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  1.  
  2.  
  3.             
  4.      PRESCRIPTION MEDICATION ASSISTANCE PROGRAMS   
  5.  
  6. THIS INFORMATION WAS PREPARED 
  7.                                                                 
  8. BY                       
  9. THE UNITED STATES SENATE STAFF          
  10. SPECIAL COMMITTEE ON AGING             
  11.                                                                 
  12.  
  13.  
  14. SUBMITTED BY :                  
  15. MARK E. RAMAGE , PARALEGAL            
  16. NORTH AMERICAN PARALEGAL             
  17. ROUTE ONE , BOX 34              
  18. SCOTLAND , ARKANSAS 72141-9503        
  19. 501-592-3505                   
  20.    
  21.  
  22.  
  23.  
  24.  
  25.  
  26.  
  27.  
  28.  
  29.  
  30. TABLE OF CONTENTS
  31.  
  32.  
  33.       COMPANY                           PHONE NUMBER                      PAGE
  34. ABBOTT LAB./ROSS LAB.                   Ph. (800)922-3252
  35. ADRIA LABORATORIES , INC.               Ph. (614)764-8100 2
  36. ALLERGAN PRESCRIPTION PHARMACEUTICA     Ph. (800)347-4500 Ext.6219 2
  37. AMGEN , INC.                            Ph. (800)272-9376 2
  38. BOEHRINGER INGLEHELM PHARM. , Inc.      Ph. (203)798-4131 2
  39. BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003 3
  40. BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003 3
  41. BURROUGHS-WELLCOME COMPANY              Ph. (919)248-4418 3
  42. CIBA-GEIGY PHARMACEUTICALS              Ph. (908)277-5849 3
  43. DU PONT MERCK PHARMACEUTICALS           Ph. (   )   - 4
  44. ELI LILLY & COMPANY                     Ph. (317)276-2950 4
  45. G.D. SEARLE & CO.                       Ph. (800)542-2526 4
  46. GENENTECH , INC.                        Ph. (800)879-4747 4
  47. GLAXO , INC.                            Ph. (800)452-9077 5
  48. HOECHST-ROUSSEL PHARMACEUTICALS INC     Ph. (800)776-5463 5
  49. HOFFMAN-LaROCHE , INC.                  Ph. (800)526-6367 5
  50. ICI/STUART PHARMACEUTICALS GROUP        Ph. (302)886-2231 5
  51. IMMUNEX CORPORATION                     Ph. (800)321-4669 6
  52. JANSSEN PHARMACEUTICA INC.              Ph. (800)253-3682 6
  53. JANSSEN PHARMACEUTICALS                 Ph. (908)524-9409 6
  54. KNOLL PHARMACEUTICALS                   Ph. (800)526-0710 6
  55. LEDERLE LABORATORIES                    Ph. (800)526-7870 7
  56. MARION MERRELL DOW , INC.               Ph. (816)966-4250 7
  57. McNEIL PHARMACEUTICAL                   Ph. (215)540-7803 7
  58. MERCK SHARP AND DOHME                   Ph. (215)540-8627 7
  59. ORTHO PHARMACEUTICALS                   Ph. (908)218-6466 8
  60. PARKE-DAVIS                             Ph. (201)540-2000 9
  61. SANDOZ PHARMACEUTICALS                  Ph. (201)503-8341 9
  62. SANOFI WINTHROP PHARMACEUTICALS         Ph. (212)907-2000 9
  63. SIGMA-TAU PHARMACEUTICALS               Ph. (800)999-6673 10
  64. SMITHKLINE BEECHAM                      Ph. (215)751-5760 10
  65. SYNTEX LABORATORIES , INC.              Ph. (800)444-4200 11
  66. WYETH-AYERST LABORATORIES               Ph. (800)568-9938 11
  67.  
  68.  
  69.  
  70.  
  71.  
  72.  
  73.  
  74.  
  75.  
  76.  
  77.  
  78.       PRESCRIPTION MEDICATION ASSISTANCE PROGRAMS 
  79.  
  80.  
  81.       ABBOTT LAB./ROSS LAB.                   Ph. (800)922-325             
  82.                                               Ph. (   )   -                
  83.       Survanta Lifline , Med. Tech. Hotl.     Fax (202)637-6690            
  84.       555 13th. Street NW  Suite 7E                          
  85.       Washington DC  20004-1109                                        
  86.  
  87.       The pharmaceuticals products which are covered is SURVANT . The quantity
  88. is one at a time .
  89.                                                                          
  90.       ADRIA LABORATORIES , INC.               Ph. (614)764-8100            
  91.                                               Ph. (   )   -                
  92.       Adria Laboratories                      Fax (614)764-8102            
  93.       Patient Assistance Prgm.                                             
  94.       P.O. Box 16529                                                       
  95.       Columbus OH  43215-6529 USA                                          
  96.      
  97.       The pharmaceuticals products which are covered are ADRIAMYCIN PFS,
  98. ADRUCIL, FOLEX, IDAMYCIN, NEOSAR, TARABINE, and VINCASAR . The quantity is two
  99. months supply .                                        
  100.                                 
  101.       ALLERGAN PRESCRIPTION PHARMACEUTICA     Ph. (800)347-4500 Ext.6219      
  102.       Ms. Judy McGee                          Ph. (   )   -                
  103.       Allergan Pharm. , Inc.                  Fax (   )   -                
  104.                                                                          
  105.       All Allergan prescription products are covered , which include NAPHCON
  106. A, PROPINE , FML, HMS, and PILOGAN . Up to a six month supply , eligibility
  107. criteria are at the doctors discretion .
  108.                                                                          
  109.       AMGEN , INC.                            Ph. (800)272-9376            
  110.                                               Ph. (202)637-6688            
  111.       Amgen Safety Net Programs               Fax (   )   -                
  112.                                                                          
  113.       The pharmaceuticals products which are covered are EPOGEN and NEUPOGEN.
  114. Call for more specific information .               
  115.                                                                          
  116.       BOEHRINGER INGLEHELM PHARM. , Inc.      Ph. (203)798-4131            
  117.       Mr. Sam Quy                             Ph. (   )   -                
  118.                                               Fax (   )   -                
  119.  
  120.       The pharmaceuticals products which are covered are PERSANTINE, ATROVENT,
  121. ALUPENT and CATAPRES. One or two month supply and the patient must be on a
  122. fixed income .
  123.                                                                         
  124.  
  125.  
  126.       BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003            
  127.                                               Ph. (   )   -                
  128.       Cardovascular Access Program            Fax (703)760-0049            
  129.       P.O.Box 9445                                                         
  130.       McLean VA  22102-9998                                                
  131.                                                                          
  132.       The pharmaceuticals products which are covered are CAPOTEN, CAPOZIDE,
  133. CORGARD, KLOTRIX, K-LYTE, MONOPRIL, NATURETIN, PRAVOCHOL, PRONESTYL-SR,
  134. QUESTRAN LIGHT, RAUZIDE, SALURON, SALUTENSIN, VASODILAN, and BETAPEN-VK.
  135.       Patient must work through an enrolled doctor , not be covered by any
  136. third party drug coverage , and financially eligible , as determined by a
  137. "means" and "liquid assets" test . Three months supply are provided .
  138.                                                                          
  139.  
  140.       BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003            
  141.                                               Ph. (   )   -                
  142.       Cancer Patient Access Program           Fax (703)760-0049            
  143.       P.O. Box 9445                                                        
  144.       McLean VA  22102-9998                                                
  145.                                                                          
  146.       The pharmaceuticals products which are covered are BICNU, CEENU,
  147. LYSODREN, MUTAMYCIN, MYCOSTATIN PASTILLES, PARAPLATIN, PLATINOL-AQ, VePESID,
  148. BLENOXANCE, CYTOXAN, LYOPHILIZED, CYTOXAN, IFEX, MESNEX, and MEGACE.
  149.       Three months supply. Doctor's assessment of patient's financial need and
  150. confirmation by local sales representative .
  151.                                                                          
  152.       BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003            
  153.                                               Ph. (   )   -                
  154.       Indigent Patient Program                Fax (703)760-0049            
  155.       Bristol-Myers Squibb                                                 
  156.       P.O. Box 9445                                                        
  157.       McLean VA  22102-9998 USA                                            
  158.  
  159.       The pharmaceuticals products which are covered are DURICEF, CEFZIL,
  160. BuSPAR, DESYREL, ESTRANCE, OVCON-35, OVCON-50, NATALINS, NATALINS RX,
  161. VAGISTAT-1, MYCOSTATIN . Three months supply. Doctors request and
  162. prescription.   
  163.                                                                      
  164.       BURROUGHS-WELLCOME COMPANY              Ph. (919)248-4418           
  165.       Mr.Jonas B. Daugherty                   Ph. (800)722-9294            
  166.       Professional Information Services       Fax (919)248-0421            
  167.       Burroughs-Wellcome Co.                                               
  168.       3030 Cornwallis Road                                                 
  169.       Research Triangle Park NC  27709                                      
  170.                                            
  171.       All of Burroughs-Wellcome products are covered . The products are
  172. available on a thirty day supply , with a maximum of ninety days .
  173.                                    
  174.  
  175.       CIBA-GEIGY PHARMACEUTICALS              Ph. (908)277-5849            
  176.       Ms. Jackie Laguardia                    Ph. (   )   -                
  177.       Senior Information Assistant            Fax (   )   -                
  178.       Ciba-Geigy Corporation                                               
  179.       556 Morris Avenue                                                    
  180.       Summit NJ  07901                                                     
  181.      
  182.       Any patient who is unable to afford any of their products can receive a
  183. free supply . Up to a three month supply at any time . This includes
  184. LOPRESSOR, LIORESAL, LITHOBID, VOLTAREN, BRETHINE, TOFRANIL, and APRESOLINE .
  185.       No controlled substances are available under this program .
  186.                                                                           
  187.       DU PONT MERCK PHARMACEUTICALS           Ph. (   )   -                
  188.                                               Ph. (   )   -                
  189.       Du Pont Merck Pharmaceuticals           Fax (   )   -                
  190.       Barley Mill Plaza                                                    
  191.       P.O. Box 80027                                                       
  192.       Wilington DE  19880-0027                                             
  193.      
  194.       All Du Pont Merck retail oral solid pharmaceutical products are
  195. available . This includes COUMADIN, SINEMET, SINEMET CR, and SYMMETREL . No
  196. controlled substances are available under this program . Thirty day supply ,
  197. and the patient must be medical indigent and does not qualify for either
  198. Federal or State pharmaceutical assistance .
  199.                                                                         
  200.       ELI LILLY & COMPANY                     Ph. (317)276-2950            
  201.                                               Ph. (   )   -                
  202.       Indigent Patient Program ,Admin.        Fax (317)276-9288            
  203.       Lilly Corporate Center                                               
  204.       Drop Code 1844                                                       
  205.       Indianapolis IN  46285                                               
  206.      
  207.       They provide insulin products through this program , REGULAR INSULIN,
  208. LENTE INSULIN, and HUMULIN INSULIN . They will also provide CECLOR, KEFLEX,
  209. PROZAC, DYMELOR, and AXID. The amount provided is dependent on the product ,
  210. the diagnosis , and the doctor's instructions.
  211.                                                                          
  212.       G.D. SEARLE & CO.                       Ph. (800)542-2526            
  213.       Mr. Michael Isaacson                    Ph. (708)470-3831            
  214.       V.P. ,"Patient in Need" Foundation      Fax (708)470-6633            
  215.       Searle Company                                                       
  216.       5200 Old Orchard Road                                                
  217.       Skokie IL  60077                                                     
  218.      
  219.       The pharmaceuticals products which are covered are ALDACTAZIDE,
  220. ALDACTONE, CALAN, CALAN SR, CYTOTEC, KERLONE, NITRODISC, NORPACE, NORPACE CR.
  221. Supply is based on the doctor's assessment of the need of the patient .
  222.                                                                          
  223.  
  224.       GENENTECH , INC.                        Ph. (800)879-4747            
  225.                                               Ph. (   )   -                
  226.       GENENTECH REIMBURSEMENT INFO. PRGM.     Fax (   )   -                
  227.       Mailstop # 99                                                        
  228.       460 Point San Bruno Blvd. South     
  229.       San Francisco CA  94080                                           
  230.      
  231.       The pharmaceuticals products which are covered are PROTROPIN (HUMAN
  232. GROWTH HORMONE) ACTIVASE (TPA, TISSUE PLASMINOGEN ACTIVATOR) and ACTIMMUNE .
  233.                                                                          
  234.       GLAXO , INC.                            Ph. (800)452-9077            
  235.       MS. LAURA L. NEWBERRY                   Ph. (   )   -                
  236.       Supervisor Trade Communications         Fax (919)248-7932            
  237.       Glaxo Inc.                                                           
  238.       P.O. Box 13438                                                       
  239.       Research Triangle Park NC  27709                                      
  240.      
  241.       All Glaxo pharmaceutical products are covered . Three months supply .
  242.  Doctor must waive all fees for the patient .
  243.                                                                          
  244.       HOECHST-ROUSSEL PHARMACEUTICALS INC     Ph. (800)776-5463            
  245.       Ms. Jannalee Smithey                    Ph. (   )   -                
  246.       Technology Assessment Group             Fax (   )   -                
  247.       Hoechst-Roussel                                                      
  248.       Route 202-206 North                                                  
  249.       Somerville NJ  08876                                                 
  250.      
  251.       PROKINE is the main product provided by this company , however it has
  252. indicated that it will provide others to indigent patients upon receipt of a
  253. prescription and a letter from the doctor certifying that the patient is
  254. medically indigent .
  255.                                                                          
  256.       HOFFMAN-LaROCHE , INC.                  Ph. (800)526-6367            
  257.       Ms. Inge Shanahan                       Ph. (   )   -                
  258.       Medical Communications Associate        Fax (201)235-5624            
  259.       Roche Laboratories                                                   
  260.       340 Kingsland Street                                                 
  261.       Nutley NJ  07110                                                     
  262.      
  263.       All Roche pharmaceutical products are covered which include LIMBRITOL,
  264. DALMANE, BACTRIM, BACTRIM DS, KLONOPIN, EFUDEX (FLUOROURACIL INJECTABLE),
  265. GANTRISIN, GANTANOL, INTERFERON 2A RECOMBINANT, ROCEPHIN INJECTABLE, and
  266. ROCALTROL. Three months supply .  The doctor's signature and DEA number is
  267. required for all applications whether or not the request is for a controlled
  268. prescription drug.
  269.                                                                         
  270.  
  271.  
  272.  
  273.       ICI/STUART PHARMACEUTICALS GROUP        Ph. (302)886-2231            
  274.       Ms. Yvonne A. Graham                    Ph. (   )   -                
  275.       Manager, Professional Services          Fax (   )   -                
  276.       ICI Pharmaceuticals Group                                            
  277.       P.O. Box 15197                                                       
  278.       Wilmington DE  19850-5197                                            
  279.     
  280.       NOLVADEX, ZESTORETIC, BUCLADIN-S, KINESED, SORBITRATE, TENORMIN,
  281. TENORETIC, and ZESTRIL. One to three month supply .
  282.                                                                          
  283.       IMMUNEX CORPORATION                     Ph. (800)321-4669            
  284.       Mr. Michael Kleinberg                   Ph. (206)587-0430            
  285.       Director of Professional Services       Fax (206)343-8926            
  286.       Immunex Corporation                                                  
  287.      
  288.       LEUKINE 250 mcg. and LEUKINE 500 mcg.
  289.       The patient must be a private outpatient who the doctor must attest that
  290. the patient requires the drug that they are not eligible for third party
  291. reimbursement .                            
  292.                                             
  293.       JANSSEN PHARMACEUTICA INC.              Ph. (800)253-3682            
  294.                                               Ph. (   )   -                
  295.       Professional Services Department        Fax (   )   -                
  296.       P.O. Box 200                                                         
  297.       Office A32000                                                        
  298.       Titusville NJ  08560-0200                                            
  299.      
  300.       HISMANAL, NIZORAL, DURAGESIC, SPORANOX CAPSULES, ALFENTA, SUFENTA,
  301. SUBLIMAZE. The amount provided varies by product and patient condition. The
  302. doctor determines if the patient is medically indigent and is not eligible for
  303. health insurance . Then they request free medications by written and/or
  304. telephone request, which is followed up with a signed and dated prescription
  305. and a letter stating the financial status and need of the patient .
  306.                                                                          
  307.       JANSSEN PHARMACEUTICALS                 Ph. (908)524-9409            
  308.       Ms. Ellen McDonald                      Ph. (   )   -                
  309.       Assistant Product Manager               Fax (908)524-9118            
  310.       Janssen Pharmaceuticals                                              
  311.       40 Kingsbridge Road                                                  
  312.       Piscataway NJ  08854                                                 
  313.      
  314.       ERGAMISOL (LEVAMISOLE HCL) Two months supply . Patient must have less
  315. than $ 25,000. total annual household income . They can have Medicare or
  316. private insurance , but cannot have prescription coverage .
  317.                                                                         
  318.  
  319.  
  320.  
  321.  
  322.       KNOLL PHARMACEUTICALS                   Ph. (800)526-0710            
  323.                                               Ph. (   )   -                
  324.       Knoll Pharmaceuticals                   Fax (   )   -                
  325.       Indigent Patient Program                                             
  326.       30 N. Jefferson Road                                                 
  327.       Whippany NJ  07981                                                   
  328.      
  329.       ISOPTIN, RYTHMOL, SANTYL, ZOSRIX.
  330.                                                                          
  331.       LEDERLE LABORATORIES                    Ph. (800)526-7870            
  332.       Mr. Jerry Johnson                       Ph. (   )   -                
  333.       Pharm. D., Dir. Industry Affiars        Fax (201)831-4484            
  334.       American Cyanamid , Inc.                                             
  335.       One Cyanamid Plaza                                                   
  336.       Wayne NJ  07470                                                      
  337.      
  338.       DIAMOX, ARTANE, MINOCIN, LEUCOVORIN, CALCIUM LOXAPINE, VERELAN,
  339. RHEUMATREX, MAXZIDE, and MYAMBUTOL . Doctor has to make the request on behalf
  340. of the patient , and the patient has to be medically indigent and not eligible
  341. for third party insurance coverage or Medicaid reimbursement.
  342.                                                                          
  343.       MARION MERRELL DOW , INC.               Ph. (816)966-4250            
  344.       Mr. Bill Lawrence                       Ph. (   )   -                
  345.       Supervisor of Product Contributions     Fax (   )   -                
  346.       P.O. Box 8480                                                        
  347.       Kansas City MO  64114                                                
  348.                                                                          
  349.       All Marion Merrell Dow pharmaceutical products are covered which include
  350. CARDIZEM, CARDIZEM CD, CARDIZEM SR, CARAFATE, PAVABID, SELDANE, SELDANE D,
  351. NICORETTE, RIFADIN, QUINAMM, and LORELCO . Three months supply .
  352.       The doctor determines if the patient is medically indigent and is not
  353. eligible for health insurance .
  354.                                                                          
  355.       McNEIL PHARMACEUTICAL                   Ph. (215)540-7803            
  356.       Ms. Laura Litzenberger                  Ph. (   )   -                
  357.       Sr. Info. Spec. , Scientific Affair     Fax (   )   -                
  358.       McNeil Pharmaceutical                                                
  359.       Spring House PA  19477                                               
  360.                                                                          
  361.       PANCREASE, PARAFON FORTE DSC, HALDOL, VASCOR, TOLECTIN . The amount
  362. supplied varies by both the product requested and the patient needs. The
  363. doctor determines if the patient is medically indigent and is not eligible for
  364. health insurance and they can make request for free medication by either phone
  365. or written requests , for phone requests , they must be followed up with a
  366. signed and dated prescription , along with a letter stating the financial
  367. status and need of the patient .                                    
  368.                                                                          
  369.  
  370.  
  371.       MERCK SHARP AND DOHME                   Ph. (215)540-8627            
  372.                                               Ph. (   )   -                
  373.       Professional Information Department     Fax (   )   -                
  374.       Merck Human Health Div.                                              
  375.       West Point PA  19486                                                 
  376.      
  377.       All Merck pharmaceutical products are covered which include MEVACOR,
  378. PLENDIL, PEPCID, PRILOSEC, PRINIVIL, TIMOPTIC, TIMOLOL, CLINORIL, FLEXERIL,
  379. PERIACTIN, NOROXIN, COGENTIN, INDOCIN, ALDOMET, DOLOBID, VASORETIC, and
  380. VASOTEC . Three months supply . The doctor must provide a letter stating the
  381. financial status and need of the patient and is not eligible for health
  382. insurance .
  383.       
  384.       MILES PHARMACEUTICALS                   Ph. (203)937-2000            
  385.                                               Ph. (   )   -                
  386.       ATTN:INDIGENT PATIENT PROGRAM           Fax (   )   -                
  387.       400 Morgan Avenue                                                    
  388.       West Haven CT  06516                                                 
  389.      
  390.       All Miles prescription products are covered which includes CIPRO,
  391. NIMOTOP and TRIDESILON CREAM . Three months supply . The doctor must provide a
  392. letter stating the financial status and need of the patient and is not
  393. eligible for health insurance .
  394.      
  395.       NORWICH-EATON PHARMACEUTICALS           Ph. (607)335-2079            
  396.       R.M. BRANDT                             Ph. (   )   -                
  397.       MANAGER, COVERAGE & REIMBURSEMENT       Fax (607)335-2020            
  398.                                                                         
  399.       All Norwich-Eaton pharmaceutical products are covered . Three months
  400. supply . The doctor must provide a letter stating the financial status and
  401. need of the patient and is not eligible for health insurance .
  402.  
  403.       ORTHO BIOTECHNOLOGY                     Ph. (800)447-3437            
  404.       Ms. Carol Webb                          Ph. (800)441-1366            
  405.       Exe. Dir., Hematopoietic Products       Fax (   )   -                
  406.       1800 Robert Fulton Drive                                             
  407.       Reston VA  22091         
  408.      
  409.       PROCIT (EPOETIN-ALFA) . Determined by doctor and is normally supplied in
  410. 4-8 weeks supply .                                           
  411.                                                                          
  412.       ORTHO PHARMACEUTICALS                   Ph. (908)218-6466            
  413.       Mr. Jerald Holleman                     Ph. (   )   -                
  414.       Johnson & Johnson                       Fax (   )   -                
  415.       P.O. Box 300                                                         
  416.       Route 202 South                                                      
  417.       Raritan NJ  08869-0602                                               
  418.                                          
  419.       FLOXIN, ACI-JEL, ORTHO DIENESTROL CREAM, MONISTAT VAGINAL SUPPOSITORIES,
  420. PROTOSTAT TABLETS, SULTRIN TRIPLE SULFA CREAM, SULTRIN TRIPLE SULFA VAGINAL
  421. TABLETS, TERAZOL 3 SUPPOSITORIES , TERRAZOL 7 CREAM, SPECTAZOLE CREAM, PERSA-
  422. GEL, PERSA-GEL W, ERYCETTE. The amount provided varies by product and the
  423. patients condition . The doctor determines if the patient is medically
  424. indigent and is not eligible for health insurance and they can make request
  425. for free medication by either phone or written requests , for phone requests ,
  426. they must be followed up with a signed and dated prescription , along with a
  427. letter stating the financial status and need of the patient .
  428.                                     
  429.       PARKE-DAVIS                             Ph. (201)540-2000            
  430.                                               Ph. (   )   -                
  431.       201 Tabor Road                          Fax (   )   -                
  432.       Morris Plains NJ  07950                                              
  433.        
  434.       All pharmaceutical products are covered which include DILANTIN, LOPID,
  435. MANNDELAMINE, ACCUPRIL, PYRIDIUM, NITROSTAT SUBLINGUAL, TABRON, PONSTEL,
  436. PROCAN, ANUSOL HC, and ZARONTIN. There are no formal limits.
  437.                                                                        
  438.       PFIZER INC.                             Ph. (800)869-9979            
  439.                                               Ph. (   )   -                
  440.       Diflucan Patient Assist. Program        Fax (   )   -                
  441.      
  442.       DIFLUCAN (FLUCONAZOLE) Up to 3 month's supply.
  443.                                                                          
  444.       PFIZER PHARMACEUTICALS, INC.            Ph. (212)573-3954            
  445.       Mr. Richard Vastola                     Ph. (   )   -                
  446.       Manager, Professional & Cons. Prgms     Fax (   )   -                
  447.       Pfizer , Inc.                                                        
  448.       235 East 42nd Street                                                 
  449.       New York NY  10017                                                   
  450.      
  451.       ANTIVERT, MARAX, DIABINESE, CARDURA, MINIZIDE, NAVANE, SINEQUAN,
  452. ZITHROMAX, FELDENE, PROCARDIA, PROCARDIA XL, VIBRAMYCIN, VISTARIL, ZOLOFT,
  453. MINIPRESS, MINIZIDE, and GLUCOTROL . Up to three months supplied , as
  454. prescribed by the doctor . Patient must be indigent and not covered by third
  455. party insurance or Medicaid .
  456.                                                                          
  457.       SANDOZ PHARMACEUTICALS                  Ph. (201)503-8341            
  458.       Dr. Gilbert Honigfeld                   Ph. (   )   -                
  459.       Director of Scientific Affairs          Fax (201)503-7185            
  460.       Sandoz Pharmaceuticals                                               
  461.       59 Route 10                                                          
  462.       East Hanover NJ  07936-1951                                          
  463.      
  464.                                                                          
  465.      
  466.      
  467.      
  468.      
  469.       SANOFI WINTHROP PHARMACEUTICALS         Ph. (212)907-2000            
  470.                                               Ph. (   )   -                
  471.       Product Information Department          Fax (   )   -                
  472.       Sanofi Winthrop                                                      
  473.       90 Park Avenue                                                       
  474.       New York NY  10016                                            
  475.             
  476.       All pharmaceutical products are covered . One months supply . 
  477.                                                                        
  478.       SCHERING-PLOUGH                         Ph. (908)298-4000            
  479.                                               Ph. (800)822-7000            
  480.       Drug Inform. Ser. Indigent Program      Fax (   )   -                
  481.       Schering-Plough                                                      
  482.       2000 Galloping Road                                                  
  483.       Kenilworth NJ  07033                                                 
  484.      
  485.       TRINALIN, LOTRIMIN, LOTRISONE,  DIPROSONE, DIPROLENE, FULVICIN,
  486. PROVENTIL, VANCENASE, NORMODYNE, and OPTIMINE , are all provided on a three
  487. month initial supply , which are renewable in three months periods .
  488.                                                                          
  489.       SIGMA-TAU PHARMACEUTICALS               Ph. (800)999-6673            
  490.       Mr. Michele McCourt                     Ph. (203)746-6518            
  491.       Canitor Drug Assistance Program         Fax (203)746-6481            
  492.       Nat. Org. for Rare Dis.                                              
  493.       P.O. Box 8923                                                        
  494.       New Fairfield CT  06812-1783                                         
  495.      
  496.       CARNITOR (LEVOCARNITINE) Three months supply up to one year .
  497.                                                                          
  498.       SMITHKLINE BEECHAM                      Ph. (215)751-5760            
  499.       Ms. Jan Stilley                         Ph. (   )   -                
  500.       Smithkline Beecham                      Fax (   )   -                
  501.       1 Franklin Plaza FP1320                                              
  502.       Philadelphia PA  10101                                               
  503.                                                                          
  504.       All pharmaceutical products are covered which include TAGAMET,
  505. AUGMENTIN, RELAFEN, DYAZIDE, RIDAURA, BACTROBAN,  and COMPAZINE . Three months
  506. supply . Doctor must determine that patient is medically indigent .
  507.       
  508.       SMITHKLINE BEECHAM                      Ph. (800)866-6273            
  509.       Ms. Helen Kennedy                       Ph. (202)508-6512            
  510.       Program Specialist                      Fax (202)637-6690            
  511.       Eminase & Triostat Prgm.                                             
  512.       555 13th St.,NW Ste.700E                                             
  513.       Washington DC  20004                                                 
  514.      
  515.       EMINASE (ANTISREPLASE) AND TRIOSTAT (LIOTHYRONINE SODIUM INJECTION) All
  516. eminase and triostat vials used by the hospital to treat the patient will be
  517. replaced by the company free of charge , if the patient is medically indigent
  518. and does not have third party private insurance or public insurance coverage
  519. and their annual income is $ 18,000 or less for a single person or less than $
  520. 25,000 for a married patient with one dependent .
  521.                                                                           
  522.       SYNTEX LABORATORIES , INC.              Ph. (800)444-4200            
  523.                                               Ph. (800)822-8255            
  524.                                               Fax (   )   -                
  525.      
  526.       Must call  for specific information on indigent patient program.
  527.       
  528.       UPJOHN COMPANY                          Ph. (616)323-6004            
  529.       Mr. Wendell Pierce                      Ph. (   )   -                
  530.       National Professional Ser. Manager      Fax (616)323-6332            
  531.       Upjohn Company                                                       
  532.       7000 Portage Road                                                    
  533.       Kalamazoo MI  49001                                                  
  534.  
  535.       All pharmaceutical products are covered which  include ANSAID, MOTRIN,
  536. PROVERA, E-MYCIN, HALCION, XANAX, MEDROL, CLEOCIN, LINCOCIN, LONITEN,
  537. MICRONASE, ORINASE, and TOLINASE . Three months supply , however , the doctor
  538. can request medications for longer periods of time  . The doctor makes the
  539. determination of the patients needs , and if the patient has insurance
  540. coverage or if other social programs can help to provide the necessary
  541. medications .
  542.       
  543.       
  544.       WYETH-AYERST LABORATORIES               Ph. (800)568-9938            
  545.       Mr. Roger Eurbin                        Ph. (   )   -                
  546.       Assoc. Dir. ,Professional Services      Fax (   )   -                
  547.       Wyeth-Ayerst                                                         
  548.       P.O. Box 8299                                                        
  549.       Philadelphia PA  19101                                               
  550.      
  551.       SECTRAL, CYCLOSPASMOL, PREMARIN, ISORDIL, PHENERGAN, DIMETAPP, ORUDIS,
  552. WYTENSIN, and CORARONE .
  553.                                                                          
  554.       MEDICATION INDEX
  555.  
  556. A
  557.                                                             
  558. accupril                                                                     9
  559. aci-jel                                                                      8
  560. actimmune                                                                    5
  561. adriamycin pfs                                                               2
  562. adriamycin                                                                   2
  563. adrucil                                                                      2
  564. aldactazide                                                                  4
  565. aldactone                                                                    4
  566. aldomet                                                                      8
  567. alfenta                                                                      6
  568. alupent                                                                      2
  569. ansaid                                                                      11
  570. antivert                                                                     9
  571. anusol hc                                                                    9
  572. apresoline                                                                   4
  573. artane                                                                       7
  574. atrovent                                                                     2
  575. augmentin                                                                   10
  576. axid                                                                         4
  577.  
  578. B
  579. bactrim ds                                                                   5
  580. bactrim                                                                      5
  581. bactroban                                                                   10
  582. betapen-vk                                                                   3
  583. betapen                                                                      3
  584. bicnu                                                                        3
  585. blenoxance                                                                   3
  586. brethine                                                                     4
  587. bucladin-s                                                                   6
  588. buspar                                                                       3
  589.  
  590. C
  591. calan sr                                                                     4
  592. calan                                                                        4
  593. calcium loxapine                                                             7
  594. capoten                                                                      3
  595. capozide                                                                     3
  596. carafate                                                                     7
  597. cardizem cd                                                                  7
  598. cardizem sr                                                                  7
  599. cardizem                                                                     7
  600. cardura                                                                      9
  601. carnitor (levocarnitine)                                                    10
  602. catapres                                                                     2
  603. ceclor                                                                       4
  604. ceenu                                                                        3
  605. cefzil                                                                       3
  606. cipro                                                                        8
  607. cleocin                                                                     11
  608. clinoril                                                                     8
  609. cogentin                                                                     8
  610. compazine                                                                   10
  611. corarone                                                                    11
  612. corgard                                                                      3
  613. coumadin                                                                     4
  614. cyclospasmol                                                                11
  615. cytotec                                                                      4
  616. cytoxan                                                                      3
  617.  
  618. D
  619. dalmane                                                                      5
  620. desyrel                                                                      3
  621. diabinese                                                                    9
  622. diamox                                                                       7
  623. diflucan (fluconazole)                                                       9
  624. dilantin                                                                     9
  625. dimetapp                                                                    11
  626. diprolene                                                                   10
  627. diprosone                                                                   10
  628. dolobid                                                                      8
  629. duragesic                                                                    6
  630. duricef                                                                      3
  631. dyazide                                                                     10
  632. dymelor                                                                      4
  633.  
  634. E
  635. e-mycin                                                                     11
  636. efudex (fluorouracil injectable)                                             5
  637. eminase (antisreplase)                                                      10
  638. epogen                                                                       2
  639. ergamisol (levamisole hcl)                                                   6
  640. erycette                                                                     9
  641. estrance                                                                     3
  642.  
  643. F
  644. feldene                                                                      9
  645. flexeril                                                                     8
  646. floxin                                                                       8
  647. fml                                                                          2
  648. folex                                                                        2
  649. fulvicin                                                                    10
  650.  
  651. G
  652. gantanol                                                                     5
  653. gantrisin                                                                    5
  654. glucotrol                                                                    9
  655.  
  656. H
  657. halcion                                                                     11
  658. haldol                                                                       7
  659. hismanal                                                                     6
  660. hms                                                                          2
  661. humulin insulin                                                              4
  662.  
  663. I
  664. idamycin                                                                     2
  665. ifex                                                                         3
  666. indocin                                                                      8
  667. insulin                                                                      4
  668. interferon 2a recombinant                                                    5
  669. isoptin                                                                      7
  670. isordil                                                                     11
  671.  
  672. K
  673. k-lyte                                                                       3
  674. keflex                                                                       4
  675. kerlone                                                                      4
  676. kinesed                                                                      6
  677. klonopin                                                                     5
  678. klotrix                                                                      3
  679.  
  680.  
  681. L
  682. lente insulin                                                                4
  683. leucovorin                                                                   7
  684. leukine 250 mcg.                                                             6
  685. leukine 500 mcg.                                                             6
  686. limbritol                                                                    5
  687. lincocin                                                                    11
  688. lioresal                                                                     4
  689. lithobid                                                                     4
  690. loniten                                                                     11
  691. lopid                                                                        9
  692. lopressor                                                                    4
  693. lorelco                                                                      7
  694. lotrimin                                                                    10
  695. lotrisone                                                                   10
  696. lyophilized                                                                  3
  697. lysodren                                                                     3
  698.  
  699. M
  700. manndelamine                                                                 9
  701. marax                                                                        9
  702. maxzide                                                                      7
  703. medrol                                                                      11
  704. megace                                                                       3
  705. mesnex                                                                       3
  706. mevacor                                                                      8
  707. micronase                                                                   11
  708. minipress                                                                    9
  709. minizide                                                                     9
  710. minocin                                                                      7
  711. monistat vaginal suppositories                                               8
  712. monopril                                                                     3
  713. motrin                                                                      11
  714. mutamycin                                                                    3
  715. myambutol                                                                    7
  716. mycostatin pastilles                                                         3
  717. mycostatin                                                                   3
  718.  
  719. N
  720. naphcon                                                                      2
  721. natalins rx                                                                  3
  722. natalins                                                                     3
  723. naturetin                                                                    3
  724. navane                                                                       9
  725. neosar                                                                       2
  726. neupogen                                                                     2
  727. nicorette                                                                    7
  728. nimotop                                                                      8
  729. nitrodisc                                                                    4
  730. nitrostat sublingual                                                         9
  731. nitrostat                                                                    9
  732. nizoral                                                                      6
  733. nolvadex                                                                     6
  734. normodyne                                                                   10
  735. noroxin                                                                      8
  736. norpace cr                                                                   4
  737. norpace                                                                      4
  738.  
  739. O
  740. optimine                                                                    10
  741. orinase                                                                     11
  742. ortho dienestrol cream                                                       8
  743. orudis                                                                      11
  744. ovcon-35                                                                     3
  745. ovcon-50                                                                     3
  746. ovcon                                                                        3
  747.  
  748. P
  749. pancrease                                                                    7
  750. parafon forte dsc                                                            7
  751. paraplatin                                                                   3
  752. pavabid                                                                      7
  753. pepcid                                                                       8
  754. periactin                                                                    8
  755. persa-gel w                                                                  9
  756. persa-gel                                                                    9
  757. persantine                                                                   2
  758. phenergan                                                                   11
  759. pilogan                                                                      2
  760. platinol-aq                                                                  3
  761. platinol                                                                     3
  762. plendil                                                                      8
  763. ponstel                                                                      9
  764. pravochol                                                                    3
  765. premarin                                                                    11
  766. prilosec                                                                     8
  767. prinivil                                                                     8
  768. procan                                                                       9
  769. procardia xl                                                                 9
  770. procardia                                                                    9
  771. procit (epoetin-alfa)                                                        8
  772. prokine                                                                      5
  773. pronestyl-sr                                                                 3
  774. pronestyl                                                                    3
  775. propine                                                                      2
  776. protostat tablets                                                            9
  777. protropin (human growth hormone)                                             5
  778. proventil                                                                   10
  779. provera                                                                     11
  780. prozac                                                                       4
  781. pyridium                                                                     9
  782.  
  783. Q
  784. questran light                                                               3
  785. questran                                                                     3
  786. quinamm                                                                      7
  787.  
  788. R
  789. rauzide                                                                      3
  790. regular insulin                                                              4
  791. relafen                                                                     10
  792. rheumatrex                                                                   7
  793. ridaura                                                                     10
  794. rifadin                                                                      7
  795. rocaltrol                                                                    5
  796. rocephin injectable                                                          5
  797. rythmol                                                                      7
  798.  
  799. S
  800. saluron                                                                      3
  801. salutensin                                                                   3
  802. santyl                                                                       7
  803. sectral                                                                     11
  804. seldane d                                                                    7
  805. seldane                                                                      7
  806. sinemet cr                                                                   4
  807. sinemet                                                                      4
  808. sinequan                                                                     9
  809. sorbitrate                                                                   6
  810. spectazole cream                                                             9
  811. sporanox capsules                                                            6
  812. sublimaze                                                                    6
  813. sufenta                                                                      6
  814. sultrin triple sulfa cream                                                   9
  815. survanta                                                                     2
  816. survant                                                                      2
  817. symmetrel                                                                    4
  818.  
  819. T
  820. tabron                                                                       9
  821. tagamet                                                                     10
  822. tarabine                                                                     2
  823. tenoretic                                                                    6
  824. tenormin                                                                     6
  825. terazol 3 suppositories                                                      9
  826. terrazol 7 cream                                                             9
  827. timolol                                                                      8
  828. timoptic                                                                     8
  829. tofranil                                                                     4
  830. tolectin                                                                     7
  831. tolinase                                                                    11
  832. tridesilon cream                                                             8
  833. trinalin                                                                    10
  834.  
  835.  
  836. V
  837. vagistat-1                                                                   3
  838. vagistat                                                                     3
  839. vancenase                                                                   10
  840. vascor                                                                       7
  841. vasodilan                                                                    3
  842. vasoretic                                                                    8
  843. vasotec                                                                      8
  844. vepesid                                                                      3
  845. verelan                                                                      7
  846. vibramycin                                                                   9
  847. vincasar                                                                     2
  848. vistaril                                                                     9
  849. voltaren                                                                     4
  850.  
  851. W
  852. wytensin                                                                    11
  853.  
  854. X
  855. xanax                                                                       11
  856.  
  857. Z
  858. zarontin                                                                     9
  859. zestoretic                                                                   6
  860. zestril                                                                      6
  861. zithromax                                                                    9
  862. zoloft                                                                       9
  863. zosrix                                                                       7
  864.  
  865.                                          3
  866. quinamm                       
  867.  
  868.  
  869.  
  870.  
  871.  
  872.  
  873.  
  874.  
  875.  
  876.  
  877.  
  878.  
  879.  
  880.  
  881.  
  882.  
  883.  
  884.  
  885.  
  886.