.
 
These drugs are available usually just for the asking. Please give your
patient
the best care and take the time to fill out the form and mail it back to the
drug company. It takes so little time to do so and it will benefit the patient
greatly.
 
You may order copies of this list free of charge by picking up the phone and
calling the Unisted States Senate, Department of Aging: Majority: 202-224-5364
Minority: 202- 224-1467
 
This list was updated as of October 1994 by E. Loren Buhle, Jr. Ph.D
 
John Cottingham         NEW ADDRESS:          [log in to unmask]