COUNSELING: Accepts Medicare Helen Beegel, LCSW Counseling and Advocacy for Seniors, 516 244-6291
DENTAL: (Low Cost or Free Dental Care)
Columbia University School of Dental & Oral Surgery: 630 W 168th St, NYC 212 305-5665
NYU College of Dentistry: 345 E. 24th St. NYC 212 998-8900 for informaton
Stonybrook State University of New York School of Dental Medicine: Rockland Hall Health Science Center, Stonybrook 631 632-8989
LEGAL:
Nassau-Suffolk Law Services, 1 Helen Keller Way, Hempstead, NY 11550, 516-292-8100 Law Services is a non-profit agency that serves thousands of low income, disabled, and elderly clients throughout LongIsland, with offices in Hempstead, Islandia and Riverhead - their servicesrange in everything from Landlord-Tenant Court, to their Mental Health Clinic,Senior Clinic, Bankruptcy Clinic, and Chid Support Unit (just to name a few!).
MEDICAL:
Alzheimers: LIAF: Long Island Alzheimers Foundation, Fred Jenny or Stephanie DePalma, 516 767-6856
Medical Alert: Low Cost Subsidized Services for Seniors with focus on Medical Alert: www.besafeathome.org & www.uymcares.org Bob Costanzo 631 734-8220
Medication (Free or Subsidized but not Medicaid Eligible):
EPIC: NYS Senior Prescription Plan 1800 332-3742 Single persons income must not exceed $35,000 and married persons incomes must not exceed $50,000. There are deductibles so call for more information.
Free Meds from Drug Companies:
ADRIA LABORATORIES, INC. Adria Laboratories Patient Assistance Program PO Box 9525 McLean, VA 22102 1-800-366-5570 1-800-366-5570 Doctor must certify that patient cannot afford the cost of the drug.
ALLERGAN PRESCRIPTION PHARMACEUTICALS Allergan Patient Assistance Program 2525 Dupont Drive Irvine, CA 92713 1-800-347-4500 1-800-347-4500 Ext. 4280 Up to a 6 months' supply. Eligibility is at the doctor's discretion.
AMGEN, INC. Amgen Safety Net Programs Medical Technology Hotlines: 1-800-272-9376 1-800-272-9376 Enrollment in the program is based on a patient's insurance and financial status.
ASTRA F.A.I.R. FOSCAVIR Assistance and Information on Reimbursement Program: 1-800-488-3247 1-800-488-3247 . Doctor must sign and complete the application and return it within 7 days to the address on the form. The form must be accompanied by a signed prescription.
BOEHRINGER INGLEHEIM PHARMACEUTICALS, INC. PARTNERS IN HEALTH 1-800-556-8317 1-800-556-8317 Controlled substances are not covered. Maximum of 3 months. Patient cannot have prescription coverage, cannot be eligible for Medicaid/State assistance programs, and must meet annual income guidelines. Doctor must make the request.
BRISTOL-MYERS SQUIBB Bristol-Myers Squibb Patient Assistance Program PO Box 9445 McLean, VA 22102-9998 1-800-736--0003 1-800-736--0003 At doctor's request.
BURROUGHS-WELLCOME Patient Assistance Program Burroughs-Wellcome Co. PO Box 52035 Phoenix, AZ 85072-9349 1-800-722-9294 1-800-722-9294 Products available in a 30 day supply, with maximum of 90 days. Applications reviewed on a case by case basis. Patients must be residents of the United States or its territories. All alternative funding sources must be investigated.
CIBA-GEIGY PHARMACEUTICAL Patient Support Program Jackie LaGuardia, Senior Information Assistant Ciba-Geigy Corporation 556 Morris Ave. D2058 Summit, NJ 07901 1-800-257-3273 1-800-257-3273 . Up to 3 months' supply available.
DU PONT MERCK PHARMACEUTICAL CO. Darlene Samis Du Pont Pharma PO Box 80026 Wilmington, DE. 19880-0026 1-800-474-2762 1-800-474-2762 Controlled substances are not covered. Thirty day supply available. Patient must be indigent and ineligible for a Federal or State Government drug assistance program.
GENENTECH, INC. Genentech, Inc. PO Box 2586 S. San Francisco, CA 94083-2586 1-800-879-4747 1-800-879-4747 Quantity provided. Eligibility requirements variable.
GLAXO, INC. Laura N. Wright, Supervisor, Glaxo Indigent Patient Program Glaxo, Inc. PO Box 13438 Research Triangle Park, NC 27709 1-800-452-9677 1-800-452-9677 Maximum 3 month supply. Patient must be a private outpatient whom the doctor considers medically indigent and who is not eligible for other third-party reimbursement.
HOECHST-ROUSSEL PHARMACEUTICALS, INC. HRPI Patient Access Program Field Forest Development 1-800-422-4779 1-800-422-4779 Must show lack of insurance or ability to pay. Eligibility on a case by case basis. Patients must not be eligible for a third-party payer or Medicaid coverage. One course of therapy.
HOFFMAN-LaROCHE, INC. Daria Osborne, Director, Medical Needs Program Roche Laboratories 340 Kingsland Street Nutley, NJ 07110 1-800-285-4489 1-800-285-4489 Three month supply. Eligibility limited to private practice outpatients who are considered by the doctor to be medically indigent and who are not eligible for other third-party reimbursement. Drugs are shipped to doctor only.
IMMUNEX CORPORATION Professional Services Immunex Corporation 1-800-466-8639 1-800-466-8639 ; 206-587-0430 206-587-0430 Three cycles. Physician must state that the patient requires the drug and that all reimbursement options have been tried.
JANSSEN PHARMACEUTICA Janssen Patient Assistance Program 1800 Robert Fulton Drive Reston, VA 22091 1-800-544-2987 1-800-544-2987 One or two month supply, varies by product. Patient must have less than $25,000 total annual household income and can have Medicare or private insurance, but cannot have prescription coverage.
KNOLL PHARMACEUTICAL CO. Knoll Pharmaceutical Indigent Patient Program 30 N. Jefferson Road Whippany, NJ 07981 1-800-524-2474 1-800-524-2474 Eligible if financially indigent and not insured.
LEDERLE LABORATORIES Lederle Partners and Patient Care 1-800-533-2273 1-800-533-2273 Doctor must make the request. Patients have to be financially indigent and not eligible for coverage under third-party insurance or Medicaid.
ELI LILLY AND COMPANY Lilly Cares Patient Assistance Program PO Box 9105 McLean, VA 22102-0105 1-800-545-6962 1-800-545-6962 Does not cover controlled substances. Quantities depend on the product and the doctor's instructions. Eligibility determined on case by case basis. Doctors must submit a written request containing specific information.
MARION MERRELL DOW, INC. Indigent Patient Program PO Box 8600 Kansas City, MO 64114 1-800-362-7466 1-800-362-7466 Three month supply. Doctor determines if patient is eligible for the program. Eligibility also based on income level and lack of insurance.
McNEIL PHARMACEUTICAL Thomas Schwend, Manager, Medical Information McNeil Pharmaceutical Corporation PO Box 300 Route 202 South Raritan, NJ 08869-0602 1-800-682-6532 1-800-682-6532 Varies by product and patient condition. Doctor determines that patient is indigent and not eligible for health insurance. Doctors may request free medications by written or telephone request, accompanied by a signed and dated prescription and letter stating financial status and need of patient.
MERCK & COMPANY, INC. Patient Assistance Program Merck & Co., Inc. PO Box 4-WP35-258 West Point, PA 19486-0004 215-652-5000 (collect calls accepted) Only doctors can call and request applications.
MILES PHARMACEUTICALS Miles Indigent Patient Program 400 Morgan Ave. West Haven, Connecticut 06516 1-800-998-9180 1-800-998-9180 Quantities and length of support determined on case by case basis. Doctor must certify that patient is not eligible for or covered by government funded reimbursement or insurance drug programs. Patient income must be below federal poverty guidelines.
ORTHO BIOTECH INC. Ortho Biotech Financial Assistance Program 1800 Robert Fulton Drive Reston, VA 22091-4345 1-800-553-3851 1-800-553-3851 1) Financial Assistance Program (FAP) 1-800-447-3437 1-800-447-3437 provides PROCRIT therapy free to any qualifying nondialysis patient who cannot obtain insurance coverage, is uninsured or cannot afford cost of their treatment. 2) Cost Sharing Program 1-800-441-1366 1-800-441-1366 limits the annual cost of PROCRIT expenditures for a patient exceeding $8,500 for a calendar year, regardless of third-party coverage. 3) LEUSTATIN Financial Assistance Program 1-800-447-3437 1-800-447-3437 provides LEUSTATIN therapy free to persons who meet specific criteria and lack financial resources and third-party insurance necessary to obtain treatment.
ORTHO PHARMACEUTICALS Thomas Schwend, Manager, Medical Information Ortho Pharmaceutical Corporation PO Box 300 Route 202 South Raritan, NJ 08869-0602 1-800-682-6532 1-800-682-6532 Varies by product and patient condition. Doctor determines that patient is indigent and not eligible for health insurance. Doctor may request free drugs by written or telephone request, accompanied by a signed and dated prescription and letter stating financial status and need of patient.
PARKE-DAVIS Parke-Davis Patient Assistance Program PO Box 9945 McLean, VA 22102 1-800-755-0120 1-800-755-0120 Applications taken over the phone. To apply, patient or doctor calls Parke-Davis with the following information: Doctor's full name, address, phone number - and - Patient's name, address, phone number and financial status.
PFIZER, INC. PROGRAM #1 Pfizer Indigent Patient Program PO Box 25457 Alexandria, VA 22314-5457 1-800-646-4455 1-800-646-4455 Up to 3 month supply at one time, as prescribed. Any patient that a doctor is treating as indigent is eligible. Patient must not be covered by third-party insurance or Medicaid. Usually takes 3 to 4 weeks to get medication. Refills are available upon request by doctor.
PFIZER, INC. PROGRAM #2: ROERIG DIVISION Diflucan Patient Assistance Program 1-800-869-9979 1-800-869-9979 Up to three months' supply at one time and then can reapply. Patient must not have insurance or other third-party coverage, including Medicaid. Patient must not be eligible for a state AIDS drug assistance program. Patient must have income less than $25,000 a year without dependents; or less than $40,000 a year with dependents.
PROCTER & GAMBLE PHARMACEUTICALS, INC. Procter & Gamble Pharmaceuticals, Inc. 17 Eaton Avenue Norwich, NY 13815 1-800-448-4878 1-800-448-4878 Quantity varies depending upon the situation, but at least a one month supply can be obtained upon receipt of a doctor's prescription. The company relies on doctor's appraisal of patient need. The company also helps patient identify other sources of financial help to pay for medications.
R&D LABORATORIES Patient Support Program R&D Laboratories, Inc. 4094 Glencoe Avenue Marina del Rey, CA 90292 1-800-338-9066 1-800-338-9066 Every R&D Laboratories pharmaceutical nutritional supplement has a special Indigent Patient Program sticker. Patients bring the stickers from their bottles of R&D products with them when they come to the dialysis unit. Stickers are attached to the back of a booklet supplied by the company and the completed booklet is returned to R&D Laboratories. For every 12 stickers we receive from a unit, R&D sends nutritional product of facility's choice for free distribution to indigent patients.
SANDOZ PHARMACEUTICALS Sandoz/NORD Drug Cost Share Program PO Box 8923 New Fairfield, CT 06812 1-800-447-6673 1-800-447-6673 The National Organization for Rare Disorders (NORD)/Sandoz Drug Cost Share Program (DCSP) is solely administered by NORD. Sandimmune, Sandostatin, Parlodel, Lescol, DynaCirc and Eldepryl are covered under one program. Clozaril is covered under a different program. Patient is awarded up to one year's supply of drug, which is shipped in 3 month supplies via the mail-order pharmacy used by the program. Clozaril-Patient is eligible to receive up to one year's supply of the drug, dispensed only one week at a time. NORD determines eligibility by medical and financial criteria. The patient/applicant must show financial need above and beyond the availability of Federal and State funds, private insurance or family resources.
SANOFI WINTHROP PHARMACEUTICALS Sanofi Winthrop Pharmaceutical Needy Patient Program Product Information Department 90 Park Avenue New York, NY 10016 212-907-2000; 1-800-446-6267 1-800-446-6267 (Push #1 twice when automated answering machine picks up) One unit or one month's supply, as required. Subject to acceptance by the company, patients can obtain medications by having their doctor request the product or provide a written order for the product, and confirm the patient's need.
SCHERING-PLOUGH For Intron/Eulexin Products: Service Program, Schering Laboratories 2000 Galloping Hill Road Building K-5-2B2 Kenilworth, NJ 07033 Initial supply is for 3 months. Renewals available for 3 months at a time. Eulexin-Initial supply is for 6 months. Renewals available for 6 months at a time.
For other Schering Products: Drug Information Services Indigent Program 1-800-521-7157 1-800-521-7157 Initial 3 month supply, with renewals available for up to 3 months at a time. Eligibility determined on case by case basis. The consultation includes a review of the specific case as well as the availability of other means of health care assistance.
SEARLE Patients in Need Foundation 5200 Old Orchard Road Skokie, IL 60077 1-800-542-2526 1-800-542-2526 Supply based on the doctor's of patient needs. The program is conducted through the doctor, who determines the patient's eligibility based on medical and economic need. Searle provides suggested guidelines to the doctor.
SMITHKLINE BEECHAM: PROGRAM #1 SB Access to Care Program SmithKline Beecham Pharmaceuticals One Franklin Plaza-FP1320 Philadelphia, PA 19101 1-800-546-0420 1-800-546-0420 (patient requests) 215-751-5722 215-751-5722 (doctor requests) Doctor determines which patients are eligible and would benefit from the Access to Care Program. Doctors must submit forms to enroll patients in the program. Three month supply is available at one time. Requests must come from the doctor. Patient's prescription qualifies only if it is not already covered under private insurance.
SMITHKLINE BEECHAM: PROGRAM #2 Eminase/Kytril/Triostat Compassionate Care Programs SmithKline Beecham Pharmaceuticals One Franklin Plaza-FP1320 Philadelphia, PA 19101 1-800-866-6273 1-800-866-6273 Patient must show ineligibility for other forms of medical assistance and meet the program's income requirements (single patients with annual incomes of $18,000 or less, and persons who are married or have at least one dependent with annual income of $25,000 or less). For each eligible patient, hospitals should submit a Hospital Consent Form and an Application Form with any one of the following documents: a copy of the patient's medical record, pharmacy record, or the patient's bill.
SYNTEX LABORATORIES, INC. Cytovene Medical Information Line 1-800-444-4200 1-800-444-4200 General telephone number to inquire about indigent patient programs is 1-800-822-8255 1-800-822-8255 . Up to 25 vials of Cytovene are available. Syntex provides Cytovene free of charge when it is prescribed for an immuno-compromised patient who has been diagnosed as having CMV (cytomegalovirus) retinitis, if that patient lacks the means to purchase the drug, and that patient is ineligible for any form of third-party reimbursement. For information on other Syntex products call 1-800-822-8255 1-800-822-8255 .
THE UPJOHN COMPANY Patient Assistance Program Upjohn Company 1-800-242-7014 1-800-242-7014 Health Care Professionals should contact their local Upjohn Representative. Generally, a 3 month supply is provided. However, a doctor can request a longer supply. Doctor determines patient's needs, and whether insurance or other social programs to help provide medications are available.
WYETH-AYERST LABORATORIES John E. James Wyeth-Ayerst Laboratories Indigent Patient Program 555 East Lancaster Avenue St. Davids, PA 19087 1-800-568-9938 1-800-568-9938 In general, 1 to 2 month supply is provided. For Cordarone, one month supply or up to 2 bottles of 60 tablets is provided. Patient must be medically indigent, with no coverage for drugs.
ZENECA PHARMACEUTICALS Yvonne A. Graham, Program Director Zeneca Pharmaceuticals Group PO Box 15197 Wilmington, DE 19850-5197 1-800-424-3727 1-800-424-3727 One to 3 month supply with application.
VOLUNTEER OPPORTUNITIES:
National Senior Service Corp: 1800-424-8867 1201 New and make a new friend!! You really can impact someone else's life! As a participant in the Senior Companion Prgm, you give individaul care to other seniors who need assistance with shopping, transportation or just companionship. Volunteers receive small paychecks, other benefits and lots of satisfaction!
Other Senior Volunteer Programs thru the National Senior Services Corp include: 1) Share your lifetime of business expertise with a new nonprofit organization. 2) Become a mediator 3) Workshops 4) Consultants Call the tel. no listed above!
