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Author Topic: Atripla co-pay assistance program... FINALLY!  (Read 3013 times)

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Offline Peter Staley

  • Member
  • Posts: 1,337
  • Founder & Advisory Editor, AIDSmeds.com
    • AIDSmeds.com
Atripla co-pay assistance program... FINALLY!
« on: April 24, 2009, 12:02:30 PM »
From today's press release...

Bristol-Myers Squibb & Gilead Sciences, LLC is now offering an ATRIPLA Co-Pay Assistance Program to provide meaningful assistance for eligible HIV patients with high prescription co-pays.   

New and existing ATRIPLA patients with commercial insurance who meet certain requirements are eligible for the program, which covers up to $200/month for a full year for patients with an ATRIPLA co-pay greater than $50/month.  Other restrictions apply.

The program is not available to patients in Massachusetts or to patients whose prescriptions are eligible to be reimbursed, in whole or part, by Medicare, Medicaid, any other federal- or state-funded healthcare benefit program, or by private plans or other health or pharmacy benefit programs which reimburse patients for the entire cost of their prescription drugs.

Eligible patients can enroll by obtaining an ATRIPLA co-pay assistance card from their physician or healthcare provider.  If a healthcare provider does not have an available ATRIPLA co-pay assistance card, patients can call the toll-free number 1-866-784-3431 to receive a card in the mail.  Patients must activate the card prior to first use by calling the toll-free number and answering a few questions to verify their eligibility.  The card must be used for the first time by December 31, 2009 and the final co-pay assistance amount must be paid within 12 months of card activation. 

Patients who do not have insurance, are underinsured or who otherwise need assistance may still be eligible to receive some assistance through the ATRIPLA Patient Assistance Program by calling toll-free at 1-866-290-4767.

Gilead’s co-pay assistance program for TRUVADA (including components VIREAD and EMTRIVA) as well as the Bristol-Myers Squibb program for SUSTIVA will remain unchanged following the launch of the ATRIPLA program.

Offline J.R.E.

  • Member
  • Posts: 7,180
  • Joined Dec-2003 Living positive, since 1985.
Re: Atripla co-pay assistance program... FINALLY!
« Reply #1 on: April 25, 2009, 03:43:18 AM »
Thanks Peter,

I would advise, that anyone eligible to to get into this co-pay assistance program do so. You should really do it, and save yourself some money. Just ask your doctor for the details.

I am in the co-pay assitance for Epzicom.(Epivir and Ziagen) With my insurance, the Epzicom would cost me $50.00 per month. On this program, the Epzicom cost me nothing, for up to two years, so it's beneficial savings. Took me less than 5 minutes for Walgreens, to put the info, into their computer, and haven't had any problems.

Don't let these opportunities slip by!


Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline randym431

  • Member
  • Posts: 1,125
Re: Atripla co-pay assistance program... FINALLY!
« Reply #2 on: May 14, 2009, 10:43:10 AM »
The same company that makes Atripla ALSO makes Sustiva Bristol-Myers Squibb (BMS).
The two co-pay programs are basically identical, however after calling Bristol-Myers Squibb @ 888.281.8981
they seem totally confused on their program and what it does.
Both forum member J.R.E. (Ray), and myself (as we have mentioned in posts other times) take epzicom. The makers of epzicom "GSK" co-pay program is VERY different. GSK simply pays 100% of your "out of pocket" (co-pay or whatever) up to $200 on a monthly basis for 24 months.

BUT... this BMS co-pay program covering their meds (sustiva, atripla, and others), is not as good.
After calling BMS, they kept referring to people paying totally 100% for meds. And then going on to say they pick up $250 of that costs after "A MONTHLY" $50 deductible. So BMS will pay in the end $200 towards that full cost med.

So I ask the BMS rep on the phone, why is this called a "co-pay" program. And explained how my co-pay works thru my HMO. The BMS rep kept going back to someone paying 100% for their meds, say $750, then BMS picking up $200 (250 minus the 50 deductible), making their med cost $550.
Again... I asked "how is this a co-pay program ????

So, is anyone else willing (that takes either sustiva or atripla) willing to call BMS @
888.281.8981 and have them explain their co-pay / non co-pay program …please?

To me, a co-pay program is what it says, a “CO” – “PAY” program.
BMS doesn’t seem to understand the term “co-pay”.

What they are saying and what they told me is… if you pay, say, $45 co-pay for sustiva thru your HMO, their deductible of $50 PER MONTH would be MORE than your $45, so their card would be of no benefit.
So I asked what if my HMO co-pay was $85 for sustiva, then would they not pick up the co-pay over that $50 deductible, or cover my $35 per month cost, and the rep said NO. That their $200 only goes towards the full costs of the sustiva.
So I’m confused… They are confused. Someone has it wrong.
And why they call that a “co-pay” program is beyond me.

Bristol-Myers Squibb (BMS) 888.281.8981


 


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