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Clinical Support Affiliate Society Council Bibliography of Criteria, Guidelines, and Health Status Assessments Classification and Response

Criteria Clinical Forms Practice Guidelines Position Statements Clinician Researchers Rheumatology Clinical Registry Quality Drug Safety Standards of Practice for Rheumatology Health Professionals Patient Resources Office Support Quick Links for Managing Your Practice Current Issues in Practice Management PRINT Patient Assistance Programs for Rheumatology-Related Drugs This list is not meant to be exhaustive. The ACR does not endorse any of the pro ducts or manufacturers listed below. Drug Name (Brand Name) Manufacturer Program Contact Information Abatacept (Orencia) Bristol-Myers Squibb The ORENCIA (abatacept) Promise Program 800-ORENCIA or 800-673-6242 Acetaminophen (Tylenol) Ortho McNeil Ortho-McNeil Patient Assistance Program P.O. Box 938 Somerville, NJ 08876 Adalimumab (Humira) Abbott Immunology 1-866-4-HUMIRA Alendronate (Fosamax) Merck The Merck Patient Assistance Program 8007275400 800 994-2111 (Health care professionals only) Belimumab (Benlysta) Human Genome Sciences and GlaxoSmithKline Benlysta Gateway

1-877-4-Benlysta (1-877-423-6597) Celecoxib (Celebrex) Pfizer Inc Pfizer Helpful Answers 866-706-2400 Colcrys URL Pharma Colcrys Patient Assistance Program P.O. Box 219 Gloucester, MA 01931 (t) 888-811-8423 (f) 978-865-4104 Cyclosporine (Neoral) Novartis Novartis Pharmaceuticals Patient Assistance Program P.O. Box 66556 St. Louis, MO 631666566 800 277-2254 Denosumab (Prolia) Amgen Amgen Assist www.amgenassist.com 1-877-PROLIA1 (1-877-776-5421) Etanercept (Enbrel) Amgen and Pfizer Pharmaceuticals ENcourage Foundation 8884362735 Etidronate (Didronel) Procter & Gamble Procter & Gamble Pharmaceuticals C/O Express Scripts P.O. Box 6553 St. Louis, MO 63166-6553 8008309049 Gamimune Bayer Corporation Pharmaceutical Division Bayer Indigent Program P.O. Box 29209 Phoenix, AZ 85038-9209 8009989180

Hydroxychloroquine (Plaquenil) Sanofi-Synthelabo Inc. Sanofi Patient Assistance Program (Plaguenil) 55 Corporate Dr Bridgewater, NJ 08807 8009929022 Infliximab (Remicade) Centocor, US REMICADE (infliximab) PATIENT ASSISTANCE PROGRAM P.O. Box 221709 Charlotte, N.C. 28222-1709 8664895957 (p) 8664895958 (f) Lansoprazole (Prevacid) TAP Pharmaceuticals, Inc 800 830-1015 Leflunomide (Arava) Sanofi Aventis Sanofi Aventis Pharmaceuticals Patient Assistance Program 55 corporate Drive Bridgewater, NJ 08807 8663258233 Meloxicam (Mobic) Boehringer Ingelheim Pharmaceuticals, Inc Boehringer Ingelheim Cares Foundation, Inc. c/o ESI/SDS P.O. Box 66555 St. Louis, MO 63166-6773 8005568317 Mycophenolate Mofetil (CellCept) Roche Roche Medical Needs Program Roche Laboratories, Inc 340 Kingsland Street Nutley, NJ 07110 8777576243 Nabumetone (Relafen) Glaxosmithkline SmithKline Beecham Foundation Access to Care c/o Express Scrits/SDS P.O. Box 2564

Maryland Heights, MO 63043-8564 8005460420 (p) 8007294544 (f) Naproxen (Naprosyn) Roche Roche Medical Needs Program Roche Laboratories, Inc 340 Kingsland Street Nutley, NJ 07110 800 285-4484 Nitrofurantoin (Macrodantin, Macrobid) Procter & Gamble Procter & Gamble Pharmaceuticals C/O Express Scripts P.O. Box 6553 St. Louis, MO 63166-6553 800 830-9049 Paroxetine (Paxil) Glaxosmithkline SmithKline Beecham Foundation Access to Care c/o Express Scrits/SDS P.O. Box 2564 Maryland Heights, MO 63043-8564 8005460420 (p) 8007294544 (f) Raloxifene (Evista) Eli Lilly and Company 877-RX-LILLY (1-877-795-4559) Risedronate (Actonel) Procter & Gamble Procter & Gamble Pharmaceuticals C/O Express Scripts P.O. Box 6553 St. Louis, MO 63166-6553 800 830-9049 Rituximab (Rituxan) Genentech, Inc. Genentech Access to Care Foundation 1 DNA Way South San Francisco, CA 94080-4990 8005303083 (p) 6502251366 (f) Sodium Hyaluronate (Hyalgan) Sanofi Aventis

Sanofi Patient Assistance Program (Hyalgan) 55 Corporate Dr Bridgewater, NJ 08807 8009929022 Teriperatide (Forteo) Eli Lilly and Company 877-RX-LILLY (1-877-795-4559) Tramadol (Ultram, Ultracet) Ortho McNeil OrthoMcneil Patient Assistance Program P.O. Box 200 Titusville, NJ 08560 8005267736 Valdecoxib (Bextra) Pfizer Inc. Pfizer Helpful Answers 866-706-2400 Prescription Drug Assistance Programs Description Medicare Part D Prescription Drug Plans

Contact Information

Medicare approved prescription drug plans 800-633-4227 Low Income Subsidy (LIS) Assistance from Social Security to help reduce costs from Part D plans 800-772-1213 NeedyMeds.com Provides contact information for prescription assistance programs 978-281-6666 Prescription Assistance (PPA) PPA provides information about 475 public and private Patient Prescription Drug Assistance Programs 888-477-2669 National Alliance on Mental Illness (NAMI) This organization provides information about PPA programs for patients with li mited income 800-950-6264