Patient Assistance

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 1-866-836-0114.

Patient Assistance 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.)
Insurance Benefit Verification Form (Click on the link to view and print the Insurance Benefit Verification form. This form requires Adobe Reader for viewing and printing.)

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.

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.)
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:

Patient's full name, date of birth, address, telephone, and social security number
Name and telephone number of insurance plan(s), policy number(s), and name of subscriber
Physician's name, address, and telephone number
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.

About INTELENCE

INTELENCE is a prescription HIV medicine that helps to control HIV (human immunodeficiency virus) infection in adults. INTELENCE is a type of anti-HIV medicine called a non-nucleoside reverse transcriptase inhibitor (NNRTI), also known as a non-nuke

INTELENCE must be taken in combination with other HIV medicines. INTELENCE is for patients who are already taking or have taken HIV medicines, have resistance to non-nukes and other HIV medicines and whose HIV infection is not under control
- The use of other medicines active against your HIV in combination with INTELENCE may increase the likelihood of your overall treatment response. If a non-nuke regimen has stopped working for you, INTELENCE should not be taken with only nucleoside/nucleotide reverse transcriptase inhibitors, also known as nukes. Your healthcare professional will work with you to find the right combination of other HIV medicines
- It is important that you remain under the care of your healthcare professional during treatment with INTELENCE

The safety and effectiveness of INTELENCE have not been studied in children or patients who have never taken HIV medications before

INTELENCE does not cure HIV infection or AIDS, and does not prevent passing HIV to others.

Ask your healthcare professional if INTELENCE is right for you

Important Safety Information
What are the possible side effects of INTELENCE?

Skin rash is a common side effect of INTELENCE. Rash can be serious and potentially life-threatening. Contact your healthcare professional right away if you get a rash. Your healthcare professional will decide if INTELENCE must be stopped

Patients taking INTELENCE may have severe skin rashes or rashes with an allergic reaction (hypersensitivity reactions). Sometimes these allergic reactions can affect body organs, like the liver. These allergic reactions usually include a rash with other symptoms such as fever, generally ill feeling, extreme tiredness, muscle or joint aches, blisters, oral sores, irritated eyes, facial swelling, swelling of eyes, lips, or mouth, breathing difficulty, and/or signs and symptoms of liver problems (eg, yellowing of your skin or whites of your eyes, dark or tea- colored urine, pale colored stools/bowel movements, nausea, vomiting, loss of appetite, or pain, aching or sensitivity on your right side below your ribs)
If you get a rash, contact your healthcare professional right away to determine if you should stop taking INTELENCE

What should I tell my doctor before I take INTELENCE?

Before taking INTELENCE, tell your healthcare professional if you have any medical conditions such as liver problems (including hepatitis B or C) or if you are pregnant, planning to become pregnant, or breastfeeding

The effects of INTELENCE on pregnant women are not known. It is not known if INTELENCE can cause harm to your unborn baby. You and your healthcare professional will need to decide if taking INTELENCE is right for you

Do not breastfeed if you are taking INTELENCE. You should not breastfeed if you have HIV because of the chance of passing HIV to your baby

Can INTELENCE be taken with other medicines?

Taking INTELENCE with certain medicines could cause side effects or may result in loss of its effectiveness (which could increase your risk for developing resistance to INTELENCE or other HIV medicines). Do not take INTELENCE if you are taking the following medicines:

HIV: tipranavir/ritonavir (Aptivus^®), fosamprenavir/ritonavir (Lexiva^®), atazanavir/ritonavir (Reyataz^®), full-dose ritonavir (Norvir^® 600 mg twice a day), unboosted protease inhibitors (without ritonavir), nevirapine (Viramune^®), efavirenz (Sustiva^®), or delavirdine (Rescriptor^®)
Other: carbamazepine (Tegretol^®, Carbatrol^®), phenobarbital (Luminal^®), phenytoin (Dilantin^®, Phenytek^®), rifabutin (Mycobutin^®), rifampin (Rifadin^®, Rifater^®, Rifamate^®), rifapentine (Priftin^®), or products containing St. John's wort (Hypericum perforatum)

Before starting INTELENCE, tell your healthcare professional about all medicines you are taking or plan to take, including prescription and nonprescription medicines, vitamins, and herbal supplements. Please see full product information for more details

What are the possible side effects of INTELENCE? (continued)

As with other HIV medicines, INTELENCE may cause side effects, including:

Changes in body shape or body fat. The cause and long-term health effects of these conditions are not known at this time

Immune reconstitution syndrome. Signs and symptoms of inflammation from opportunistic infections that a person has or had may occur as the medicines work to control the HIV infection and strengthen the immune system. Call your healthcare professional right away if you experience any signs or symptoms of an infection

Other common side effects of INTELENCE include tingling or pain in hands or feet, and numbness

This is not a complete list of all side effects. If you experience these or other symptoms, contact your healthcare professional right away. Do not stop taking INTELENCE or any other medications without first talking to your healthcare professional.

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see the full Product Information in PDF format for more details.

© Tibotec Therapeutics, Division of Centocor Ortho Biotech Products, L.P. 2010. All rights reserved.

Your use of the information on this site is subject to the terms of our Legal Notice. Please see our Privacy Policy. This site is published by
Tibotec Therapeutics, Division of Centocor Ortho Biotech Products, L.P., which is solely responsible for its contents.

The material on this site is intended only as informational or as an educational aid and it is not intended to be taken as medical advice. The ultimate responsibility for patient care resides with a healthcare professional.

This information is intended for the use of our customers, patients, and healthcare professionals in the United States only. Laws, regulatory requirements, and medical practices for pharmaceutical products vary from country to country. The Prescribing Information included here may not be appropriate for use outside the United States.

INTELENCE is a trademark of Tibotec Pharmaceuticals, Ltd.

This site was last updated on: March 10 2010 at 8:40 EDT.