AIDS Treatment Data Network
611 Broadway, Suite 613, New York, NY, 10012 • www.atdn.org • Tel: (212) 260-8868 • (NYS) 800-734-7104
The Access Project collects and distributes information about medications available for HIV/AIDS and hepatitis co-infection through Medicaid, Medicare Part D, AIDS Drug Assistance Programs (ADAPs), and pharmaceutical industry sponsored patient assistance and expanded access programs (EAP). The Access Project is a program of the The Network (network@atdn.org)

Hoffman-LaRoche
Patient Assistance Program

Products covered:

Bactrim (TMP/SMX)
Copegas (ribavirin)
Cytovene (ganciclovir)
Fortovase, Invirase (saquinavir)
HIVID (zalcitabine, ddC)
Klonopin (clonazepam)
Kytril (granisetron)
Pegasys (pegylated interferon alfa 2a)
Rocephin (ceftriaxone)
Roferon A (alpha interferon)
Valcyte (valganciclovir) 1-800-443-6676
www.rocheusa.com/programs/patientassist.asp




Contact
Program Eligibility
The patient must meet the following criteria to qualify:
  • Must be a U.S. citizen.
  • Has no health insurance or no prescription coverage.
  • Not eligible for Medicaid, ADAP, or other drug assistance programs.
  • Income is less than 300 % of the Federal Pverty Level.
Enrollment Process
To receive an application the doctor or patient must call. If the enrollee is not insured they can expect a faxed application within 24-hours. If the enrollee is insured this process will be delayed by confirmation of the insurance status. Proof of income such as a tax return or a w-2 must be provided.
Re-Application
At the end of a 90-day cycle a new application will need to be filled out. Assuming nothing has changed re-application should be easier than initial application.
Comments
After the completed application has been received, it takes about 48-hours to process. After that the drugs are sent overnight to the doctor's office.

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Last modified: 11/16/2007
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