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Patient Assistance Programs Listed by Psychotropic Medication

 There are but a FEW of the psychotropic medications you can receive through a patient assistance program. If you do not see your medication listed, it does not mean there is no drug program available. I urge you to go the the drug manufacturer's website to find out.  

You can usually find the application form directly on the pharmaceutical page on the net. Just print it out.

Note: Some of these companies may prefer to speak directly with your doctor.

Brand Name
Pharmaceutical Company
Patient Assistance Program
Program Phone #

Brand Name
Pharmaceutical Company
Patient Assistance Program
Program Phone #

Anafranil
Pharmacy Providers of Oklahoma
P.O. Box 18204
Oklahoma City, OK 73154
www.ppok.com 
800/259-7765

Asendin
Lederle Laboratories
703/706-5933

BuSpar
Bristol-Myers Squibb Patient Assistance Foundation Inc.
PO Box 2118 
Lakewood, NJ 08701-9846 
800/736-0003
Fax: 800-736-1611

Clorpes (Clonidine)
Bertek Patient Assistance Program
PO Box 4310
Morgantown, WV 26504-4310
Phone: (888) 823-7835 Ext: x4043

Clozapine
Ivax Pharmaceuticals Clozapine Patient Assistance Program
4400 Biscayne Blvd. 
Miami, FL 33137
800-507-8334 
Fax: 800-507-8339 

Clozaril
Novartis Pharmaceuticals
Novartis Patient Assistance - Clozaril, Neoral, Sandimmune
PO Box 66531
St. Louis, MO 63166-6531
800/277-2254

Depakote
Abbott Laboratories
Patient Assistance Program
Pharmaceutical Products Division 
200 Abbott Park Rd. Department 31C J23 
Abbott Park, IL 60064 
800/222-6885
Fax: 1-847/937-9826

Desyrel (150 & 300 mg pills only)
Bristol-Myers Squibb Company
800/332-2056

Effexor & Effexor SR
Wyeth-Ayerst Laboratories
Patient Assistance Program
P.O. Box 13806 
Philadelphia, PA 19101 
800-568-9938

Elavil
Zeneca Pharmaceuticals
800/424-3727

Eskalith CR (Lithium)
SmithKline Pharmaceuticals, Inc.
SmithKline Beecham Foundation Access to Care
c/o Express Scripts/SDS 
PO Box 2564 
Maryland Heights, MO 63043-8564
800/546-0420
800/729-4544

Geodon
Pfizer Inc.
Geodon Patient Assistance Program
PO Box 52119 
Phoenix, AZ 85072 
866/443-6366
Fax: 1-866-229-2255

Haldol
Ortho-McNeil Pharmaceutical
Ortho-McNeil Pt. Assistance Program
1250 Bayhill Drive, Suite 300
San Bruno CA 94066

Isoptin SR
Abbott Laboratories
Patient Assistance Program
Pharmaceutical Products Division 
200 Abbott Park Rd. Department 31C J23 
Abbott Park, IL 60064 
800/222-6885
Fax: 1-847/937-9826

Klonopin
Roche Laboratories, Inc.
Roche Medical Needs Program
JoAnn Hanly, Medical Needs 
340 Kingsland St. 
Nutley, NJ 07110 
800/285-4484

Lamictal
Glaxo Wellcome Inc.
Glaxo Wellcome Patient Assistance Program 
P.O. Box 52185 
Phoenix, AZ 85072-9711 
800/722-9294
Fax: 800/750-9832

Lithobid
Solvay Pharmaceuticals, Inc.
Solvay Patient Assistance Program
c/o Express Scripts Specialty Distribution Service 
PO Box 66550 
St. Louis, MO 63166-6550 
800/256-8918
Fax: 800/276-9901

Loxitane
Lederle Laboratories
703/706-5933

Ludiomil
Ciba Pharmaceuticals
800/257-3273

Luvox
Solvay Pharmaceuticals, Inc.
800/788-9277

Moban
Endo Pharmaceuticals, Inc.
Endo Patient Assistance Program
Medical Affairs Support 
6001 Montrose Rd., Suite 920 
Rockville, MD 20852 
800/462-3636

Navane
Pfizer Inc.
Connection to Care
PO Box 66585 
St. Louis, MO 63166-6585
800/707-8990

Neurontin
Pfizer Inc.
Connection to Care
PO Box 66585 
St. Louis, MO 63166-6585
800/707-8990

Norpramin
Hoechst Marion Roussel, Inc.
800/221-4025

Remeron
Organon
Remeron SolTab Patient Assistance Program
375 Mount Pleasant Avenue
West Orange, NJ 07052
800/631-1253
Fax: 800/509-3915

Pamelor
Pharmacy Providers of Oklahoma
P.O. Box 18204
Oklahoma City, OK 73154
www.ppok.com 
800/259-7765

Parnate
SmithKline Pharmaceuticals, Inc.
SmithKline Beecham Foundation Access to Care
c/o Express Scripts/SDS 
PO Box 2564 
Maryland Heights, MO 63043-8564
800/546-0420
800/729-4544

Paxil & Paxil CR
SmithKline Pharmaceuticals, Inc.
SmithKline Beecham Foundation Access to Care
c/o Express Scripts/SDS 
PO Box 2564 
Maryland Heights, MO 63043-8564
800/546-0420
800/729-4544

Prolixin, Prolixin Decanoate
Bristol-Myers Squibb Patient Assistance Foundation Inc.
PO Box 2118 
Lakewood, NJ 08701-9846 
800/736-0003
Fax: 800-736-1611

Prozac
Eli Lilly and Company
Lilly Cares 
PO Box 230999 
Centerville, VA 20120 
800/545-6962

Restoril
Pharmacy Providers of Oklahoma
P.O. Box 18204
Oklahoma City, OK 73154
www.ppok.com 
800/259-7765

Remeron
Organon Inc.
Remeron SolTab Patient Assistance Program
375 Mount Pleasant Avenue 
West Orange, NJ 07052 
800/631-1253
Fax: 800-509-3915

Risperdal
Janssen Pharmaceutical
Risperdal Patient Assistance and Reimbursement Support Program
PO Box 222098 
Charlotte, NC 28222-2098 
800/652-6227
Fax: 888/526-5170

Serax
Wyeth-Ayerst Laboratories
703/706-5933

Serentil
Boehringer Ingelheim Pharmaceuticals, Inc.
800/556-8317

Seroquel
AstraZeneca Pharmaceuticals Patient Assistance Program Foundation
PO Box 15197 
Wilmington, DE 19850-5197
800/424-3727 

Serzone
Bristol-Myers Squibb Patient Assistance Foundation Inc.
PO Box 2118 
Lakewood, NJ 08701-9846 
800/736-0003
Fax: 800-736-1611

Sinequan
Pfizer Inc.
Connection to Care
PO Box 66585 
St. Louis, MO 63166-6585
800/707-8990

Stelazine
SmithKline Pharmaceuticals, Inc.
SmithKline Beecham Foundation Access to Care
c/o Express Scripts/SDS 
PO Box 2564 
Maryland Heights, MO 63043-8564
800/546-0420
800/729-4544

Surmontil
Wyeth-Ayerst Laboratories
703/706-5933

Tegretol & Tegretol-XR
Novartis Pharmaceuticals
Novartis Patient Assistance Program
PO Box 66556 
St. Louis, MO 63166-6556 
800/277-2254

Thorazine
SmithKline Pharmaceuticals, Inc.
SmithKline Beecham Foundation Access to Care
c/o Express Scripts/SDS 
PO Box 2564 
Maryland Heights, MO 63043-8564
800/546-0420
800/729-4544

Tofranil
Pharmacy Providers of Oklahoma
P.O. Box 18204
Oklahoma City, OK 73154
www.ppok.com 
800/259-7765

Topamax
Ortho-McNeil Pharmaceutical
Ortho-McNeil Patient Assistance Program
1250 Bayhill Dr.
Suite 300
San Bruno, CA 94066

Trilafon
Schering Laboratories/Key Pharmaceuticals
800/656-9485

Valium
Roche Laboratories, Inc.
Roche Medical Needs Program
JoAnn Hanly, Medical Needs 
340 Kingsland St. 
Nutley, NJ 07110 
800/285-4484

Wellbutrin & Wellbutrin SR
Glaxo Wellcome Inc.
Glaxo Wellcome Patient Assistance Program 
P.O. Box 52185 
Phoenix, AZ 85072-9711 
800/722-9294
Fax: 800/750-9832

Xanax - no rx program

Zoloft
Pfizer Inc.
Connection to Care
PO Box 66585 
St. Louis, MO 63166-6585
800/707-8990

Zyprexa
Eli Lilly and Company
Zyprexa Patient Assistance Program
PO Box 231000 
Centerville, VA 20120 
800/488-2133



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