At Tibotec Therapeutics, we believe our first responsibility is
to the people who rely on our products and we recognize that the
cost of medication can make it difficult for some people to get
their medicines. As a result, we created the Tibotec
Therapeutics Patient Assistance Program and Patient Savings
Program.
Patient Assistance Program
Tibotec Therapeutics offers a Patient Assistance Program (PAP)
that provides HIV medications at no charge. For more
information, call 1-800-652-6227.
Patient Savings Program
For eligible patients with prescription coverage that may
require significant out-of-pocket expenses for their HIV
medications, the Patient Savings Program (PSP) is a simple and
easy way to reduce out-of-pocket costs for up to 1 year.
Patients should refer to the Q&A below for Eligibility Rules and
Regulations to determine whether they qualify. For more
information, call 1-866-961-7169.
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Patient Savings Program Application Form
(Click on the link to view and print the application for the
patient assistance program. This form requires Adobe Reader for
viewing and printing.)
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Patient
Savings Program Q&A
(Click on the link to view and print the Patient Savings
Program Q&A. This form requires Adobe Reader for viewing and
printing.)
ADDITIONAL INFORMATION
The TibotecTherapeuticsLine, 1-866-836-0114, is a convenient,
toll-free hotline to answer questions from patients and
healthcare providers. It is available Monday through Friday from
9 a.m. to 8 p.m., Eastern Standard Time. TibotecTherapeuticsLine
provides reimbursement information including: benefit
verification; prior authorization requirements; appeal process
and procedures; alternate sources of payment; and additional
information about patient assistance. You may also reach us by
fax at 1-866-836-0567.
When calling about a patient-specific reimbursement issue,
please have the following information available:
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Patient's full name, date of birth, address, telephone, and
social security number
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Name and telephone number of insurance plan(s), policy
number(s), and name of subscriber
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Physician's name, address, and telephone number
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Patient's financial information if calling on behalf of an
uninsured patient, including total gross income, household
size, and value of assets
This information is provided for informational purposes only and
represents no statement, promise, or guarantee by Tibotec
Therapeutics concerning levels of reimbursement, payment, or
charge. We strongly suggest that you consult your payer
organization about local reimbursement policies.
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