Resource Guide to Affordable Medications
Transcription
Resource Guide to Affordable Medications
Resource Guide to Affordable Medications A community based behavioral health care nonprofit organization helping people triumph over mental illness, alcoholism, drug and other addictions. Recovery Resources serves more than 13,000 people annually. President: Helen K. Jones, LISW Chief Medical Officer: Richard R. Hill, M.D., Ph.D. 3950 Chester Avenue Cleveland, Ohio 44114 Phone: (216) 431-4131 Fax: (216) 431-4133 www.recovery-resources.org This Resource Guide was made possible by generous grants from the following foundations: How to Use the Resource Guide to Affordable Medications Review the Resource Guide’s Table of Contents to quickly access the scope of services and contact information. Contact those agencies and services listed in the Resource Guide for which you may be eligible. Request that information be sent to you. Have a pencil and paper ready to take notes during your phone call. Information is generally available by phone, Internet, and/or mail. Visit your local library for free Internet access if you don’t have a computer. Seek additional assistance from your Primary Care Physician. Electronic versions of the Resource Guide to Affordable Medications can be accessed at the following websites: Recovery Resources . . . . . . . . . . . . . . . . . . . . . . .www.recovery-resources.org Cuyahoga County Community Mental Health Board . . . . www.cccmhb.org Network of Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . www.networkofcare.org Recovery Resources appreciates Cuyahoga County Community Mental Health Board (CCCMHB) for serving as a distribution center for the Resource Guide. Printed copies can be requested from the CCCMHB, 1400 W. 25th Street, Cleveland, OH 44113-3199, Phone: (216) 241-3400, ext. 365. Disclaimer: The information contained in this Resource Guide has been provided to Recovery Resources by representatives of each participating agency, pharmaceutical company, or service provider. Every effort has been made to accurately report correct medication information and data. Inclusion in this Resource Guide does not endorse or exclude other possible medication treatments or alternatives. Table of Contents Introduction---------------------------------------------------------------------------2 Medication Assistance-------------------------------------------------------------- 3 Medications------------------------------------------------------------------3 No-Cost Meds--------------------------------------------------------------- 4 Drug Samples------------------------------------------------------ 4 Patient Assistance Programs------------------------------------- 5 PAP websites---------------------------------------------- 5 Patient Advocate Organizations------------------------ 6 Clinical Trials------------------------------------------------------ 10 Low-Cost Meds------------------------------------------------------------- 11 Governmental Programs------------------------------------------ 11 Federal Programs----------------------------------------- 12 Social Security----------------------------------- 12 Medicare------------------------------------------ 13 Medicare Advocacy Organizations--- 15 Military--------------------------------------------17 340 B Drug Pricing------------------------------18 State Programs -----------------------------------------------------19 Ohio Medicaid----------------------------------- 19 Ohio’s Best Rx----------------------------------- 20 Ohio AIDS Drug Assistance Program-------- 20 Central Pharmacy-------------------------------- 21 Local Programs------------------------------------------- 21 For-Profit Programs----------------------------------------------- 22 Patient Advocate Companies---------------------------- 22 Discount Drug Cards------------------------------------- 26 Drug Company Cards--------------------------- 27 Other Drug Cards-------------------------------- 28 Mail-Order Pharmacies---------------------------------- 30 Non-Profit Programs---------------------------------------------- 35 Co-Pay Assistance Funds-------------------------------- 35 Generics ------------------------------------------------------------ 37 Conclusion---------------------------------------------------------------------------- 40 Appendix I 2006 HHS Federal Poverty Level Guidelines ----------------- 41 Appendix II Medication List---------------------------------------------------- 41 Appendix III PAP Info Sheet ---------------------------------------------------- 53 Introduction Dealing with a mental illness can be difficult. Whether it involves the lethargy associated with a mild depressive disorder, or the delusions and hallucinations that accompany a severe form of schizophrenia, and everything in between, the challenges of those who suffer with mental or emotional illnesses are significant. Finding the most effective treatment for your unique condition adds an additional burden. But even once you’ve discovered something that works, there is still yet another obstacle to overcome – finding a source of affordable medications. This can be especially difficult if your disease prevents you from earning the type of income necessary to purchase the medications you are prescribed. With the cost of a monthly supply of medications often exceeding several hundred dollars or more, many of us are finding it difficult to pay for these necessary and often lifesaving medications. Fortunately, there are countless low-cost and even no-cost (free) programs now available to help you acquire the medications you need. Recovery Resources, as part of its commitment to Help, Hope and Healing, is devoted to seeking out and making these safety-net alternatives available to you in this Guide to Affordable Medications. Feel free to take a copy for yourself and your family and to access the resources contained in it. While some of the resources listed require internet access, many do not and can be contacted through more traditional means; however, if you find that you need assistance with this guide, or feel that you can assist us by informing us of other programs we may have overlooked, please don’t hesitate to contact our Patient Advocate at (216) 781-9222. Let’s work together to find our way through the medication maze towards personal and financial well-being. 2 Medication Assistance Medication assistance can be accessed through a variety of programs. From the free medications offered by drug companies through their drug samples or Patient Assistance Programs (PAPs), to lower-cost medications obtained via mail-order pharmacy or by just shopping around for generic alternatives. In the following pages you will find these programs described along with the eligibility criteria and methods for accessing them. Medications There are innumerable medications available on the market today. Some drug reference manuals consume thousands of pages attempting to list and describe them all – and new editions have to be created every year to keep up with the changes. Given the vast number of medications as well as the fact that Recovery Resources mission is to help people to triumph over mental illness substance abuse and other addictions, this guide will focus primarily on relevant medications, profiled in the medication list in Appendix II. However, many of the resources listed will also pertain to virtually any other medication available. When accessing the medication list in Appendix II, keep in mind that those with associated no-cost and lowcost patient assistance programs available are highlighted in green and yellow respectively, and those for which drug samples are currently available through Recovery Resources have a check box in the “Samples” column. If your medication isn’t highlighted, be sure to check under its other names, as each is listed separately. If you know of additional assistance programs that aren’t indicated on the list, or if you don’t see your medication on the list at all, please contact the Patient Advocate to see if it can be added. 3 No-Cost Meds There are some programs available to help you obtain medications for absolutely no financial cost to you, though some may require a generous helping of your time and energy. Drug Samples To promote their products, many of the above listed pharmaceutical companies, as well as others, provide sample medications to hospitals and clinics like Recovery Resources. These medications are then provided to you by doctors who may be trying to help you find the best treatment, or possibly providing you temporary access to medication in the case that you cannot afford them, do not have insurance or have not yet enrolled in one of the programs listed below. You may find out which samples are available through Recovery Resources by referring to the Medication list in Appendix II, or by referring to the list below: Available Samples Abilify Campral Cymbalta Depakote Deplin Effexor Emsam Lamictal Lexapro Lithobid Namenda Paxil Pexeva Provigil Requip Risperdal Seroquel Strattera Symbyax Topamax Wellbutrin Zyprexa 4 Patient Assistance Programs These programs, often referred to as PAPs, are usually sponsored by the pharmaceutical companies to help people with lower incomes obtain free medications. The eligibility criteria and application and maintenance processes vary from program to program. You may find a comparison of programs on the PAP Info Sheet in Appendix III. PAP Websites Many pharmaceutical companies have a page on their website devoted to their PAP, while some even have an associated patient assistance foundation. Following are the links to such websites for some of the companies that manufacture mental health medications. If you don’t see the name of your drug company on this list, however, there still may be a PAP available. Check the medication list in Appendix II or the PAP Info sheet in Appendix III for more information. AstraZeneca Drug Assistance http://www.astrazeneca-us.com/content/drugAssistance/ Medications: Seroquel Bristol-Myers Squibb Patient Assistance Foundation, Inc. http://www.bmspaf.org/index.htm Medications: Abilify, Emsam Forest Pharmaceuticals, Inc. Patient Assistance Program http://www.forestpharm.com/pap/ Medications: Campral Celexa, Lexapro GlaxoSmithKline: Bridges To Access http://bridgestoaccess.gsk.com/ Medications: Dexedrine, Lamictal, Parnate, Paxil, Requip, Wellbutrin, Zyban Lilly Cares Foundation http://www.lillycares.com/index.jsp Medications: Cymbalta, Prozac, Strattera, Symbyax, Zyprexa Novartis Pharmaceuticals Patient Assistance Program http://www.pharma.us.novartis.com/novartis/pap/pap_cns_enroll.jsp Medications: Clozaril, Focalin, Ritalin, Tegretol, Trileptal Pfizer Helpful Answers https://www.pfizerhelpfulanswers.com/ Medications: Dilantin, Geodon, Nardil, Navane, Neurontin, Vistaril, Zarontin, Zoloft Takeda Patient Assistance Program http://www.tpna.com/patasstProgram.asp Medications: Rozerem 5 Patient Advocate Organizations In addition to the drug companies themselves, there are also other organizations devoted entirely to helping people navigate through the Patient Assistance Program process. Some are free, and some charge a fee for the services they provide. The free programs (“organizations”) are listed below. You may find the rest (“Patient Advocate Companies”) on page 22. National Organization for Rare Disorders (NORD) Provigil Medication Assistance Program 55 Kenosia Avenue P.O. Box 1968 Danbury, CT 06813-1968 Cephalon: (800) 675-8415 Toll-Free: (800) 999-6673 Phone: (203) 744-0100 TDD: (203) 797-9590 Fax: (203) 798-2291 Email: [email protected] http://www.rarediseases.org/programs/medication “NORD works closely with humanitarian-minded pharmaceutical and biotechnology companies to ensure that certain vital medications are available to those individuals whose income is too high to qualify for Medicaid but too low to pay for their prescribed medications. NORD’s programs have set the standards for fairness, equity, and unbiased eligibility. The NORD programs have gained respect from the patient communities, pharmaceutical companies, healthcare professionals, government officials, and the public. Participants have assurance that NORD protects their confidentiality. There is no conflict of interest with respect to NORD’s eligibility decisions.” Benefits: The program provides qualified applicants with free vouchers, which can be used to obtain Provigil at your pharmacy. The NORD website provides users several comprehensive indexes and databases profiling thousands of rare disorders and organizations associated with research and treatment of those conditions, as well as several pages that outline the various programs they offer, including their medication assistance program. Eligibility: You must have no other prescription coverage Application: To apply for the program, you first call Cephalon – the drug company that manufactures the drug – to be pre-screened. If you qualify you will be referred to NORD who will send you an application in 7-10 days. Once you complete it you may submit it to NORD, and you will receive a response from them in 4 – 6 weeks. 6 Needy Meds, Inc. P.O. Box 63716 Philadelphia, PA, 19147 Phone: (215) 625-9609 Fax: (419) 858-7221 Email: [email protected] Website: http://www.needymeds.com/ “NeedyMeds is a 501(3)(c) non-profit with the mission of helping people who cannot afford medicine or healthcare costs. The information at NeedyMeds is available anonymously and free of charge.” Benefits: The Needy Meds website is a comprehensive guide to most Patient Assistance and other Programs, from drug company PAPs and government-sponsored programs to more obscure programs for specific conditions. And their lists are each organized in different ways, so you can find programs easily. There is also other useful info as well as a page for you to share your story. Eligibility: Not Applicable Application: This program provides you access to Patient Assistance Program applications, but there is no need to apply for the program itself. The Partnership for Prescription Assistance Phone: (888) 4PPA-NOW (477-2669) Website: http://www.pparx.org/Intro.php “The Partnership for Prescription Assistance brings together America’s pharmaceutical companies, doctors, other health care providers, patient advocacy organizations and community groups to help qualifying patients who lack prescription coverage get the medicines they need through the public or private program that’s right for them. Many will get them free or nearly free. Its mission is to increase awareness of patient assistance programs and boost enrollment of those who are eligible. Through this site, the Partnership for Prescription Assistance offers a single point of access to more than 475 public and private patient assistance programs, including more than 150 programs offered by pharmaceutical companies.” Benefits: The PPARX website is one of the most comprehensive and user-friendly PAP websites currently available. Simply type in your medications, or browse their alphabetical list and select your medication regimen. Once that is completed you will be provided a list of programs, for many of which you may apply directly online, or you may if you call to speak with a specialist. Eligibility: Not Applicable Application: This program provides you access to Patient Assistance Program applications, but there is no need to apply for the program itself. 7 Rx for Ohio Phone: (877) RX-4-OHIO (794-6446) Website: http://www.rxforohio.org/ “Our mission is to increase awareness of and enrollment in existing patient assistance programs for those who may be eligible. RxforOhio offers a single point of access to public and private patient assistance programs, including more than 150 programs offered by pharmaceutical companies.” Benefits: This organization is the Ohio branch of the Partnership for Prescription Assistance and provides the same services but focuses primarily on programs offered in the state. Eligibility: Not Applicable Application: This program provides you access to Patient Assistance Program applications, but there is no need to apply for the program itself. RxAssist Volunteers in Healthcare 111 Brewster Street Pawtucket, RI 02860 Phone: (401) 729-3284 Fax: (401) 729-2955 Email: [email protected] Website: http://www.rxassist.org Benefits: “Through RxAssist.org, Volunteers in Health Care offers: • A comprehensive database of pharmaceutical company patient assistance programs. RxAssist was the first website to make application forms available online • Extensive resources on using and understanding pharmaceutical company patient assistance programs • Materials and information tailored to providers and consumers on medication access, including fact sheets, FAQs and “how to” guides • Connections to programs and professionals across the country who are wrestling with issues of medication access, including a dynamic listserv • Staff who are able to assist organizations starting or operating programs providing medication or pharmacy assistance • Staff who are able to provide a national perspective on pharmaceutical access issues and strategies” Eligibility: Not Applicable Application: This program provides you access to Patient Assistance Program applications, but there is no need to apply for the program itself. 8 RxHope, Inc. PO Box 4008 Clinton, NJ 08809 Phone: (908) 713-7600 Fax: (908) 713-7700 Email: [email protected] Website: http://www.rxhope.com “RxHope is the only patient assistance Internet initiative financially supported by PhRMA (Pharmaceutical and Research Manufacturers of America) and participating pharmaceutical companies. “RxHope began as a grassroots effort of the Patient Assistance Managers and Directors of the PhRMA-member companies and has grown into the leading Internet-based patient assistance and sampling web portal in the pharmaceutical industry.” Benefits: The RxHope website provides a page from which one can search patient assistance programs by medication, pharmaceutical company or by state. It also has a page for Healthcare Providers, which can be used to complete applications online. Eligibility: Not Applicable Application: This program provides you access to Patient Assistance Program applications, but there is no need to apply for the program itself. 9 Clinical Trials Clinical trials are conducted to answer specific health questions. Interventional trials are performed for the purpose of testing the safety and effectiveness of experimental treatments and take place in a controlled environment. Observational trials are less restrictive and allow one to exist in their natural environment. There are also additional subcategories into which trials are grouped. The decision to enroll in a clinical trial is not one to be taken lightly, as the health consequences can be serious, and should only be pursued with the advice and consent of your doctor. There are benefits to be gained by participating, however, often including access to free, cutting-edge treatments, possibly financial compensation and, above all, the satisfaction of knowing that your participation may help pave the way for such treatments to become more widely available to others who suffer from conditions like your own. International Federation of Pharmaceutical Manufacturers and Associations Email: [email protected] Website: http://clinicaltrials-dev.ifpma.org/ Benefits: “This service is provided by the IFPMA, on behalf of its Member Companies and Associations. The portal has been designed as a single entry allowing you to search for comprehensive information on on-going clinical trials (registry) or results of completed trials (database) conducted by the innovative pharmaceutical industry.” Eligibility: Not Applicable Application: This program provides you information about current clinical trials, but there is no need to apply for the program itself. U.S. National Institutes of Health: ClinicalTrials.gov http://clinicaltrials.gov/ Benefits: “ClinicalTrials.gov provides regularly updated information about federally and privately supported clinical research in human volunteers. ClinicalTrials.gov gives you information about a trial’s purpose, who may participate, locations, and phone numbers for more details. The information provided on ClinicalTrials.gov should be used in conjunction with advice from health care professionals.” Eligibility: Not Applicable Application: This program provides you information about current clinical trials, but there is no need to apply for the program itself. 10 Low-Cost Meds If you haven’t found any No-Cost meds, you still may be able to find Low-Cost meds through one or more of the following Government and Private programs. Government Programs There are quite a few programs offered by the government at each of the Federal, State and Local levels. To reduce the amount of time it would take to navigate through them all, there are several resources you can use to discover the programs for which you are qualified. The Cleveland Department of Aging Phone: (216) 664-3418 “The Cleveland Department of Aging offers free Benefits CheckUps for Cleveland seniors. Benefits CheckUp is an automated program for seniors to easily learn if they are eligible for a host of federal, state and local assistance programs. The Cleveland Department of Aging can assist seniors in this process.” National Council on Aging: BenefitsCheckUp Website: http://www.benefitscheckup.org/ or http://www.benefitscheckuprx.org/ “BenefitsCheckUp is the nation’s most comprehensive online service to screen for federal, state and some local private and public benefits for older adults (ages 55 and over). It contains over 1,300 different programs from all fifty states (including the District of Columbia). On average there are 50 to 70 programs available to individuals per state.” Even if you’re under 55, this is an excellent resource to find out about assistance programs for which you may qualify, both for your medications (benefitscheckuprx), as well as for any other area with which you may need financial assistance (benefitscheckup). In addition to finding programs for you, including the Medicare Low-Income Subsidy, this website can also help you to fill out their applications. 11 Federal Programs There are several Federal governmental assistance agencies that administer programs that provide some sort of prescription drug coverage to beneficiaries – Medicare, the Social Security Administration, the Military programs. Social Security Social Security Administration Office of Public Inquiries Windsor Park Building 6401 Security Blvd. Baltimore, MD 21235 SSA Local Office 2519 Detroit Ave. Cleveland, OH 44113 Toll-free: (800) 772-1213 TTY: (800) 325-0778 Website: http://www.ssa.gov “Mission: To advance the economic security of the nation’s people through compassionate and vigilant leadership in shaping and managing America’s Social Security programs.” Benefits: The Social Security Administration (SSA) provides supplemental security income (SSI), disability income (SSDI), retirement, and Medicare part D low-income subsidy (LIS) benefits to qualifying applicants. If you receive SSI or SSDI, you will usually receive state Medicaid benefits as well, which provide some prescription drug benefits (see Ohio Medicaid – page 19). If you receive SSDI benefits for 24 months, however, you will automatically become eligible for and receive Medicare benefits. At this point, Medicaid will stop paying for your medications and you will have to enroll in a Medicare prescription drug plan (see Medicare – page 14). You may then apply for the Low Income Subsidy, which, if you qualify for the full or partial subsidy, will reduce your premium and drug costs. Eligibility: In addition to being a U.S. Citizen, For SSI you must: • be elderly (over 65), legally blind, or physically and/or mentally disabled • have limited income (the amount of your benefit will vary accordingly) • have assets of less than $2,000 if you are single, or $3,000 if you are married For SSDI you must: • be chronically (> 1 year) or terminally disabled and unable to work • be under 65 (after 65 SSDI benefits convert to Retirement benefits) • have earned enough work credits – generally, the equivalent of $40,000 lifetime earnings. 12 For Retirement you must: • have worked for 10 years • be at least 62 years of age (the amount of your benefit will vary according to when you choose to start receiving benefits) For LIS you must: • be a Medicare beneficiary and enrolled or enrolling for a Medicare prescription drug plan • have an income of less than $14,700 if you are single or $19,800 if you are married • have resources of less than $10,000 if you are single or $20,000 if you are married Application: You can apply for all of these programs in person at your local SSA office, though it is recommended that you call in advance to schedule an appointment. You may also apply by phone, mail or online for every program except for SSI. Medicare Centers for Medicare and Medicaid Services 7500 Security Blvd. Baltimore, MD 21244 Toll-Free: (877) 267-2323 Phone: (410) 786-3000 TTY Toll-Free: (866) 226-1819 TTY Phone: (410) 786-0727 CMS Regional Office CMS – Region 5 233 North Michigan Avenue, Suite 600 Chicago, IL 60601 Phone: (312) 886-6432 Fax: (312) 353-0252 Website: http://www.cms.hhs.gov/ Toll-free: (800) MEDICARE (633-4227) Website: http://www.medicare.gov Benefits: Medicare benefits consist of: • Part A: Hospital benefits Ô Coverage: inpatient care, hospice care and some home health care Ô Cost: $0 if you’ve paid Medicare taxes, $393 per month, if you haven’t • Part B: Medical benefits Ô Coverage: outpatient care, physical and occupational therapy, some home health care, preventive services, medical supplies, and certain prescription drugs Ô Cost: $98.20 per month in 2007 plus a penalty if you didn’t enroll for part B when you first became eligible. There is also a deductible of about $130 13 • Part C: Medicare Advantage Ô Coverage: variation of Original Medicare part A and part B and part D coverage, depending on which HMO, PPO, SNP (Special Needs Plan) or PFFS (Private Fee for Service Plan) you choose. Ô Costs: variable, depending on which plan you choose • Part D: Prescription Drug benefits Ô Coverage: prescription drugs, except for certain controlled substances such as benzodiazepines Ô Cost: variable, depending on your prescription drug plan, your Medicaid status and your Low Income Subsidy status (see explanation under Social Security – [section II.B.1.a.i]). • Medigap Policies Ô Coverage: variable portions of medicare “gaps” such as premiums, deductibles and copayments, depending on which policy you choose v Costs: variable, depending on which policy you choose • Medicare Cost Plans Ô Coverage: supplemental network of providers and services in addition to Original Medicare Ô Costs: variable • Demonstrations - special projects that test possible future improvements in Medicare coverage, costs, and quality of care. They are usually population- and location-specific. Eligibility: In addition to being a U.S. Citizen you must either: • be over 65 – if you receive Social Security benefits enrollment will be automatic, if not you may apply • have been receiving SSDI benefits for 24 months • have End Stage Renal Disease Application: In most cases application for Medicare benefits is not only unnecessary, but impossible. The only case in which you could apply is if you are over 65 and haven’t been receiving Social Security benefits. This would require you to follow the application guidelines for Social Security Retirement benefits. Once you have Original Medicare part A benefits, however, you would have to enroll for any of the other available options noted above. 14 Medicare Advocacy Organizations Because of the size and often the complexity of the Medicare system, many organizations have developed to ensure that beneficiaries receive the benefits they deserve. While most of the information they provide hasn’t necessarily been reviewed or approved by Medicare, they do provide valuable alternative perspectives and resources for some beneficiaries. The Access to Benefits Coalition 300 D Street, SW Suite 801 Washington, DC 20024 Phone: (202) 479-6670 Fax: (202) 479-0735 Email: [email protected] Website: http://www.accesstobenefits.org/default.aspx “The Access to Benefits Coalition (ABC or the Coalition) is dedicated to ensuring that Medicare beneficiaries with limited incomes know about and make the best use of all available resources for accessing prescription drugs and reducing their costs.” Medicare Access for Patients Rx Email: [email protected] Website: http://www.maprx.info/ “MAPRx is a coalition of patient, family caregiver and health professional organizations committed to safeguarding the well-being of patients with chronic diseases and disabilities under Medicare Prescription Drug Coverage. MAPRx member organizations collaborate with national and state policymakers to ensure that beneficiaries have the access to the medication therapies they need and deserve.” Medicare Rights Center 1030 15th Street, NW Suite 250 Washington, DC 20005 Toll-Free: (800) 333-4114 Phone: (202) 589-1316 Fax: (202) 589-1310 Website: http://www.medicarerights.org “Medicare Rights Center (MRC) is the largest independent source of health care information and assistance in the United States for people with Medicare. Founded in 1989, MRC helps older adults and people with disabilities get good, affordable health care. MRC provides telephone hotline services to individuals who need answers to Medicare questions or help securing coverage and getting the health care they need. MRC also works to teach people with Medicare and those who counsel them–health care providers, social service workers, family members, and others–about Medicare benefits and rights.” 15 Medicare Rx Education Network Website: http://www.medicarerxeducation.org/ “By sharing information with each other about organizations’ independent efforts, collaborating on activities, and identifying ways to work together, the network hopes to eliminate duplication of efforts and maximize the effectiveness of outreach efforts. The network also hopes to pre-empt any confusion about the details of the new Medicare prescription drug coverage by making sure information disseminated about the benefit is factual and accurately conveyed.” The National Council on the Aging: My Medicare Matters 300 D Street, SW Suite 801 Washington, D.C. 20024 Phone: (202) 479-1200 TDD: (202) 479-6674 E-mail: [email protected] Website: http://www.mymedicarematters.org “The MyMedicareMatters Web site is designed to help individuals learn more about the Medicare Prescription Drug Coverage.The National Council on the Aging (NCOA) and the Access to Benefits Coalition (ABC) sponsor the site, with support from AstraZeneca.” Ohio Senior Health Insurance Information Program (OSHIIP) 2100 Stella Court Columbus, OH 43215 Phone: (800) 686-1578 Website: http://www.ohioinsurance.gov/ConsumServ/ConServIndex.asp?Menu=2 “OSHIIP provides free health insurance information and services for people with Medicare. People covered by Medicare can get help from OSHIIP in various ways: A nationwide toll-free phone number…, volunteers and information sites near you, a speakers bureau, [the] web site, objective, free and easy-to-read literature — including Ohio shopper’s guides.” The State Health Insurance Assistance Program (SHIP) Western Reserve Area Agency on Aging 925 Euclid Avenue, #600 Cleveland, OH 44113 Phone: (800) 626-7277 Website: http://www.shiptalk.org “The State Health Insurance Assistance Program, or SHIP, is a national program that offers one-on-one counseling and assistance to people with Medicare and their families. Through federal grants directed to states, SHIPs provide free counseling and assistance via telephone and face-to-face interactive sessions, public education presentations and programs, and media activities.” 16 Military U.S. Department of Veteran’s Affairs Cleveland Regional Office A.J. Celebrezze Federal Building 1240 E. 9th St. Cleveland, OH 44199 Health Benefits Center Number: (877) 222-VETS (8387) Toll-free: (800) 827-1000 Website: http://www.va.gov Benefits: In addition to health care coverage, “honorably discharged veterans without service-connected disabilities who are enrolled with the VA generally pay $7 per prescription. Low-income vets and those with some service-connected disabilities can get free prescription drugs at VA hospitals and pharmacies.” Eligibility: Barring certain exceptions, in addition to being a U.S. Citizen and a veteran of the U.S. Military, you must: • have been honorably or generally discharged • have enlisted prior to 1980, or have 24 months of continuous active duty military service • be enrolled in the VA Health Care system Application: You may obtain an application online, by calling the Health Benefits Center, or by visiting, writing or calling any VA healthcare facility or VA Benefits Office. Once you complete the application, you may mail it to the local VA office, along with: discharge papers, evidence of Purple Heart receipt and subsequent hostile fire or immanent danger pay TRICARE Pharmacy Benefit Office of the Assistant Secretary of Defense (Health Affairs) TRICARE Management Activity Skyline 5, Suite 810, 5111 Leesburg Pike Falls Church, VA 22041-3206 Toll-free: (877) 363-6337 Regional: (877) TRICARE (874-2273). Website: http://www.tricare.osd.mil/retirees/ Benefits: “Military retirees, spouses and survivors registered with Defense Enrollment Eligibility Reporting System can obtain prescription drugs with $3 co-pays for generics and $9 co-pays for brand-name drugs through a national mail order program and through local retail pharmacies. Prescriptions can be filled at a military treatment facility free of charge.” 17 Eligibility: You must: • be registered with the Defense Enrollment Eligibility Reporting System (DEERS) – automatic if you are active duty or retired military • be a Continued Health Care Benefit Program enrollee • be eligible for TRICARE including primarily: Ô active duty or retired military Ô un-remarried spouses or unmarried children of an active, retired or deceased service member Ô abused spouses, former spouses or children of service members Ô retired or disabled service members with Medicare part A and B Ô Congressional Medal of Honor recipients and family members Application: If you meet the eligibility criteria you will automatically receive TRICARE pharmacy benefits, though you may opt to enroll in the TRICARE Mail Order Pharmacy or to enhance your standard TRICARE benefits. 340 B Drug Pricing Program While the above federal programs may provide you prescription assistance directly, there is also at least one other federal program that may provide you indirect assistance with paying for your medications. The 340B Drug Pricing Program, administered through the Health Resources and Services Administration, allows Federally-Qualified Health Centers and other healthcare providers to obtain discounted medications through a contracted pharmacy. Discounts can range up to 50% of the retail price, and even more if the provider is what is called a Prime Vendor. Unfortunately, Recovery Resources has not yet enrolled in this program. However, if you receive services from a healthcare provider that qualifies under 340B, be sure to ask them if they have enrolled. For more information, visit: http://www.hrsa.gov/opa/introduction.htm To search the participant database, visit: http://opanet.hrsa.gov/opa/CE/CEExtract.aspx The following is contact information for some local participating organizations: 18 Care Alliance 2221 Payne Ave. Cleveland, OH 44114 (216) 781-6228 Lutheran Hospital 1730 W. 25th St. Cleveland, OH 44113 (216) 363-2230 Neighborhood Family Practice 3569 Ridge Rd. Cleveland, OH 44102 (216) 281-8945 Northeast Ohio Neighborhood Health Services Various (216) 231-7700 State Programs There are several state programs that can help you to access affordable medications. While there are additional benefit programs, only those that provide medication assistance are profiled here. Ohio Medicaid The Ohio Department of Job and Family Services 30 E. Broad St., 32nd Floor Columbus, Ohio 43215-3414 Local Office 2012 W. 25th St. Cleveland, OH 44113-4135 Phone: (216) 556-8889 Toll-free: (800) 324-8680 Phone: (614) 466-6282 Fax: (614) 466-2815 TTY/TDD: (614) 752-3951 Website: http://jfs.ohio.gov/OHP/consumer.stm Benefits: If you receive only Medicaid benefits (including Healthy Start/SCHIP and Healthy Families) and your medication is on the Medicaid Drug Rebate Program formulary (as most medications are), your medications will be paid for. If you do not qualify for Medicaid and are medication dependent you may apply for the Disability Medical Assistance (DMA) program. If you also have Medicare, you will have to enroll for a prescription drug plan and Medicaid will pay your premium and reduce your drug costs to under $5 per medication. Medicaid may also pay for medications that are not be covered under your drug plan, e.g., controlled substances. Programs such as QMB, SLMB, QI-1, QI-2, and QWDI are additional Medicare Premium Assistance programs. Eligibility: You must: • be a U.S. citizen or meet Medicaid citizenship requirements • be an Ohio resident • have or get a Social Security number • meet the following financial criteria (see Appendix I) Who's Covered? Income Eligibility Guidelines Children (Up to age 19) 200% FPL Pregnant Women 150% FPL Families Ohioans age 65 or older & Individuals w/ Disabilities 90% FPL 64% FPL Application: Submit in person at the local office. Applications may also be downloaded from the ODJFS website listed above and mailed, however, this method is less effective. 19 Ohio’s Best Rx Ohio’s Best Rx P.O. Box 408 Twinsburg, OH 44087-0408 Toll-free: (866) 9BEST-RX (923-7879) TTY: (866) 763-9630 Fax: (877) 923-7879 Website: http://www.ohiobestrx.org/ Benefits: This program provides a discount pharmacy card which can result in savings of up to 10 - 25% for brand name drugs and 20 – 45% for generics. A prescription mail order option is available as well. Eligibility: You must: • be an Ohio resident • have an income of less than 250% of the poverty level (see Appendix I) • have no prescription drug coverage Application: Call the toll-free number or visit the website to obtain an application. Once complete, you may submit it via fax or mail. Ohio AIDS Drug Assistance Program Ohio Ryan White Title II Program Ohio Department of Health HIV CARE Services Section 246 North High Street, 6th floor P.O. Box 118 Columbus, OH 43216-0118 Phone: (800) 777-4775 AIDS Hotline: (800) 332-2437 Website: http://www.odh.ohio.gov/odhPrograms/chss/aids/drugasst/drgasst1.aspx Benefits: Though this program is a payer of last resort and has stringent criteria, it provides mail-order medications from a specialty order pharmacy, free of charge, to qualified enrollees. A drug formulary is available at the above website. Two refills are allowed on each prescription and the doctor must call in a new prescription every 3 months. Enrollment is for a year at a time and requires documentation of income and a physician’s report as well as an updated application each period. If you don’t qualify, for this program but still need assistance the Ohio Dept. of Health also offers the Health Insurance Premium Payment (HIPP) program, as well as the Ohio Medicaid Spenddown Payment (OHMSDP) program for individual with HIV/AIDS. Eligibility: You must: • be a resident of Ohio • be HIV positive • have income of less than 500% of the Federal Poverty Level (see Appendix I). • provide proof of income and IRS tax transcript • provide physician verification of HIV infection, medication list and lab results from within the last 6 months Application: An application for this program may be downloaded from the above website, or you may call the toll-free number for more information about these programs and the application process for them. 20 Central Pharmacy Ohio Department of Mental Health Office of Supportive Services Central Pharmacy Outpatient 2150 West Broad Street Columbus, OH 43223 Phone: (614) 751-0150 Website: http://www.mh.state.oh.us/oss/general/oss.cpoutpatient.html Benefits: If you don’t qualify or are in the process of applying for any of the other programs featured in this guide, or have run out of medications, you may qualify to receive medications temporarily through Central Pharmacy for a small administrative fee of $10 per prescription. Eligibility: You must: • have an income of less than 100% of the Federal Poverty Level (see Appendix I). • be in the process of finding and applying for other assistance programs. Application: Ask your doctor about the program if you think you qualify and you may be set up with an appointment to meet with the Patient Advocate. Local Programs Cuyahoga Meds-For-Less Phone: (866) 310-9657 Website: http://www.cuyahogacounty.us/home/pdf/medsforless.pdf Benefits: “If you need help lowering the cost of prescription drugs, Cuyahoga Meds-For-Less has five ways to help you SAVE: • FREE Prescription Discount Card: Every Cuyahoga County resident, regardless of income, who does not already have a prescription plan, can save 5% - 40% on the retail cost of drugs at most neighborhood and chain pharmacies countywide. • U.S. Mail Order Program: Every Cuyahoga County resident, regardless of income, who does not already have a prescription plan, can save 20% - 60% off the retail cost of drugs they need on a regular basis by enrolling in our mail order program. • $7 Prescription Assistance Program: If you meet certain income guidelines, we will work with your doctor to provide your prescription at $7 per prescription (per month), plus a $25 annual fee. THERE ARE NO OTHER COSTS. Please have your medical information and proof of income (such as Social Security dis ability or IRS tax form) ready BEFORE you call. • RxforOhio: Go to www.rxforohio.org to see a list of programs offered by the State of Ohio to cut the cost of prescriptions. • Medicare Part D Assistance: If you have questions about the Medicare Part D prescription drug plan, we can help.” 21 Eligibility: You must: • be a resident of Cuyahoga County • not have prescription drug coverage Application: You may access any of the above programs by calling the phone number and enrolling directly over the phone. For-Profit Programs There are several programs offered by for-profit companies to help reduce the cost of prescription drugs. They include patient advocate companies, discount drug cards and mail order pharmacies. Patient Advocate Companies Cuyahoga Meds-for-Less (see page 21) Free Medicine Foundation P.O. Box 125 Doniphan, MO 63935-0125 Phone: (573) 996-3333 Website: http://www.freemedicinefoundation.com http://www.themedicineprogram.com “Our mission at Free Medicine Foundation is to connect you and your loved ones with programs that will help you save or eliminate prescription medicine costs. Enrollment in a patient assistance program eases the drain on family funds, resulting in increased cash available for life’s basic necessities.” Benefits: For a $5 refundable fee per prescription, this organization will wade through the PAP application process for you. You simply provide them a list of your medications, and within 2 – 3 weeks you will receive the medications or a coupon to be redeemed at a pharmacy. If you are a Recovery Resources client, the Patient Advocate can provide these services for you. Eligibility: See Appendix III for eligibility criteria Application: You may download an application from the website, or call the phone number to have one sent to you. After you submit it to them with the fee by mail, they will send you a customized packet of PAP applications, which you would then give to your doctor to complete and submit to the appropriate PAP. If you are approved, the medications will be shipped to your doctor’s office. If you are denied, simply send the foundation your denial letter and they will refund your fee. 22 Free Medicine Program P.O. Box 630217 Miami, FL 33163-0217 Phone: (800) 921-0072 Fax: (866) 705-0121 Website: http://www.freemedicineprogram.com/ “Our goal at FREE Medicine Program is to: Find the appropriate Patient Assistance Program(s) for you. Provide you with the latest, most complete and accurate application information. Simplify the rules, guidelines and procedures. Expedite the submission process, by preparing your customized submission package. Guide and assist you in your application process.” Benefits: The Free Medicine Program helps you to navigate through the PAP application process for a flat $5 refundable fee. Their website also has a searchable list of medications that feature assistance programs. Additionally, there is a virtual health library, pharmacy locator as well as news and updates. If you are a Recovery Resources client, the Patient Advocate can provide these services for you. Eligibility: You must: • have no other prescription drug coverage • be unable to afford your out-of-pocket medication expenses Application: You may download an application from the website, or call the phone number to have one sent to you. You may also submit your application directly from the website. After you submit it to them with the fee, they will send you a customized application packet, which you would then give to your doctor to complete and submit to the appropriate PAP. If you are approved, the medications will be shipped directly to you. If you are denied, simply send the foundation your denial letter within 90 days of your initial application date and they will refund your fee. Health Med Assist, Inc. 4659 South 2300 East Suite 203 Salt Lake City, UT 84117 Phone: (801) 277-9769 Toll Free: (877) 277-9769 Email: [email protected] Website: http://www.healthmedassist.com/ “Health Med Assist, Inc. is a patient advocate organization that provides two services: It works with pharmaceutical companies to establish the eligibility of applicants, It continues an ongoing application process that assures continuing medication to needy applicants.” Benefits: This organization helps you to apply for Patient Assistance Programs for an initial $25, non-refundable research fee plus an ongoing $10 per-prescription-per-month maintenance fee. If you are a Recovery Resources client, the Patient Advocate can provide these services for you. 23 Eligibility: See Appendix III for eligibility criteria. Application: Call the phone number to request an application packet. It will be mailed to you for completion. Once you return it to the company with the non-refundable $25 research fee, you will be informed about the available PAPs within 1 – 2 weeks and the applications will be sent directly to your doctor. Once your doctor submits the forms and you are officially approved to receive medications, they will be shipped to your doctor’s office, and you will then be responsible for submitting the $10 per-prescription-per-month maintenance fee and notifying the company when your medications have arrived. Med-Solutions 684 Church St. Santa Rosa, CA 95905 Phone: (707) 579-3924 Fax: (808) 356-0501 Website: http://www.freemedsandsolutions.com/ “Our Focus at Free Meds and Solutions is to provide you and your loved ones with programs that will save or eliminate prescription medicine costs ,as well as a number of associated assistance programs. Our site is designed to assist you in accessing the 100’s of Patient Assistant Programs. We provide the most up-to-date information, qualifying criteria when available , applications and detailed instructions for these programs. We are available to you and your Physician with quick responses to any question that you or your Physician may have.” Benefits: You may search available patient assistance programs for free at the Med-Solutions website. For a $10-per-medication fee, or possibly less if it would cause financial hardship, this company will send you detailed step-by-step instructions and an application for the medication you specify. They also provide ongoing PAP support. If you are a Recovery Resources client, the Patient Advocate can provide these services for you. Eligibility: See Appendix III for eligibility criteria Application: You may go to the website to order applications, for which you may pay by credit card through their secured site. The applications will be mailed to you along with instructions, which you may follow to submit the application for processing. Medical Discounts International 322 Paseo Tesoro Walnut, CA 91789 Phone: (888) 380-MEDS (6337), x 205 Email: [email protected] Website: http://www.wecaremedicalmall.org/383.htm “When you can’t afford your prescription medicines, there is an established free medication program available through the pharmaceutical industry. Last year, the free medication program gave more than a billion dollars worth of free medicine to people with limited resources. For only a $5 per medication (one-time processing fee), we will help you obtain free medications, and we offer a money back guarantee!” 24 Benefits: Like other such organizations, this organization can assist you to apply for PAPs for a refundable fee of $5 per medication, and then handle the management of your account, including ordering refills and renewing as necessary. If you are a Recovery Resources client, the Patient Advocate can provide these services for you. Eligibility: You must: • have no other prescription drug coverage • have a good relationship with your doctor • be unable to afford to pay your out-of-pocket medication expenses Application: You may download an application from the website, call the phone number to have one sent to you, or apply directly from the website. After you submit it to them with the fee, they will send you a customized packet of PAP applications, which you would then give to your doctor to complete and submit to the appropriate PAP. If you are approved, the medications will be shipped to your doctor’s office. If you are denied, simply send the foundation your denial letter and they will refund your fee, minus a $2 processing fee. Patient Assistance Services P.O. Box 407 Marion, OH 43302 Toll-free: (877) 463-1905 Phone: (740) 223-1501 Website: http://www.patientassistanceservices.com “Patient Assistance Services has grown to be one of the largest patient advocate companies in the United States. We handle every aspect of the pharmaceutical companies’ “Patient Aid Programs,” from the initial qualification/application procedures through the ongoing renewal process.” Benefits: This company charges a one-time, nonrefundable $25 set-up fee and $50 per month membership for all of your prescription medications. Medications are mailed to your doctor’s office, a local pharmacy or your home depending on the requirements of the pharmaceutical program. Members can also have access to a mail order pharmacy and receive a discount card for prescriptions, vision care, chiropractic services, dental procedures, hearing aids, vitamins and home medical supplies. Aside from the discount cards and the mail order pharmacy, if you are a Recovery Resources client, the Patient Advocate can provide these services for you. Eligibility: See Appendix III for PAP eligibility criteria. The rest of the company’s programs are available to everyone. Applications: You may download an application from the website, or call the phone number to have one sent to you. After you submit it to them with the fee by mail, they will send you quotes from US and Canadian mail order pharmacies as well as a customized PAP applications packet, which you would then give to your doctor to complete and submit to the appropriate PAP. If you are approved, the medications will be shipped according to the PAP’s specifications. 25 Discount Drug Cards Though there are now fewer discount drug cards than there were immediately preceding implementation of Medicare part D, there are still a number of them available, offered both through drug companies, independent companies as well as through the government (see Ohio’s Best Rx and Cuyahoga Meds-for-Less above). Be discerning in your choice to utilize any drug card, however, keeping in mind that many of these companies are for-profit and may not be solely motivated by charitable intentions. You may want to ask yourself some of the following questions from http://www.rxassist.org/faqs/drug-discount-cards.cfm Eligibility: ÔIs there an income limit? (Do you qualify?) ÔIs there an age limit? (Do you qualify?) ÔDo you have to be a member of an association to get this discount? ÔDoes the plan cover you alone, you and your spouse, or your entire family? Costs: ÔIs this plan for medication only or is it part of health, vision and/or dental coverage? ÔIs there a membership/enrollment/annual fee? ÔIs there a monthly fee? ÔWhat are your co-payments? ÔAre there additional shipping and handling fees? ÔWill the money you save be more than the money you spend on enrollment fees, co-payments, and other fees? Benefits: ÔAre drugs provided through a mail-order pharmacy or a walk-in pharmacy? ÔDo you have to use a "participating pharmacy?" (Are these convenient to you?) ÔAre the drugs you need covered by the plan? ÔWhat drugs are not covered by the plan? ÔDoes the plan cover both generic and brand name drugs? ÔIs the % discount the same for generic and brand name drugs? ÔIs the discount off the retail price? (Make sure the plan is really saving you money compared to what you would normally pay at your local pharmacy.) ÔIs there a limit on the benefits you can receive in a year? Protection: ÔDoes the plan make available detailed description of coverage? (Make sure you get and read through all the written material regarding the discount card program) ÔDoes the plan have a customer service number, preferably one that is toll-free? ÔWhat are the options for canceling this card? What is the policy on refunding your fees? 26 Drug Company Cards Merk Prescription Discount Program Toll-free: (800) 50-MERCK (506-3725) Website: http://www.merckhelps.com/uninsured/about.html “The Merck Prescription Discount Program is simple and convenient and will make an immediate difference in the lives of millions of Americans by helping them obtain access to Merck medicines.” Benefits: This program offers a discount card that results in savings of between 15% and 40% on most Merck medications. Eligibility: You must: • be a U.S. Resident • not have any prescription drug coverage Application: To obtain an application, you may call the number above to have one mailed to you, or you may visit the website to either download it or fill it out online. Together Rx Access, LLC P.O. Box 9426 Wilmington, DE 19809-9944 Phone: (800) 444-4106 Website: http://www.togetherrxaccess.com/ “Thousands of eligible hardworking people with no prescription drug coverage are now saving on the medicines they need with the Together Rx Access™ Card.” Benefits: This program provides a discount card for over 275 medications from 12 participating drug companies. Discounts varies from 25% to 40%, depending on the manufacturer and whether the drug is generic or brand name. Eligibility: You must: • have an income of less than $30,000 (individuals) or $40,000 (couples) • have no prescription drug coverage Application: You may call to apply over the phone, or you may access the website to apply directly online or to download an application to submit by mail. 27 Other Drug Cards The following are a few of the many private companies that offer drug cards. Though these drug cards all appear to come without strings attached, be sure to answer the above questions before requesting your card. BenefitHouse Insurance Services 957 Avir Court Gahanna, Ohio 43230 Toll-free: (866) 205-0380 Phone: (614) 933-8554 Website: http://www.benefithouse.com/free_prescription_card/default.html “The Consumer Drug Card discount drug card from BenefitHouse can save you up to 75% on your prescription drugs (prescription drugs discounts may vary by drug ). Both brand name prescription drugs as well as generic prescription drugs can be purchased with the Consumer Drug Card discount drug card from BenefitHouse. You can save at pharmacies such as Target, CVS, Medicine Shoppe, Walgreens, Kmart, Eckerd Drugs, Rite Aid, Krogers, Wal-Mart and many more. If you’re on Medicare or your health insurance doesn’t cover prescription drugs or you have no prescription insurance, you can start saving today on your prescription drugs.” Benefits: This drug card provides savings of up to 75% on your brand name and generic medications. You may use it at most chain pharmacies. Eligibility: Not Applicable Application: To obtain your free discount card, you simply access the website, fill in your information and print the card out directly. Free Drug Card.us Email: [email protected] Website: http://www.freedrugcard.us/index.php “This FREE DRUG CARD program is being sponsored by a non-profit organization to help all Americans cut their prescription drug costs. Simply download your FREE Prescription Drug Card and receive savings of up to 75% at more than 50,000 national and regional pharmacies. Participating pharmacies include the following: Walgreens, CVS, Rite Aid, Target, Winn Dixie, SAV-ON, Eckerd, Kroger, Costco, Publix, Safeway, Phar-Mor and Osco, as well as thousands of independent pharmacies.” Benefits: This drug card provides savings of up to 75% on your brand name and generic medications. You may use it at most chain pharmacies and some independent pharmacies. Eligibility: Not Applicable Application: To obtain your free discount card, you simply access the website, fill in your information and print the card out directly. 28 Rx Help for You Select Benefits Global Marketing Group P.O. BOX 62507 Cincinnati, OH 45262-0507 11006 Reading Road, Suite 301, Cincinnati, OH 45241-1929 Phone: (513) 563-9010 Toll-free: (800) 613-4841 (888) 636-2378 Fax: (513) 956 5522 Toll-free fax: (877) 329-7246 Website: http://www.rxhelpforyou.com/ Benefits: This company offers a drug card with which you and your family may save 18% - 25% on average, and up to 65% on all prescriptions. It also provides links to mail order pharmacies. Eligibility: Not Applicable Application: To obtain your free discount card, you simply access the website, fill in your information and print the card out directly. Mail Order Pharmacies There are a number of mail order pharmacies, located both within the U.S. and internationally-based. The benefits of using the services of these companies usually amount to lower drug costs, sometimes resulting in savings of up to 90%, with most hovering around 50%. In addition, there is the convenience of having the medications arrive at your home. However, before you decide to utilize any of these services, please thoroughly explore the health legal implications, and take note of this warning from the drug enforcement agency (http://www.deadiversion.usdoj.gov/consumer_alert.htm) 29 Mail Order Pharmacies There are a number of mail order pharmacies, located both within the U.S. and internationally-based. The benefits of using the services of these companies usually amount to lower drug costs, sometimes resulting in savings of up to 90%, with most hovering around 50%. In addition, there is the convenience of having the medications arrive at your home. However, before you decide to utilize any of these services, please thoroughly explore the health legal implications, and take note of this warning from the drug enforcement agency (http://www.deadiversion.usdoj.gov/consumer_alert.htm) DEA Warning–Buying drugs online may be illegal and dangerous! Federal law prohibits buying controlled substances such as narcotic pain relievers (e.g., OxyContin®, Vicodin ®), sedatives (e.g., Valium®, Xanax®, Ambien®), stimulants (e.g., phentermine, phendimetrazine, Adderall®, Ritalin®) and anabolic steroids (e.g., Winstrol®, Equipoise®) without a valid prescription from your doctor. This means there must be a real doctor-patient relationship, which by most state laws requires a physical examination. Prescriptions written by “cyber doctors” relying on online questionnaires are not legitimate under the law. Buying controlled substances online without a valid prescription may be punishable by imprisonment under Federal law. Often drugs ordered from rogue websites come from foreign countries. It is a felony to import drugs into the United States and ship to a non-DEA registrant. Buying drugs online may not be only illegal, but dangerous. The American Medical Association and state boards of medicine and pharmacy have all condemned the practice of cyber doctors issuing online prescriptions as unacceptable medical care. Drugs delivered by rogue websites may be the wrong drugs, adulterated or expired, the wrong dosage strength, or have no dosage directions or warnings. DEA is targeting rogue online pharmacies for prosecution and shutting down these illegal websites. See the results of one such investigation, Operation Cyber Chase, at www.usdoj.gov/dea/pubs/pressrel/pr042005.html. How to spot a rogue pharmacy: www.DEAdiversion.usdoj.gov/faq/internetpurch.htm To report illegal prescription drug sales and/or rogue pharmacies operating on the Internet call the anonymous Pharmaceutical Drug Abuse Hotline: 1-877-RxAbuse (1-877-792-2873) Drug Store.com Phone: (800) 378-4786 http://www.drugstore.com/pharmacy “drugstore.com, inc. (www.drugstore.com) is a leading online drugstore and information site for health, beauty, wellness, personal care, and pharmacy products. The drugstore.com online store provides a convenient, private, and informative shopping experience that encourages consumers to buy products essential to healthy everyday living.” 30 Benefits: This company allows you to shop their formulary online for better prices on your medications, and to have them shipped directly to you. Eligibility: Not Applicable. Application: No application is necessary, however you must create an online account and login before you may purchase medications online. A prescription from your doctor is necessary. Generic Medicine Program P.O. Box 125 Doniphan, MO 63935-0125 Toll-free: (800) 939-7894 Phone: (573) 996-7894 Fax: (888) 812-5170 Website: http://www.genericmedicineprogram.com “Generic Medicine Program is an easy and affordable way for people of all ages to get medicines they need. Everyone qualifies and enrollment is free to families and individuals of all ages nationwide, whether you have insurance or not. In some cases this program will be less expensive than your prescription drug co-pay. Through this program, you can get more than 2,000 generic medications that treat a wide range of conditions including diabetes, asthma, heart disease, and depression. Our program ensures low-cost, predictable pharmaceutical services for those taking maintenance drugs.” Benefits: This program provides you generic medications, in 90-day increments, by mail-order pharmacy for prices that range from under $5 to $42 per month. Check the website for lists of covered medications. Eligibility: Not Applicable. Application: Request an enrollment form online, by phone or from the Patient Advocate. Fax or mail the completed form along with an original prescription to the listed number or address. Your medications will arrive by mail within 7 days. MedSaveInc.com 4461 Winnetka Ave N New Hope, MN 55428 Phone: (866) 856-9633 Email: [email protected] Website: http://www.medsaveinc.com “MedSave offers the best prices and provides our customers excellent service … with no limitations such as age, income or monthly membership fees. By eliminating costly relationships with insurance companies and stocking primarily lower-cost generics, we have the ability to minimize expenses, allowing us to give discounts as high as 70% off what you may pay in your local pharmacy. In many cases, MedSave Discount Pharmacy pricing may be lower than your current insurance co-pay.” 31 Benefits: This company provides you with a free consultation on lower costs for your medications. You may mail-order medications by phone. Eligibility: Not Applicable. Application: No application is necessary, however, you must participate in the phone consultation before you may order medications. A prescription from your doctor is necessary. Prescription911 Inc. 1463 E.Republican St Seattle, WA 98112 Toll-Free: (877) 324-8818 Phone: (206) 324-8818 Fax: (206) 325-1650 Email: [email protected] or [email protected] Website: http://www.prescription911.com/index.html “As a U.S. pharmacy based in Seattle, Washington, our focus is helping non-insured Americans obtain affordable prescriptions… legally! Over half of our prices are lower than internet pharmacies based in Canada. Plus, we provide jobs in the U.S. and pay taxes to support our police, firefighters, teachers, and your social security.” Benefits: This company allows you to shop their formulary online for better prices on your medications, and to have them shipped directly to you. Eligibility: Not Applicable Application: No application is necessary, however, you must either call and order by phone or fill out an order form, which you may print from the website and mail with your prescription. RxBids 9050 West Warm Springs Rd. Bldg. 12, Unit 2129 Las Vegas, NV 89148 Toll-free: (866) 604-7203 Email: [email protected] Website: http://www.rxbids.com “The objective of RxBids is to save your money by having multiple pharmacies bid down the price of your prescription.” Benefits: This organization allows pharmacies to bid on your prescription. The lowest-bidding pharmacy will provide your medications by mail. 32 Eligibility: Not Applicable. Application: Register online or by phone and mail your original prescription(s) to the listed address. You will be assigned an ID number and pharmacies will bid on your prescription. Rx Outreach Express Scripts Specialty Distribution Services, Inc. PO Box 66536 Saint Louis, MO 63166-6536 Toll-free: (800) 769-3880 Email: [email protected] Website: http://www.rxoutreach.com “Rx Outreach is an easy and affordable way for people of all ages to get medicines they need. Through this Patient Assistance Program, people who qualify financially can get more than 107 prescription medications that treat a wide range of conditions including diabetes, asthma, heart disease, and depression. People may take advantage of the program even if they receive medicines through another discount prescription drug program. The program is available to individuals and families with incomes of up to 250 percent of the federal poverty level. For a family of four, this figure is about $50,000 per year.” Benefits: This company allows you to obtain a 90-day supply of generic medications for $20, plus other nominal processing, shipping and handling fees; all told you pay around $7 a month for your medications. They are shipped directly to you. Eligibility: You must have an income of less than 250% of the poverty level (see Appendix I). Application: You may complete and submit an application online, print it out and mail it, or call to apply over the phone. Wellpartner, Inc. P.O. Box 5909 Portland, OR 97228-5909 Toll Free: (877) WELL-RXS (935-5797) Fax: (866) 624-5797 Email: [email protected] Website: http://www.wellpartner.com “Wellpartner is a next generation pharmacy focused on managing prescription costs while improving pharmacy care for consumers with chronic health conditions.” Benefits: This company offers medications at lower costs than most mail-order pharmacies, through its Wellpartner PLUS program and provides price quotes over the phone. Medications may be shipped directly to your home or to a nearby pharmacy for pick-up. 33 Eligibility: Not applicable. Application: Sign up for an account online or over the phone. You may then mail in your prescriptions with an order form, which you can download from the website. Xubex® Pharmaceutical Services P.O. Box 1244 Winter Park, FL 32790-1244 Toll Free: (866) 699-8239 Phone: (407) 478-2663 Fax: (407) 671-7960 Email: [email protected] Website: http://www.xubex.com/ “Historically, generic medications have not been available through Patient Assistance Programs. Now Xubex® offers assistance to qualified individuals for generic medications through its innovative program. A licensed pharmacist in the United States fills all prescriptions with the same medications available from your local pharmacy. There is no cost to join and no monthly fees. All medications are shipped discreetly to your home, office or trusted family member.” Benefits: This company allows you to obtain a 90-day supply of generic medications for $20, plus other nominal processing, shipping and handling fees. They are shipped directly to you. Eligibility: You must have an income of less than 250% of the poverty level (see Appendix I). Application: You may complete and submit an application online, print it out and mail it, or call to apply over the phone. 34 Non-Profit Programs There are also programs offered by non-profit programs; they consist primarily of co-pay assistance foundations. Co-Pay Assistance For those who don’t qualify for any of the above programs because of insurance or other forms for drug coverage, there are several organizations that provide co-pay assistance services for some drugs. Unfortunately, though, most of them don’t offer assistance for psychiatric medications. The Chronic Disease Fund 2503 Windgate Drive Frisco, TX 75034 Toll-free: (877) 968-7233 Phone: (972) 712-0201 Email: [email protected] Website: http://www.cdfund.org “The Chronic Disease Fund, a non-profit organization founded in 2003. Its focus is to provide assistance to those under-insured patients who are diagnosed with chronic or life altering diseases that require the use of expensive, specialty therapeutics.” Benefits: This organization provides financial assistance to help patients with certain conditions afford certain of their medications, through their network of participating pharmacies or through reimbursement of costs. It also provides online therapy management support. Eligibility: You must: • be diagnosed with one of their covered diseases (see website) • meet certain unpublished financial, geographic and household criteria. Application: You may apply over the phone, online, or by printed out the application from their website and mailing it in with required documentation. The HealthWell Foundation P.O. Box 4133 Gaithersburg, MD 20878 Toll-free: (800) 675-8416 Website: http://www.healthwellfoundation.org “The HealthWell Foundation, a 501(c)(3) non-profit organization established in 2003 to address the needs of 35 individuals who cannot afford their insurance copayments, premiums, coinsurance, or other out-of-pocket health care costs.” Benefits: This organization helps qualifying patients with certain diseases to afford their copayments, premiums, deductibles, and other selected out-of-pocket health care expenses. Eligibility: You must: • be diagnosed with one of their covered diseases (see website) • meet certain unpublished financial, geographic and household criteria. Application: You may apply directly online, or call to have an application sent to you, which you may return by mail. Patient Access Network Foundation PO Box 221858 Charlotte NC 28222-1858 Phone: (866) 316-PANF (7263) Email: [email protected] Website: https://www.patientaccessnetwork.org/ “The Patient Access Network Foundation is a non-profit 501(c)(3) organization dedicated to supporting the needs of patients that cannot access the treatments they need due to out-of-pocket health care costs.” Benefits: This program provides financial support for out-of-pocket costs associated with a wide range of drugs, to treat a number of conditions (see website). Eligibility: You must: • be a U.S. resident • meet certain unpublished financial, medical and insurance criteria Application: You may apply online or call the number to have a representative walk you through the process. All applications must be verified by the patient and their doctor and must include and be supported by appropriate documentation of the condition. The Patient Advocate Foundation PAF Co-Pay Relief 700 Thimble Shoals Boulevard Suite 201 Newport News, VA 23606 Toll Free: (866) 512-3861 Fax: (757) 952-0119 Email: [email protected] Website: http://www.copays.org 36 “The Patient Advocate Foundation, a national non-profit organization that seeks to safeguard patients through effective mediation assuring access to care, maintenance of employment and preservation of their financial stability. The Patient Advocate Foundation's Co-Pay Relief (CPR) Program provides direct co-payment assistance for pharmaceutical products to insured Americans who financially and medically qualify. The Program offers personal service to all patients through the use of CPR call counselors.” Benefits: This organization helps qualifying patients with certain diseases to afford their copayments. Eligibility: You must: • be diagnosed with one of their covered diseases (see website) • meet certain unpublished financial, geographic and household criteria. Application: Call the phone number to speak with a counselor and begin the application proces Patient Services Incorporated P.O. Box 1602 Midlothian, VA 23113 Toll-free: 800-366-7741 Fax: 804-744-5407 Email: [email protected] Website: http://www.uneedpsi.org “Patient Services Incorporated, developed in 1989, is a non-profit charitable organization primarily dedicated to subsidizing the high cost of health insurance premiums and pharmacy co-payments for persons with specific chronic illnesses and rare disorders. PSI is committed to assisting persons with chronic medical illnesses in accessing health insurance and pharmacy co-payment assistance. Families requiring assistance in maintaining the high cost of their health insurance premiums or co-payments are offered assistance based upon the severity of medical and financial need. PSI offers a ‘safety net’ for persons who have expensive chronic illnesses and for those persons who ‘fall through the financial assistance cracks.’” Benefits: This organization specializes in premium and co-pay assistance and waiver services. Eligibility: You must: • be diagnosed with one of their covered diseases (see website) • meet certain medical and financial criteria. Application: Call the phone number to request an application, which must be mailed. Generics If all else fails, there’s always good old-fashioned frugality. Simply by asking your doctor about generic alternatives to your medications, and then shopping around to find the lowest price on those generics, you can save a significant amount of money; fortunately, there are resources for this also. There are no eligibility criteria or application processes associated with any of the following. 37 AGRX Ohio Website: http://www.agrx.ag.state.oh.us Sponsored by the Office of the Ohio Attorney General, AGRX Ohio lists medications and costs by participating pharmacies. While there are only a limited number of featured medications and participating pharmacies, the website promises to update the list quarterly. Consumer Reports Best Buy Drugs Website: http://www.crbestbuydrugs.org “The mission of the Consumer Reports Best Buy Drugs project is to provide consumers and their doctors with information to help guide prescription drug choices–based on effectiveness, a drug's track record, safety and price. “The project aims to improve access to needed medicines for tens of millions of Americans—because they lack insurance coverage for prescription drugs, because the prices of many medicines today are so high, and because many consumers and physicians may not be aware of proven and affordable alternatives.” Giant Eagle Pharmacy 6300 Biddulph Road Brooklyn, OH 44144 Phone: (216) 739-4125 13820 Lorain Road Cleveland, OH 44111 Phone: (216) 476-4731 4401 Mayfield Road South Euclid, OH 44121 Phone: (216) 297-2001 Benefits: Giant Eagle is now offering 30-day generic medications for $4 each, regardless of income or insurance. You may call the pharmacy directly or search the internet to find out more information. To obtain the medications, you must sign up for a free Giant Eagle Advantage Card. Kmart Pharmacy 7700 Brookpark Rd. Cleveland, OH 44109 Phone: (216) 485-9594 12501 Rockside Rd. Garfield Heights, OH Phone: (216) 662-6602 38 33752 Vine St. Eastlake, OH Phone: (440) 951-7567 Toll-free: (866) KMART-4U (562-7848) Website: https://pharmacy.kmartcorp.com/index.jsp Benefits: Kmart offers their 90-day generics program to anyone, regardless of income or insurance, through which one may obtain a 90-day generic prescription for only $15. This program may be accessed at any Kmart that has a pharmacy. Several of the closest locations are listed above. You may search the internet, contact the pharmacy directly, or contact the Patient Advocate for a comprehensive formulary. Target Pharmacy 6850 Ridge Rd. Parma, OH 44129-5627 Phone: (440) 842-9170 20001 Center Ridge Rd. Rocky River, OH 44116-3640 Phone: (440) 895-2608 14070 Cedar Rd. University Heights, OH 44118-3216 Phone: (216) 416-0026 Benefits: Target is now offering 30-day generic medications for $4 each, regardless of income or insurance. You may call the pharmacy directly or search the internet to find out more information. Wal-Mart Pharmacy 10000 Brookpark Rd. Brooklyn, OH 44130 Phone: (216) 741-7340 5638 Transportation Blvd. Garfield Heights, OH 44125 Phone: (216) 663-2884 8303 West Ridgewood Dr. Parma, OH 44129 Phone: (440) 884-5641 Benefits: Wal-Mart is now offering 30-day generic medications for $4 each, regardless of income or insurance. You may call the pharmacy directly or search the internet to find out more information. 39 III. Conclusion The resources profiled in this guide were compiled through hours of research and hopefully give a representative sampling of those available in each category. However, given time, space and subject matter constraints, as well as the ever-changing medication assistance program landscape, there are undoubtedly more to be found. So we’re inviting you to collaborate with us in this effort. If you know of a program that helps people access more affordable medications, or if you have a success story, share it with us and you may be featured in our next edition. Thank you. 40 Appendix I 2006 HHS Poverty Guidelines Persons in 100% of the Family or Household Federal Poverty Level 1 2 3 4 5 6 7 8 For each additional person, add 150% FPL 200% FPL $14,700 $19,800 $24,900 $30,000 $35,100 $40,200 $45,300 $50,400 $5,100 $19,600 $26,400 $33,200 $40,000 $46,800 $53,600 $60,400 $67,200 $6,800 $ 9,800 $13,200 $16,600 $20,000 $23,400 $26,800 $30,200 $33,600 $ 3,400 Appendix II Medication List The medications on this list only represent a sampling of those on the market, but most psychiatric medications are featured. Medications in BOLD have at least one associated no-cost Patient Assistance Program Celexa citalopram hydrobromide Antidepressant Depression Forest though some may have an additional low-cost assistance program associated with them as well. Haldol haloperidol Antipsychotic Schizophrenia Psychosis, Tourette's Ortho Johnson & Johnson, Together Rx Medications in ITALICS have at least one associated low-cost assistance program. fluoxetine, Prozac, Sarafem, Antidepressant - Antiobsessional, Depression, Bulimia, OCD Mallinckrodt, Par, Pharm. Assoc.RxOutreach, Xubex, Kmart, Wal-Mart Medications with a check (3)in the samples column are available as drug company samples through Recovery Resources. Lithobid (see "lithium carbonate") Antimanic Bipolar Solvay 3 41 Anxiety Anxiety Anxiety Anxiolytic Antipanic Antidepressant Antidepressant Antialcoholic Antipsychotic Antiparkinson Antidepressant Anxiolytic Anxiolytic Sedative Stimulant Antidepressant Antihistamine Xanax Symmetrel zolpidem tartrate Elavil, Endep Ascendin Adderal Clomipramine disulfiram Abilify trihexyphenidyl amoxapine hydroxyzine hcl lorazepam Strattera nortriptyline, Pamelor diphenhydramine alprazolam amantadine Ambien amitriptyline amoxapine amphetamine Anafranil Antabuse aripiprazole Artane Ascendin Atarax Ativan atomoxetine Aventyl Benadryl Shire US Depression Antidepressant Antiobsessional Allergic diseases Depression ADHD Depression Parkinson's Disease Schizophrenia Alcoholism ADHD Narcolepsy Parke-Davis Lilly Biovail Pfizer Odyssey Anxiety, OCD Mallinckrodt Mallinckrodt Watson Mylan Depression Depression Sanofi-Synthelabo Pharm. Assoc. Panic Disorder Mylan, Roxane Narcolepsy Anxiety, Bipolar Bristol-Myers Squibb, Otsuka INDICATIONS MANUFACTURER (Other) Insomnia Parkinson's Disease Stimulant Hypnotic Antiparkinson ADHD Stimulant amphetamine Adderall Depression Antidepressant doxepin, sinequan Alcoholism Schizophrenia INDICATIONS Adapin Antipsychotic TYPE Antialcoholic Aripiprazole other names acamprosate calcium Campral Abilify Medication MEDICATIONS Mallinckrodt RxOutreach, Xubex, Kmart, Wal-Mart TogetherRx RxOutreach, Xubex Shire US Bristol-Myers, Squibb, TogetherRx PAPs 3 42 samples Antimanic (see "lithium carbonate") Celexa Anafranil Klonopin, Rivotril Tranxene Clozaril Cibalith-S citalopram hydrobromide clomipramine clonazepam clorazepate dipotassium Clozapine Clozaril Cogentin Schizophrenia Antipsychotic Antiparkinson Antihistamine Clozapine benztropine mesylate Parkinson's Disease Schizophrenia Anxiety Epilepsy Depression Depression Antipsychotic Anxiolytic Antidepressant Antiobsessional Anticonvulsant Antipanic Antidepressant Schizophrenia Antipsychotic Tranquilizer Largactil, Thorazine chlorpromazine Bipolar Anxiety Anxiolytic Limbitrol Anxiety chlordiazepoxideamitriptyline Anxiolytic Depression Epilepsy Epilepsy Alcoholism Anxiety Anxiety Librax, Librium Anticonvulsant Antimanic carbamazepine, Epitol, Anticonvulsant Equetro, Tegregol Antimanic citalopram Antidepressant hydrobromide Antialcoholic Anxiolytic Anxiolytic Depression Parkinson's Disease Opioid Dependence INDICATIONS chlordiazepoxide Celexa Carbatrol carbamazepine acamprosate calcium Carbatrol, Epitol, Equetro, Tegretol Buspar buspirone Campral buspirone Buspar Antidepressant Opioid Antagonist Suboxone, Subutex Wellbutrin, Zyban Antiparkinson Antihistamine TYPE Cogentin other names bupropion benztropine mesylate buprenophinenaloxone Medication Mylan, Taro Mylan, Watson Forest Shire US Taro Forest Mylan, Watson Bristol-Myers Squibb Mylan Par Allergic Diseases Alcohol Withdrawal Ovation Novartis Ivax, Mylan Mylan, Taro, Watson Panic Disorder Mylan, Watson Anxiety, OCD Bipolar Depression Alcoholism, Insomnia Bipolar Bipolar Allergic Diseases INDICATIONS MANUFACTURER (Other) MEDICATIONS Ovation Novartis, TogetherRx Ivax, Mylan RxOutreach, Xubex RxOutreach, Xubex RxOutreach, Xubex Forest Shire US Xubex, Kmart, Wal-Mart Forest RxOutreach, Xubex, Kmart RxOutreach, Xubex RxOutreach, Xubex, Kmart, Wal-Mart PAPs 3 43 samples duloxetine flurazepam naltrexone, Revia Cymbalta Dalmane Depade Diastat, T-Quil, Benadryl Antabuse diazepam diphenhydramine disulfiram Antidepressant Antidepressant Adapin, Sinequan Cymbalta doxepin duloxetine Detoxificant Depression Depression Narcotic Withdrawal Epilepsy Anticonvulsant Antimanic methadone, methadose Alcoholism Allergic Diseases Anxiety Anxiety ADHD Depression ADHD Depression Anxiety, Bipolar Bipolar Bipolar Bipolar Epilepsy Depression Bipolar Mylan, Par, Watson Xubex, Kmart, Wal-Mart Roxane Ability RxOutreach, XubexWatson Mylan, Roxane, Watson Pharm. Assoc. Valeant Xubex Abbott, TogetherRx Abbott Lilly Johnson & Johnson, Together Rx PAPs Xcel Apothecon Ovation Watson Merck Abbott Abbott Mallinckrodt Valeant Lilly Abbott McNeil INDICATIONS MANUFACTURER (Other) Epilepsy Opioid Dependence Antialcoholic Antihistamine Anxiolytic Sedative Anxiolytic Sedative Dolophine divalproex sodium Depakote, Epival diazepam, T-Quil, Valium Diastat Stimulant Antidepressant trazodone Desyrel dexmethylphenidate Focalin Stimulant methamphetamine Desoxyn desipramine Deplin Depakote Opioid Antagonist Insomnia Depression Antidepressant Hypnotic ADHD ADHD INDICATIONS Stimulant valproic acid, Anticonvulsant valproate, Valrelease divalproex sodium, Anticonvulsant Epival Antimanic Antipressant l-methylfolate Supplement Norpramin, Antidepressant Pertofrane pemoline Depakene TYPE Metadate, Methylin, Stimulant methylphenidate, Ritalin other names Cylert Concerta Medication MEDICATIONS 3 3 3 44 samples amitriptyline, Endep Elavil Bipolar Anxiolytic Antipsychotic Antidepressant Antiobsessional Prosom Lunesta perphenazine, Trilafon Prozac, Sarafem Modecate, Permitil, Prolixin Dalmane Luvox Dexmethylphenidate Stimulant Antimanic (see "lithium carbonate") Eskalith estrazolam eszopiclone Etrafon fluoxetine fluphenazine flurazepam fluvoxamine Focalin Neurontin Hypnotic Lexapro escitalopram oxalate gabapentin ADHD Hypnotic carbamazepine,Carbatrol, Epival, Tegretol Equetro Insomnia Depression Antidepressant Antiobsessional Schizophrenia Depression Psychosis Insomnia Insomnia Bipolar Depression Neuralgia Epilepsy Hypnotic Antipsychotic Antimanic divalproex sodium, Depakote Epival Neuralgia Anticonvulsant Antimanic Anticonvulsant Antimanic Anticonvulsant Antimanic Antidepressant Anxiolytic carbamazepine, Carbatrol, Equetro, Tegretol Epitol Depression Antidepressant amitriptyline, Elavil Parkinson's Disease Parkinson's Disease Endep Emsam Emsam, selegiline Depression Depression Antidepressant Anxiolytic Antidepressant Bipolar INDICATIONS Antimanic TYPE Antiparkinsonian Antidepressant Antiparkinsonian Eldepryl, selegiline Antidepressant venlafaxine Effexor Eldepryl (see "lithium carbonate") other names Duralith Medication Watson GlaxoSmithKline Shire US Bristol-Myers Squibb Mylan, Watson Shire US Bristol-Myers Squibb Wyeth PAPs OCD Novartis Mylan Mylan RxOutreach Novartis, TogetherRx Xubex RxOutreach, Xubex, Bulimia, OCD Mallinckrodt, Par, Pharm. Assoc. Kmart, Wal-Mart Mylan, Par, Pharm. Xubex, Wal-Mart Assoc. Sleep apnea Anxiety Bipolar Bipolar Bipolar Depression Depression Anxiety (Gen., Wyeth Soc.) INDICATIONS MANUFACTURER (Other) MEDICATIONS 3 3 45 samples Depression Epilepsy Epilepsy Cardiovascular Agent Antidepressant Anticonvulsant Antipanic Antiepileptic Antiepileptic Antipsychotic Tranquilizer Janimine, Tofranil propranolol imipramine, Tofranil clonazepam, Rivotril lamotrigine Lamictal chlorpromazine, Thorazine Synthroid imipramine Inderal Janimine Klonopin Lamictal lamotrigine Largactil levothyroxine Lithium Carbonate Lithane Limbitrol Librium Librax Cibalith-S, Duralith, Eskalith, Lithane, Lithobid, Lithonate, Lithotabs escitalopram oxalate chlordiazepoxide, Librium chlordiazepoxide, Librax cchlordiazepoxideAmitriptyline (see "lithium carbonate") Hypertension Antidepressant Vistaril hydroxyzine pamoate Lexapro Depression Anxiolytic Atarax hydroxyzine hcl Schizophrenia Epilepsy Anxiety Anxiety Antimanic Antimanic Anxiolytic Anxiolytic Anxiolytic Antidepressant Bipolar Bipolar Anxiety Anxiety Anxiety Depression Hormone - Thyroid Hypothyroidism Anxiolytic Antipsychotic Haldol haloperidol Schizophrenia Schizophrenia Antipsychotic haloperidol Haldol Schizophrenia INDICATIONS Insomnia triazolam Halcion Antipsychotic TYPE Hypnotic ziprasidone other names Geodon Medication Wyeth Depression Alcoholism, Insomnia Alcoholism, Insomnia Bipolar Roxane Valeant Valeant Forest Mylan GlaxoSmithKline Panic Disorder Roche Anxiety Par Watson RxOutreach, Xubex, Kmart, Wal-Mart Forest Rx Outreach, Xubex, Wal-Mart Bridges to Access, TogetherRx Wyeth Xubex, Kmart RxOutreach, Wal-Mart Mylan, Ortho, Pharm. Assoc. Psychosis, Tourette's Watson Johnson & Johnson, Together Rx Ortho Pfizer, TogetherRx PAPs Psychosis, Tourette's Pharmacia Pfizer INDICATIONS MANUFACTURER (Other) MEDICATIONS 3 3 3 46 samples ADHD Narcotic Withdrawal Narcotic Withdrawal Antipsychotic Antipsychotic Hypnotic Ativan Loxitane loxapine eszopiclone fluvoxamine thioridazine Namenda Serentil Concerta, Methylin, Stimulant methylphenidate, Ritalin Dolophine, Methadose Dolophine, methadone lorazepam lloxapine Loxitane Lunesta Luvox Mellaril memantine mesoridazine besylate Metadate Remeron Provigil mirtazapine modafinil Stimulant Narcolepsy Depression ADHD Concerta, Metadate, Stimulant Methylin, Ritalin methylphenidate Antidepressant ADHD Concerta, Metadate, Stimulant methyphenidate, Ritalin Methylin methamphetamine Desoxyn ADHD Detoxificant Detoxificant Schizophrenia Alzheimer's Disease Schizophrenia Depression Insomnia Schizophrenia Schizophrenia Anxiety Depression Stimulant Methadose methadone Antipsychotic Antialzheimer's Antidepressant Antiobsessional Antipsychotic Tranquilizer Antipressant Supplement Anxiolytic Sedative Bipolar Bipolar Deplin Antimanic Antimanic Bipolar INDICATIONS l-Methylfolate Lithotabs Lithobid Antimanic TYPE Lithonate other names (see "lithium carbonate") (see "lithium carbonate") (see "lithium carbonate") Medication Narcolepsy Anxiety, Depression OCD Sleep apnea Mylan, Par, Roxane, Watson Watson Mallinckrodt Mallinckrodt Roxane Celltech Forest Novartis Sepracor Watson Watson Mylan, Roxane, Watson Solvay INDICATIONS MANUFACTURER (Other) MEDICATIONS RxOutreach RxOutreach, Xubex PAPs 3 47 samples Antidepressant Antipsychotic Antimanic gabapentin desipramine, Pertofrane Aventyl, Pamelor Zyprexa Symbyax pimozide Serax Trileptal Neurontin Norpramin nortriptyline olanzapine olanzapinefluoxetine Orap oxazepam oxcarbazepine Paxil, Pexeva paroxetine Cylert paroxetine Paxil pemoline Parnate Aventyl, nortriptyline tranylcypromine sulfate Schizophrenia Antidepressant Serzone nefazodone hcl Pamelor Depression Antimanic Thiothixene Schizophrenia Bipolar Depression Bipolar Depression Schizophrenia Stimulant ADHD Depression Depression Depression Antidepressant Antidepressant Anxiolytic Antidepressant Anxiolytic Depression Bipolar Antidepressant Antimanic Anxiolytic - Sedative Anxiety Antipsychotic Antipsychotic Antidepressant Antipsychotic Depression Navane Antidepressant Par GlaxoSmithKline Anxiety (Gen., Soc.), OCD, Panic, PTSD Anxiety (Gen., Soc.), OCD, Panic, PTSD Mallinckrodt GlaxoSmithKline Mallinckrodt Gate Mylan, Pharm. Assoc., Watson Parke-Davis (Pfizer) Mylan, Par, Watson Pfizer Bipolar Alcohol Withdrawal Tourette's Bipolar Bipolar Psychosis Anxiety, Phobia, Parke-Davis Hypochondria (Pfizer) Forest Alzheimer's Disease phenelzine sulfate Mallinckrodt Watson INDICATIONS MANUFACTURER (Other) Opioid Dependence Alcoholism Schizophrenia INDICATIONS Nardil Antialzheimer's Opioid Antagonist Opioid Dependence Opioid Antagonist TYPE memantine fluphenazine, Permitil, Prolixin pentazocine, Suboxone Depade, Revia, Vivitrol other names Namenda naltrexone naloxone Modecate Medication MEDICATIONS Bridges to Access, TogetherRx RxOutreach Bridges to Access, TogetherRx Mallinckrodt Gate RxOutreach, Xubex, Kmart, Wal-Mart Aventis Pfizer, TogetherRx Pfizer, TogetherRx Pfizer, TogetherRx Forest PAPs 3 3 48 samples GlaxoSmithKline Mallinckrodt Hypertension Antipsychotic Antipsychotic Cardiovascular Agent Hypnotic Orap fluphenazine, Modecate, Permitil inderal estrazolam Triptil, Vivactil modafinil Antidepressant fluoxetine, Sarafem Antiobsessional Seroquel Rozerem mirtazapine ropinirole temazepam naltrexone, Depade risperidone Pimozide Prolixin Propranolol Prosom protriptyline Provigil Prozac quetiapine ramelton Remeron Requip Restoril Revia Risperdal Antipsychotic Opioid Antagonist Hypnotic Antidepressant Hypnotic Antipsychotic Stimulant Antidepressant Schizophrenia Antidepressant Nardil phenelzine sulfate Schizophrenia Opioid Dependence Insomnia Depression Insomnia Schizophrenia Depression Narcolepsy Depression Insomnia Schizophrenia Depression Depression Antidepressant Anxiolytic Paroxetine Pexeva Cephalon Abbott Mylan, Watson Apothecon JDS Schizophrenia Schizophrenia Bristol-Myers Squibb Organon Bulimia, OCD, Lilly PMDD Anxiety Tourette's Anxiety, Phobia, Hypochondria Anxiety (Gen., Soc.), OCD, Panic, PTSD Depression Antidepressant desipramine, Norpramin Pertofrane Bipolar Psychosis Anxiolytic Antipsychotic Etrafon, Trilafon perphenazine Mylan, Pharm. Assoc. Schizophrenia Antipsychotic fluphenazine, Modecate, Prolixin Watson INDICATIONS MANUFACTURER (Other) Permitil INDICATIONS Opioid Dependence TYPE naloxone, Suboxone Opioid Antagonist other names pentazocine Medication MEDICATIONS Johnson & Johnson, Together Rx Mallinckrodt Bridges to Access, TogetherRx Lilly NORD RxOutreach, Xubex, Wal-Mart Equetro PAPs 3 3 3 3 49 samples Antipsychotic ramelteon fluoxetine, Prozac Eldepryl, Emsam oxazepam mesoridazine besylate quetiapine Zoloft nefazodone hcl Adapin, doxepin zaleplon trifluoperazine hcl atomoxetine Rozerem Sarafem selegiline Serax Serentil Seroquel sertraline Serzone Sinequan Sonata Stelazine Strattera Symmetrel Symbyax Subutex Suboxone Anxiolytic -Sedative Anxiety Requip ropinirole Schizophrenia Schizophrenia AstraZeneca Boehringer Mylan, Watson Antiparkinson Lilly Endo Parkinson's Disease Reckitt Opioid Dependence Bipolar Reckitt Lilly Opioid Dependence ADHD GlaxoSmithKline Psychosis, Schizophrenia Antipsychotic Anxiolytic Stimulant King OCD, Panic, Teva PTSD, PMDD Bristol-Myers Squibb Anxiety, Pfizer Bipolar Alcohol Withdrawal Depression Insomnia Depression Antidepressant Anxiolytic Takeda Novartis Bulimia, OCD, Warner PMDD Panic Disorder Psychosis INDICATIONS MANUFACTURER (Other) Hypnotic Depression Antidepressant Antidepressant Depression Anxiolytic - Antipanic Antipsychotic buprenophineOpioid Antagonist naloxone, Subutex buprenophineOpioid Antagonist naloxone, Suboxone olanzapineAntipsychotic fluoxetine amantadine Insomnia Antidepressant Depression Antiobsessional Antiparkinsonian - Parkinson's Disease Antidepressant Hypnotic Parkinson's Disease Epilepsy Anticonvulsant Antipanic clonazepam, Klonopin Rivotril Antiparkinsonian ADHD Stimulant Concerta, Metadate, Methylin, methylphenidate Ritalin Schizophrenia INDICATIONS Antipsychotic TYPE Risperdal other names risperidone Medication MEDICATIONS Lilly Reckitt Lilly Pfizer RxOutreach AstraZeneca, TogetherRx Kmart, Xubex Takeda Novartis, TogetherRx PAPs 3 3 3 50 samples Schizophrenia Antidepressant Antipsychotic Tranquilizer Antidepressant Mellaril Navane Largactil, chlorpromazine imipramine, Janimine thioridazine thiothixene Parkinson's Disease Psychosis Bipolar Hypnotic Antianxiety Antipsychotic Antiparkinson Anxiolytic Antipsychotic Antimanic Desyrel Halcion Stelazine Artane Etrafon, perphenazine oxcarbazepine protriptyline, Vivactil trazodone triazolam trifluoperazine trihexyphenidyl Trilafon Trileptal Triptil valproate sodium Diastat, diazepam, T-Quil Depakene, valproic acid, Valrelease Anxiety Antidepressant Parnate tranylcypromine sulfate Valium Insomnia Antidepressant clorazepate dipotassium Tranxene Depression Depression Depression Anxiety Anticonvulsant Epilepsy Anxiolytic - Sedative Anxiety Antidepressant Anxiolytic Anxiolytic - Sedative Anxiety diazepam, Valium T-Quil Bipolar topiramate Antimanic Schizophrenia Antipsychotic Tranquilizer Schizophrenia Insomnia Hypnotic Topamax Tofranil Thorazine Antipsychotic Restoril temazepam Neuralgia Anticonvulsant carbamazepine, Carbatrol, Epitol, Equetro Tegretol INDICATIONS Hormore - Thyroid Hypothyroidis TYPE levothyroxine other names Synthroid Medication Par, Roxane Watson Ovation Ortho Mallinckrodt GlaxoSmithKline Mylan Mylan Mylan Novartis Bipolar Roche Novartis Schering Psychosis, Mylan Schizophrenia Pharm. Assoc., Watson Bipolar Alcohol Withdrawal Bipolar Psychosis Anxiety, Depression Bipolar Abbott INDICATIONS MANUFACTURER (Other) MEDICATIONS Novartis, TogetherRx Xubex RxOutreach, Xubex, Kmart, Wal-Mart Johnson & Johnson, Together Rx Mallinckrodt Wal-Mart Wal-Mart RxOutreach, Xubex Novartis, TogetherRx Abbott PAPs 3 51 samples TYPE Anxiety Schizophrenia Hypnotic Antipsychotic Antidepressant Anxiolytic - Antipanic Depression Depression Anxiolytic Antipanic Hypnotic Antidepressant Antipsychotic Antimanic alprazolam Sonata Geodon sertraline hcl Ambien bupropion, Wellbutrin olanzapine Xanax zaleplon ziprasidone Zoloft zolpidem tartrate Zyban Zyprexa Insomnia Schizophrenia Insomnia Depression Antidepressant bupropion, Zyban Wellbutrin Depade, naltrexone, Opioid Antagonist Opioid Revia Dependence Depression Vivitrol Antidepressant GlaxoSmithKline Cephalon Odyssey Bipolar OCD, Panic, PTSD, PMDD Lilly GlaxoSmithKline Pfizer Panic Disorder Pharmacia Alcoholism Anxiety (Gen., Mylan Soc.) Depression Pfizer Bipolar Epilepsy Anxiety Bipolar Pharm. Assoc., Watson INDICATIONS MANUFACTURER (Other) Epilepsy INDICATIONS protriptyline, Triptil Depakene, Valproate, Anticonvulsant Valrelease Depakene, Valproate, Anticonvulsant valproic acid Antidepressant Effexor Anxiolytic hydroxyzine Anxiolytic pamoate other names Vivactil Vistaril venlafaxine Valrelease valproic acid Medication MEDICATIONS Lilly Bridges to Access, TogetherRx Pfizer, TogetherRx Bridges to Access, TogetherRx Cephalon Pfizer, TogetherRx PAPs 3 3 52 samples (866) 728-4368 (800) 736-0003 (800) 736-0003 (800) 459-7599 (800) 848-4876 Bristol-Myers Squibb Bristol-Myers Squibb Abilify Cephalon Cephalon (800) 424-3727 AstraZeneca Foundation Bridges To Access Depakene, Depakote (800) 222-6885 Abbott Vivitrol Provigil Abilify Emsam Dexedrine Lamictal, Parnate, Paxil, Requip, Wellbutrin, Zyban Seroquel medications PHone PAP Income Criteria Not Published Income: <200% FPL Income Criteria Not Published Income Criteria Not Published US Resident, Income: <200% FPL Income <300% FPL: (1 - <$29,400; 2 <$39,600; 4 <$60,000) FPL Guidelines criteria income 1040, W2, pay stub, SSA statement All Medicare beneficiaries may qualify benefit/ insurance Medicare card, SSA, LIS or Medicaid denial letter, QMB / SLMB statement Eligible for Medicare D LIS, other drug coverage As Requested No Medicare beneficiaries may qualify No Medicare beneficiaries may qualify Medicare beneficiaries without a part D plan may qualify Eligible for drug coverage Eligible for drug coverage Not Specified None Required As Requested 1040, W2 or pay stubs 1040, pay stub, income verification sheet None Required Termination of benefits 1040, 1099 forms Medicaid denial letter Medicare Eligible for drug 1040, 1099 forms coverage beneficiaries without a part D plan may qualify Medicare beneficiaries without a part D plan may qualify Eligible for drug 1040, W2, SSA, None Required Medicare coverage through pension, railroad beneficiaries retirement, without a part D State programs Interest/Dividends or private plan may qualify statements insurance. Eligible for Medicare part D w/ LIS exclusions documentation documentation medicare Part d Patient Assistance Programs Appendix III No Cost No Cost No Cost No Cost No Cost No Cost No Cost cost Physician office Voucher Physician office Physician office Physician office Physician office, home address Physician office Physician office access 53 Campral, Lexapro, Namenda (800) 851-0758 (800) 292-4283 (800) 507-8334 (800) 652-6227 (800) 545-6962 (800) 259-7765 (888) 823-7823 (800) 277-2254 Forest Pharmaceuticals Gate Pharmaceuticals IVAX Pharmaceuticals Johnson & Johnson Lilly Cares Mallinckrodt Mylan Novartis Clozaril Clozaril Clozapine Anafranil, Pamelor, Restoril, Tofranil Cymbalta, Prozac, Strattera, Symbyax, Zyprexa Concerta, Haldol, Risperdal, Topamax Clozapine Orap medications PHone PAP All Medicare beneficiaries may qualify Income Criteria Not Published US Resident, Income <300% FPL All Medicare beneficiaries may qualify Income: (1 No Medicare <$13,110; 2 beneficiaries <$16,875; 4 may qualify <$25,725) USResident, PAS registration No Medicare beneficiaries may qualify All Medicare beneficiaries may qualify No Medicare beneficiaries may qualify No Medicare beneficiaries may qualify Medicare beneficiaries without a part D plan may qualify medicare Part d Income Criteria Not Published Income <200% FPL Income Criteria Not Published US Citizen; Income: (1 <$18,000; 2 <$24,000; 4 <$35,000) ncome Criteria Not Published criteria Eligible for Medicare part D w/ full-LIS Not Specified Not Specified Eligible for drug coverage Eligible for Medicare part D w/ full-LIS Not Specified Eligible for drug coverage that pays for brand name drugs Not Specified 1040, W2, SSA statement 1040, pay stub, SSA statement None Required None Required 1040 None Required None Required None Required income benefit/ insurance None Required Pharmaceutical coverage denial None Required None Required None Required None Required None Required None Required exclusions documentation documentation $5 / mo. No Cost 40% Discount No Cost No Cost No Cost No Cost No Cost cost Pharmacy card Pharmacy Pharmacy card Physician office Physician office Pharmacy Physician office Physician office access 54 Dilantin, Geodon Nardil, Navane, Neurontin, Vistaril, Zarontin, Zoloft Suboxone Klonopin, Valium extensive list of generic medications (800) 707-8990 (866) 906-2800 (866) 512-2216 (877) 757-6243 (800) 769-3880 Pfizer Connection to Care Pfizer Pfriends Reckitt Benckiser Roche Pharmaceuticals Rx Outreach Dilantin, Geodon, Nardil, Navane, Neurontin, Sinequan, Vistaril, Zarontin, Zoloft Cogentin (866) 209-7604 Income: (1 - <$24,500; 2 - <$33,000; 3 - <$41,500; 4 - <$50,000 + $8,500 for each additional person) Eligible for drug coverage Eligible for drug coverage Eligible for drug coverage Have Insurance Eligible for Medicare part D w/ full-LIS Eligible for Medicare part D w/ full-LIS Not Specified Not Specified None Required 1040 1040 None Required 1040, W2, 1099 forms None Required 1040, pay stub, SSA 1099, Income verification letter 1040, pay stub, SSA 1099, Income verification letter income benefit/ insurance None Required Medicaid denial letter None Required None Required None Required Medicaid denial letter None Required None Required exclusions documentation documentation Medicare Eligible for public beneficiaries assistance without a part D plan may qualify Not Specified 16 y/o, Income: (1 - <$19,000; 2 - $21,000; 3 - <$32,000) Outpatient All Medicare beneficiaries may qualify All Medicare beneficiaries may qualify Income: (1 - <$19,000; 2+ - <$31,000) US Resident, 18 y/o Not Specified All Medicare beneficiaries may qualify All Medicare beneficiaries may qualify medicare Part d Income Criteria Not Published US Resident, Income: <200% FPL (800) 277-2254 Tegretol, Trileptal Ovation Pharmaceuticals Novartis Tegretol/Trileptal US Resident, Income: <200% FPL Focalin, Ritalin (800) 277-2254 Novartis Focalin/Ritalin criteria medications PHone PAP $20 (Tier 1), $30 (Tier 2) No Cost No Cos 50% Discount No Cost No Cost No Cost No Cost cost Any address Physician office Not Specified Not Specified Physician office Any address Physician office Pharmacy card access 55 Adderall Diastat Effexor (866) 325-8224 (866) 325-8224 (866) 325-8224 800) 830-9159 (800) 511-2120 (866) 590-5885 (866) 699-8239 Shire US Adderall XR Shire US Carbatrol Shire US Equetro Takeda Pharmaceuticals America, Inc. Valeant Pharmaceuticals Wyeth Pharmaceutical Assistance Foundation Xubex Pharmaceutical Services extensive list of generic medications Rozerem Equetro Carbatrol medications PHone PAP Medicare Eligible for drug coverage beneficiaries without a part D plan may qualify Income: (1 - <$24,674; 2 - <$32,141; 3 - <$40,890; 4 - <$48,675) US or Puerto Rico resident, Income Criteria Not Published Income Criteria Not Published Income Criteria Not Published Not Specified All Medicare beneficiaries may qualify Medicare beneficiaries without a part D plan may qualify Not Specified Eligible for drug coverage Not Specified Medicare Eligible for drug coverage beneficiaries without a part D plan may qualify None Required None Required None Required 1040 None Required None Required 1040 income benefit/ insurance None Required None Required None Required Medicaid denial letter None Required None Required None Required exclusions documentation documentation Medicare Eligible for drug beneficiaries coverage without a part D plan may qualify medicare Part d Medicare Eligible for drug US Resident, coverage unable to afford beneficiaries prescription drugs without a part D plan may qualify Income Criteria Not Published Income: (1 - <$19,600; 2 - <$26,400; 3 - <$33,200; 4 - <$40,000; 5 - <$46,800; 6 - $53,600) criteria $20 - 90-day $40 - 180-day, $80 - 360-day No Cost No Cost No Cost No Cost No Cost $5 Copay cost Any address Any address Physician office Physician office Physician office Physician office Pharmacy card access 56 Recovery Resources’ Programs and Services Intake and Assessment: (216) 431-4131 Service Sites: Chester, Ohio City, Metzenbaum, and Lakewood (See site locations, addresses, and phone numbers on the back cover of this Resource Guide.) Alcohol and Drug Services 1. Intensive Outpatient Program 2. Aftercare 3. Counseling 4. Prevention Services 5. Supportive Housing 6. Case Management 7. Parenting 8. Vocational Support 9. Anger Management 10. Dual Diagnosis 11. AssistNow Employee Assistance Program Mental Health Services 12. Case Management 13. Group Counseling 14. Individual Counseling 15. Psychiatric Services 16. Anger Management 17. Partial Hospitalization Program Forensic/Court Services 18. Jail Liaison Program 19. Community Re-Entry Programs 20. AssistNow Employee Assistance Program Helpful Community Service Phone Numbers Alcohol/Drug Abuse Assistance (Recovery Resources) . . . . . . . . (216) 431-4131 Alcohol and Drug Addiction Services Board of Cuyahoga County (ADASBCC) . . . . . . . . . . . . . . . . . . . . (216) 348-4830 Ambulance/EMS/Fire/Police . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 911 Cuyahoga County Community Mental Health Board (CCCMHB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (216) 241-3400 Cuyahoga County Department of Children and Family Services (DCFS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (216) 696-5437 Cuyahoga County Public Library Toll Free Line . . . . . . . . . . . . . . (800) 749-5560 Human Service/Social Service Information: First Call for Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Metro Health Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(216) 778-7878 Ohio Department of Jobs and Family Services/Medicaid (ODJFS/Medicaid). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (800) 324-8680 Poison Control Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (800) 222-1222 RTA/Public Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (216) 621-9500 United Way of Greater Cleveland . . . . . . . . . . . . . . . . . . . . . . . . . . (216) 436-2000 Primary Site Locations Headquarters: 3950 Chester Avenue Cleveland, OH 44114 (216) 431-4131 Lakewood: Ohio City: Metzenbaum: 14805 Detroit Avenue 2900 Detroit Avenue 3343 Community College Avenue Lakewood, OH 44107 Cleveland, OH 44113 Cleveland, OH 44115 (216) 226-2844 (216) 781-9222 (216) 241-5557 For more information please visit: www.recovery-resources.org Recovery Resources is certified by the Council on the Accreditation of Rehabilitation Facilities (CARF) Affiliate Agency of: