NYC Hep B Coalition
NYC Hep C Task Force

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Medication Coverage

Medication Coverage

Assistance with Prior Authorization

  • Specialty Pharmacies in NYC area  that focus on Hep B & C.
    Help with ordering  medications, prior authorization, counseling patients about use, and providing treatment adherence support.
  • CoverMyMeds support in completing prior authorization.
    Service that helps physicians and pharmacists complete Prior Authorization and other insurance coverage determination forms for any drug and almost all drug plans.

Having Medication Coverage Issues? Contact:

  • NYS Department of Health Medicaid Pharmacy Program. Contact with questions or to resolve problems: (ppno@health.state.ny.us).
  • NYS Law A05502B prohibits health companies from mandating mail order pharmacy. If the consumer does not have a clear option, a complaint can be filed through Attorney General’s Health Care Consumer’s Help Line 1-800-342-3736.

 

Assistance Cost of Medications & Copays

Pharmaceutical Company Patient Assistance Programs

Private Patient Assistance Programs

Prescription Assistance 360

Partnership for Prescription Assistance Programs. Brings together America’s pharmaceutical companies, doctors, other health care providers, patient advocacy organizations and community groups to help qualifying patients without prescription drug coverage get free or low-cost medicines through the public or private program that’s right for them. Medications Covered:

  • Hep B: Hepsera (Adefovir), Baraclude (Entecavir), Epivir HBV (Lamivudine), Tyzeka (Telbivudine),Viread (Tenofovir), Intron A (conventional interferon), Pegasys (pegylated interferon)
  • Hep C: Olysio (simeprevir), Sovaldi (Sofosbuvir), Victrelis (Boceprivir), Incivek (Telaprevir), Infergen (Interferon alfacon-1), Intron A (conventional interferon), Pegasys (pegylated interferon), Pegintron (peginterferon alfa-2b)

Patient Access Network (PAN). Independent non-profit organization that provides assistance to under-insured patients for their out-of-pocket expenses for life-saving medications. Has Hep B & Hep C assistance! You can view and distribute this brochure about PAN services for Hep B & C patients.Medications covered:

  • Hep B: Hepsera (Adefovir), Baraclude (Entecavir), Epivir HBV (Lamivudine), Tyzeka (Telbivudine), Viread (Tenofovir), Intron A (conventional interferon), Pegasys (pegylated interferon)
  • Hep C: Olysio (simeprevir), Sovaldi (Sofosbuvir), Victrelis (Boceprivir), Incivek (Telaprevir), Infergen (Interferon alfacon-1), Intron A (conventional interferon), Pegasys (pegylated interferon), Pegintron (peginterferon alfa-2b)

NeedyMeds. Non-profit information resource devoted to helping people in need find assistance programs to help them afford their medications and costs related to health care. Medications covered:

  • Hep B: Hepsera (Adefovir), Baraclude (Entecavir), Epivir HBV (Lamivudine), Tyzeka (Telbivudine), Viread (Tenofovir), Intron A (conventional interferon), Pegasys (pegylated interferon)
  • Hep C: Olysio (simeprevir), Sovaldi (Sofosbuvir), Victrelis (Boceprivir), Incivek (Telaprevir), Infergen (Interferon alfacon-1), Intron A (conventional interferon), Pegasys (pegylated interferon), Pegintron (peginterferon alfa-2b)

NYCRx. Non-profit organization working to increase access to affordable medications for medically underserved communities. Free Discount Prescription Card and list of partnering health centers with drug discount programs for their patients.

Chronic Disease Fund. Non-profit charitable organization that helps people with chronic disease, cancer and other life-altering conditions obtain the life-savings medications they need. Disease states may open and close throughout the year as funds are diminished or become available. Medications covered:

  • Hep B: Intron A (conventional interferon), Pegasys (pegylated interferon)
  • Hep C: Intron A (conventional interferon), Pegasys (pegylated interferon), Pegintron (peginterferon alfa-2b)

RxAssist. Comprehensive database of patient assistance programs, as well as news and practical tools. Medications covered:

  • Hep B: Hepsera (Adefovir), Baraclude (Entecavir), Epivir HBV (Lamivudine), Tyzeka (Telbivudine), Viread (Tenofovir), Intron A (conventional interferon), Pegasys (pegylated interferon)
  • Hep C: Olysio (simeprevir), Sovaldi (Sofosbuvir), Victrelis (Boceprivir), Incivek (Telaprevir), Infergen (Interferon alfacon-1), Intron A (conventional interferon), Pegasys (pegylated interferon), Pegintron (peginterferon alfa-2b)

Patient Assistance Program: Income Caps

  • Sovaldi (gilead): The program is open to those with a maximum household income of $100,000 for up to a family of 3, and 500% FPL for families with 4 or more members.
  • Olysio (Jannsen): To qualify, the household income must be under 500% FPL.
  • Procrit: Jannsen’s program covers people with incomes up to 400% of FPL.
  • Pegintron and Victrelis (Merck and Co.): The ACT program covers people who fall within 500% FPL.
  • Incivek (Vertex Pharm): People who qualify must have a household income less than $100,000 per year.

For additional information about these programs click here

  • Pegasys: For a family size of 1-2 the income limit is $32,490-$43,710.

For additional information about this program click here