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Arthritis Today

Pharmaceutical Company Programs That Help Lower the Cost of Medication

Here's the Arthritis Foundation guide to prescription co-pay support and financial assistance for specific arthritis drugs.

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More Arthritis Foundation resources:

Financial Aid Organizations That Help Pay for Your Medication

Get Help Paying for Medicare and Prescriptions

When it comes to treating arthritis, out-of-pocket costs can put medications out of reach for some patients. Worse, pharmacy benefit companies increasingly are restricting the list of drugs they will cover, leaving patients to pay the full cost of the medication they need – or go without. Consider, too, that arthritis is a chronic disease, often requiring ongoing treatment. It's no wonder so many people worry about affording their medications. 

There is help. Most drug companies have more than one program to help relieve the cost of their arthritis-related medications, typically one that covers co-payments at the pharmacy and a second to help uninsured or financially struggling patients.

Look up your drug by name. You'll find a brief overview of each program. For full and up-to-date information, visit the program website or call the help line. If you don't find a program for your medication here, ask at the doctor's office. Some assistance programs require doctors to apply on behalf of their patients.

Patient Assistance Programs

(listed in alphabetical order by drug brand name)

Actemra (tocilizumab), Arthrotec (diclofenac

sodium/misoprostal),  Benlysta (belimumab), Cimzia (certolizumab),

Celebrex (celecoxib), Colcrys (colchicine), Duexis (ibuprofen/famotidine),

Enbrel (etanercept), Humira (adalimumab), Ilaris (canakinumab), Kineret

(anakinra), Krystexxa (pegloticase), Opana ER (oxymorphone

hydrochloride), Orencia (abatacept), Orthovisc (hyaluronan), 

Otezla (apremilast), Otrexup (methotrexate), Prolia (denosumab),

Rasuvo (methotrexate), Rayos (prednisone delayed-release tablets), 

Remicade (infliximab), Rituxan (rituximab), Simponi (golimumab), Simponi 

Aria (golimumab), Stelara (ustekinumab), Synvisc-One and SYNVISC (hylan G-F

20), Uloric (febuxostat), Ultracet (tramadol HCL/acetaminophen),

Ultram and Ultram ER (tramadol HCL), Vimovo (naproxen/esomeprazole

magnesium), Voltaren Gel (diclofenac sodium topical gel), Xeljanz (tofacitinib)

 

Actemra (tocilizumab)

Genentech Rheumatology Co-pay Card
855-RA-COPAY (855-722-6729)

Covers (for those who qualify): Out-of-pocket costs up to $10,000 per year with patient responsibility of $5 per co-pay

Eligibility includes (partial list):
• Not receiving medication financial assistance from another source
• Not on a government-funded health plan, such as Medicaid or others

Genentech Access to Care Foundation
866-4-ACCESS (866-422-2377)

Covers (for those who qualify): Actemra cost or co-pay cost

Eligibility includes (partial list):
• Uninsured
• Insurance denial of Actemra (no coverage)
• Insured but cannot afford out-of-pocket costs
• Income requirements
• For insured, all patient assistance options have been exhausted, including co-pay cards and co-pay assistance foundations

               

Arthrotec (diclofenac sodium/misoprostal)
888-296-1807

Arthrotec $4 Co-pay Card:

Covers (for those who are eligible): Co-pay costs above $4 per month; benefit limited to $100 per month for up to 12 months  

Eligibility includes (partial list):
• Not covered by Medicare or other government program
• Written prescription specifically says “brand name Arthrotec

 

Benlysta (belimumab)

Benlysta (Co-pay assistance program)
877-4-BENLYSTA (877-423-6597)

Covers (for those who qualify): Out-of-pocket costs up to $9,000 annually

Eligibility includes (partial list):
• On commercial insurance plan or
• Insurance does not provide coverage for Benlysta or
• Are uninsured

GSK Bridges to Access
866-PATIENT (866-728-4368)

Covers (for those who qualify): Cost of Benlysta

Eligible:
• No prescription medicine coverage 
• Income requirements or
• Enrolled in Medicare Part D (a separate program is available)

 

Celebrex (celecoxib)
855-612-1956

Celebrex $4 Co-pay Card:

Covers (for those who qualify): Co-pay or out-of-pocket cost above $4 per month, up to $75 per refill; maximum benefit of $1,050 per year

Eligibility includes (partial list):
• Not covered by Medicare or other government program
• Use at participating pharmacies

Pfizer RxPathways
866-706-2400

Savings Card

Covers (for those who qualify): Partial cost of Celebrex

Eligibility includes (partial list):
• No age or income requirements
• Have no prescription coverage

Free Medicine

Covers (for those who qualify): Cost of Celebrex

Eligibility includes (partial list):
• Income requirements
• Have no prescription coverage

 

Cimzia (certolizumab)

Cimzia $0 Co-pay Savings Card
866-4-CIMZIA (866-424-6942)

Covers (for those who qualify): Out-of-pocket costs (co-pays or annual deductibles) for up to 12 months

Eligibility includes (partial list):
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• No income requirements
• No dollar limit per use
• Available for either drug co-pays or annual deductible

 

Colcrys (colchicine)

Help at Hand
800-830-9159

Covers (for those who qualify): Cost of Colcrys, in full or in part

Eligibility includes (partial list):
• No insurance or not enough insurance
• In general, no health coverage through private or government programs  
• No access to alternate sources of coverage or funding
• Must be legal U.S. resident

 

Duexis (ibuprofen/famotidine)

Duexis Savings Plus Program
855-881-3093

Covers (for those who are eligible): Co-pay cost; savings varies based on prescription size

Eligibility includes (partial list):
• Minimum prescription size: 30 pills
• Not covered by Medicare or other government program

RxHope: Horizon Pharma Patient Assistance Program
866-247-2228 

Covers (for those who are eligible): Cost of Duexis

Eligibility includes (partial list):
• Income requirements
• Not covered bycommercial insurance or  Medicare or other government program

 

Enbrel (etanercept)

Enbrel Support Card
888-4ENBREL (888-436-2735)

Covers (for those who qualify): Enbrel costs for the first six months; after six months, out-of-pockets costs above $10 per month; up to $4,000 per patient for each six-month period. Card may be renewed after 12 months.

Eligibility includes (partial list): 
• Covered by commercial insurance plan 
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others

Notes:
• Patients with moderate to severe plaque psoriasis receive an additional $2,000 for the first three months.
• Patients who are unemployed and covered by private insurance, including COBRA, receive an extra six months with no out-of-pocket costs.
• Beginning in January 2015, OptumRx pharmacy might not accept Enbrel Support co-pay cards for patients with United Healthcare. Co-pay reimbursement is available through a direct reimbursement program. Call 1-888-4ENBREL (1-888-436-2735) for help.

ENcourage Foundation
800-282-7752

Covers (for those who qualify): Cost of Enbrel

Eligibility includes (partial list):
•  Satisfy income eligibility requirements
•  Have no or limited drug coverage 
•  Do not have any other insurance options
•  Certain underinsured and Medicare patients may also be eligible

 

Humira (adalimumab)

Humira Protection Plan (co-pay savings card)
800-4HUMIRA (800-448-6472)

Covers (for those who qualify): Partial co-pay costs; patient co-pay limited to $5 a month

Eligibility includes (partial list):
• On a commercial insurance plan that covers Humira
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Unemployed

Note: Patients whose pharmacies do not accept Humira Protection Plan co-pay savings card can get co-pay assistance through the HPP Rebate Form. 

AbbVie Patient Assistance Foundation
800-222-6885

Covers (for those who qualify): Humira cost

Eligibility includes (partial list):
• Unemployed
• Uninsured
• Unable to pay

 

Ilaris (canakinumab)

Ilaris Co-pay Assistance Program
866-972-8315

Covers (for those who qualify): Co-pay and co-insurance costs beyond $50 per month (annual cap applies, but not specified)

Eligibility includes (partial list):
• Limitations apply (not specified)

Novartis Patient Assistance Foundation
800-277-2254

Covers (for those who qualify): Ilaris cost

Eligibility includes (partial list):
• Financial hardship
• Income requirements
• No private or government prescription coverage

 

Kineret (anakinra)

KineretKare Co-pay Assistance Program
866-547-0644

Covers (for those who qualify): Out-of-pocket costs up to $300 a month or $3,600 a year

Eligibility includes (partial list):
• Not on a government-funded health plan, such as Medicaid or others
• Out-of-pocket cost is more than $25 for a 30-day supply of Kineret

 

Krystexxa (pegloticase)
877-633-9521

Krystexxa Co-pay Reduction Program

Covers (for those who qualify): Out-of-pocket costs in excess of $50 per infusion, up to $4,600 per calendar year

Eligibility includes (partial list):
• Must have private (commercial) insurance

Krystexxa Patient Assistance Program

Covers (for those who qualify): Cost of Krystexxa

Eligibility includes (partial list):
• Not eligible for any public health insurance, such as Medicare or Medicaid  
• Do not have insurance or have been denied coverage by third-party payer   
• Income requirements

 

Opana ER (oxymorphone hydrochloride)
866-824-4747

 Opana ER Co-pay Card

Covers (for those who are eligible): Out-of-pocket costs greater than $15 per refill, up to $100; may be used up to 24 times per year

Eligibility includes (partial list):
• Commercially insured
• Not covered by a state- or federally-funded program, such as Medicare 

Endo Patient Assistance Program

Covers (for those who are eligible): Partial or full cost of Opana ER

Eligibility includes (partial list):
• Varies by income and insurance

 

Orencia (abatacept)

Orencia Co-pay Assistance
800-ORENCIA (800-673-6242)

Covers (for those who qualify): Out-of-pocket drug costs up to $8,000 a year; patient co-pay limited to $5 a month

Eligibility includes (partial list):
• On commercial insurance plan that covers the cost of Orencia
• Co-pay greater than $5
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others

Note: Patients whose pharmacies do not accept the Orencia Co-pay Card can get co-pay reimbursement. 

Bristol-Myers Squibb Patient Assistance Foundation
800-736-0003

Covers (for those who qualify): Cost of Orencia for up to 12 months (may re-apply)

Eligibility includes (partial list):
• Temporary need for assistance paying for medication 
• No prescription medication insurance coverage
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Income requirements

 

Orthovisc (hyaluronan)

Johnson & Johnson Patient Assistance Foundation
800-652-6227

Covers (for those who qualify): Orthovisc costs for up to one year; annual re-application required

Eligibility includes (partial list):
• Not on a commercial insurance prescription plan
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Unable to pay for medication
• Meets income requirements

 

Otezla (apremilast)

Otezla SupportPlus
844-4-OTEZLA (844-468-3952)

Co-pay Program

Covers (for those who qualify): Monthly co-pay 

Eligibility includes (partial list):
• Covered by commercial insurance
• Not on a government-funded health plan, such as Medicare or Medicaid

Note: Commercially insured patients whose insurance companies or specialty pharmacies do not accept co-pay cards can submit their monthly co-pay receipts for reimbursement.  

Patient Assistance Program

Covers (for those who qualify): Cost of Otezla, on a monthly basis

Eligibility includes (partial list):
• Uninsured or underinsured
• Meets financial requirements

 

Otrexup (methotrexate)

Step Up, Start Up Co-Pay Assistance Program
855-687-3987

Covers (for those who qualify): Out-of-pocket costs, in full or in part, up to $125 per prescription filled for up to 13 months

Eligibility includes (partial list):
• Commercially insured
• Not on a government-funded health plan, such as Medicare

 

Prolia (denosumab)

Amgen First Step
888-65-STEP1 (888-657-8371)

Covers (for those who qualify): Full out-of-pocket cost for first dose or cycle and $25 per dose or cycle, up to $1,500 maximum per six-month period (renewable)

Eligibility includes (partial list):
• Commercial insurance plan must cover cost for Prolia
• No income requirement
• Not on a government-funded health plan, such as Medicare

The Safety Net Foundation
888-762-6436

Covers (for those who qualify): Cost of Prolia

Eligibility includes (partial list):
•  Satisfy income eligibility requirements
•  Have no or limited drug coverage 
•  Do not have any other insurance options
•  Certain underinsured and Medicare patients may also be eligible

 

Rasuvo (methotrexate injection) 
855‑33MEDAC (855-336-3322)

Core Connections Rasuvo Co-pay Assistance Program

Covers (for those who qualify): Co-pay assistance up to $125 per month for up to 12 months

Eligibility includes (partial list):
• Not specified

Core Connections Medac Pharma Patient Assistance Program

Covers (for those who qualify): Cost of Rasuvo for up to one year (renewable)

Eligibility includes (partial list):
• Income requirements
• Not on a government-funded health plan, such as Medicare

 

Rayos (prednisone delayed-release tablets)

Patient Savings Program
855-226-4006

Covers (for those who qualify): Up to full cost of co-pay

Eligibility includes (partial list):
• Not on a government-funded health plan, such as Medicare (some restrictions apply)

RxHope: Horizon Pharma Patient Assistance Program
866-247-2228 

Covers (for those who qualify): Cost of Rayos

Eligibility includes (partial list):
• Income requirements
• Not covered by commercial insurance or Medicare or other government program

 

Remicade (infliximab)

RemiStart Patient Rebate Program
888-ACCESS-1 (888-222-3771)

Covers (for those who qualify): Out-of-pocket costs; patient co-pay limited to $5 per infusion; reimbursement up to $10,000 a year; re-apply annually

Eligibility includes (partial list):
• On commercial insurance plan that covers Remicade
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Out-of-pocket medication expense greater than $5 per infusion

Johnson & Johnson Patient Assistance Foundation
800-652-6227

Covers (for those who qualify): Remicade costs for up to one year; annual re-application required

Eligibility includes (partial list):
• Not on a commercial insurance prescription plan
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Unable to pay for medication
• Meets income requirements

 

Rituxan (rituximab) 

Genentech Rheumatology Co-pay Card
855-RA-COPAY (855-722-6729)

Covers (for those who qualify): Out-of-pocket costs up to $10,000 per year, with patient responsibility of $5 per co-pay

Eligibility includes (partial list):
• Not receiving medication financial assistance from another source
• Not on a government-funded health plan, such as Medicaid or others

Genentech Access to Care Foundation
866-4ACCESS (866-422-2377)

Covers (for those who qualify): Rituxan cost or co-pay cost

Eligibility includes (partial list):
• Uninsured OR
• Insurance denial of Rituxan (no coverage) OR
• Insured but cannot afford out-of-pocket costs
• Income requirements
• For insured, all patient assistance options have been exhausted, including co-pay cards and co-pay assistance foundations

 

Simponi (golimumab)
877-MYSIMPONI (877-697-4676)

SimponiOne Cost Support Savings Card

Covers (for those who qualify): Co-pay, deductible or co-insurance costs after patient pays $5 per injection for one year; $10,000 annual benefit limit

Eligibility includes (partial list):
• Covered by commercial insurance plan that covers a portion of cost of Simponi
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others

Note: Patients whose pharmacies do not accept the SimponiOne Cost Support Savings Card can get assistance by filling out the rebate form available at SimponiOne.com.

Johnson & Johnson Patient Assistance Foundation
800-652-6227

Covers (for those who qualify): Simponi costs for up to one year; annual re-application required

Eligibility includes (partial list):
• Not on a commercial insurance prescription plan
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Unable to pay for medication
• Income requirements

 

Simponi Aria (golimumab)
877-MYSIMPONI (877-697-4676)

SimponiOne Cost Support Savings Card

Covers (for those who qualify): Co-pay, deductible or co-insurance costs after patient pays $5 per infusion for one year; $10,000 annual benefit limit

Eligibility includes (partial list):
• Covered by commercial insurance plan that covers a portion of cost of Simponi Aria
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others

Note: Patients whose pharmacies do not accept the SimponiOne Cost Support Savings Card can get assistance by filling out the rebate form available at SimponiOne.com.

Johnson & Johnson Patient Assistance Foundation
800-652-6227

Covers (for those who qualify): Simponi Aria costs for up to one year; annual re-application required

Eligibility includes (partial list):
• Not on a commercial insurance prescription plan
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Unable to pay for medication
• Income requirements

 

Stelara (ustekinumab)

StelaraSupport Instant Savings Program
877-STELARA (877-783-5272)

Covers (for those who qualify): Co-pay costs above $10 per dose for 12 months (option to renew), up to a $10,000 maximum annual benefit

Eligibility includes (partial list):
• On commercial insurance that covers Stelara
• Must enroll before Dec. 31, 2015
• Not on a government-funded health plan that funds prescription medications, such as Medicare Part D, or others
• Cannot be used with flexible spending account, a Health Savings Account, or a Health Reimbursement Account.

Johnson & Johnson Patient Assistance Foundation
800-652-6227

Covers (for those who qualify): Stelara costs for up to one year; annual re-application required

Eligibility includes (partial list):
• Not on a commercial insurance prescription plan
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Unable to pay for medication
• Income requirements

 

Synvisc-One and SYNVISC (hylan G-F 20) 

Patient Assistance Connection
800-982-8292

Covers (for those who qualify): Not specified

Eligibility includes (partial list):
• No insurance coverage or denied insurance coverage for Synvisc-One treatment
• Must not be eligible for Medicare or Medicaid
• Income requirements

 

Uloric (febuxostat)

Help at Hand
800-830-9159

Covers (for those who qualify): Cost of Uloric, in full or in part

Eligibility includes (partial list):
• No insurance, or not enough insurance
• In general, no health coverage through private or government programs
• No access to alternate sources of coverage or funding
• Income requirements
• Must be legal U.S. resident

 

Ultracet (tramadol HCL/acetaminophen)

Johnson & Johnson Patient Assistance Foundation
800-652-6227

Covers (for those who qualify): Ultracet costs for up to one year; annual re-application required

Eligibility includes (partial list):
• Not on a commercial insurance prescription plan
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Unable to pay for medication
• Income requirements

 

Ultram and Ultram ER (tramadol HCL)

Johnson & Johnson Patient Assistance Foundation
800-652-6227

Covers (for those who qualify): Ultram or Ultram ER costs for up to one year; annual re-application required

Eligibility includes (partial list):
• Not on a commercial insurance prescription plan
• Not on a government-funded health plan, such as Medicaid, Veteran’s Affairs or others
• Unable to pay for medication
• Income requirements

 

Vimovo (naproxen/esomeprazole magnesium)

Vimovo Savings Card Program
855-881-3093

Covers (for those who are eligible): Co-pay cost starting at $175 for a minimum of 20 Vimovo pills per month, increasing in increments with pill count

Eligibility includes (partial list):
• Covered either by third-party insurance or self-pay
• Not covered by Medicare or other government program

RxHope: Horizon Pharma Patient Assistance Program
866-247-2228 

Covers (for those who are eligible): Cost of Vimovo

Eligibility includes (partial list):
• Income requirements
• Not covered by commercial insurance or Medicare or other government program

 

Voltaren Gel (diclofenac sodium topical gel)

Voltaren Gel Savings Program

Covers (for those who are eligible): Up to $30 after you pay the first $30; may be used up to 12 times per year

Eligibility includes (partial list):
• Not specified

 

Xeljanz (tofacitinib)  
855-493-5526

Xeljanz Co-pay Savings Card

Covers (for those who qualify): Out-of-pocket costs, up to $8,000 per calendar year. No monthly limit

Eligibility includes (partial list):
• Must be at least 18 years old
• Covered by commercial insurance plan
• Not using government-funded insurance (Medicare, Medicaid, TRICARE, etc.)

Notes:
• Program expires Dec. 21, 2016.
• Patients whose pharmacies do not accept the Xeljanz Co-pay Savings Card can get co-pay assistance through the Xeljanz Rebate Program. Patients should contact XELSOURCE at 1-855-493-5526 for information.

XELSOURCE Patient Assistance Program

Covers (for those who qualify): Xeljanz cost

Eligibility includes (partial list):
• Satisfy income eligibility requirements
• Have no or limited drug coverage

 

 

Updated: 1-27-2015

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