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For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs.

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Presentation on theme: "For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs."— Presentation transcript:

1 For Clients with Private Insurance

2 Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs were used? Co-Pay assistance programs are available from the major drug companies to pay the co-pays for ARVs as well as other drugs. An analysis of all co-pay assistance provided in three Regions for ARVs ONLY was conducted for one month.

3 The results were amazing!

4 A Sample taken from Region A Had 277 co-pays for ARVs Encompassed several months from one area but only one month from other areas The total dollar amount for the copays was $16,464 If Region A had used co-pay assistance programs, they would have had to pay $2,667 Region A would have saved $13,797.

5 A subset of Region B Had 136 co-pays for ARVs in the month of July The total co-pay amount that was paid was $9,067 If the subset of Region B used co-payment assistance programs (one provider already does) they would have paid $2,634. The subset of region B would have saved $6,433.

6 A Sample from Region C Had 49 co-pays for ARVs for a month chosen at random They paid $5,146 in co-pay assistance If they used co-pay assistance programs they would have paid $2,255 They would have saved $2,892

7 The total amount saved by using co-pay PAPs: $23,122

8 Co-Pay PAP Assistance Information Name of Drug Company Drugs CoveredContact InformationProgram Details AbbottKaletra, Norvir800-222-6885Pays the first $50 per Rx per month but not really co-pay program. Covered by regular PAP with same eligibility criteria Boehringer IngelheimViramuneDistributed by health care Providers Pays the first $50 per month Bristol-Meyers SquibbAtripla, Reyataz, Sustiva, Videx, Zerit Sustiva/Reyataz: 888-281-8981 Atripla: 866-784-3431 or product website Pays first $200 per month per drug. No income requirements Gilead SciencesAtripla, Emtriva, Truvada, VireadFor all but Atripla: 888-358-0398 or product website Pays the first $200 per month per drug. No income requirements Merck & CoIsentress866-350-9232 or website: www.isentress.com Pays the first $400 per month. No income requirements TibotecIntelence, Prezista866-961-7169You pay first $5 per month, then they pay $100. No income requirements ViiV Healthcare (GSK)Combivir, Epivir, Epzicom, Lexiva, Rescriptor, Retrovir, Selzentry, Trizivir, Viracept, Ziagen 888-825-5249 Covers both Pfizer and GSK drugs. Phone very difficult to navigate. Best to use website: www.mysupportcard.com Uses a card and covers the first $100 per month. No income requirements


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