Hydroxychloroquine is available as the brand-name drug Plaquenil. Generic drugs usually cost less than the brand-name version. Hydroxychloroquine may be used as part of a combination therapy. Plaquenil skutki uboczne Plaquenil 200mg Apo-hydroxychloroquine for swelling Plaquenil side effects The patient must be getting treatment for systemic lupus erythematosus. The patient must have health insurance that covers his or her qualifying medication or product. The patient’s medication or product must be listed on PAN’s list of covered medications. The patient’s income must fall at or below 500% of the Federal Poverty Level. Hydroxychloroquine Plaquenil® Sanofi‐Synthelabo Inc. Sanofi Patient Assistance Program 1‐800‐992‐9022 Infliximab Remicade® Centocor, US Remicade Patient Assistance Program 1‐866‐489‐5957 Leflunomide Arava® Sanofi Aventis Sanofi Aventis Pharmaceuticals Patient Assistance Program Patients come first. Since 2004, we have provided over $3 billion in assistance to nearly 1 million patients. With a best-in-class compliance program, efficient operations and a low administrative cost, we are your most trustworthy partner. Learn more. Hydroxychloroquine is used to treat lupus erythematosus and rheumatoid arthritis. It isn’t fully understood how this drug works to treat lupus erythematosus or rheumatoid arthritis. That means you may need to take it with other drugs. It treats malaria by killing the parasites that cause the disease. Plaquenil patient assistance forms Patient Resources SIMPONI® golimumab, Drug Name Brand Name Manufacturer Program Contact Information Hydroxychloroquine toxic retinopathy Who Is This Form For? This enrollment form is for Prescribers who have uninsured patients who need help paying for Prevnar 13 ® Pneumococcal 13-valent Conjugate Vaccine Diphtheria CRM 197 Protein and/or Trumenba ® Meningococcal Group B Vaccine. Through the Pfizer Patient Assistance Program, Prescribers' purchased stock of the vaccine is replenished when administered to eligible. Start Enrollment Pfizer RxPathways. PAN Foundation - The Help You Need. Hydroxychloroquine Side Effects, Dosage, Uses, and More. HYDROXYCHLOROQUINE - ORAL hi-DROX-ee-KLOR-oh-kwin COMMON BRAND NAMES Plaquenil. Uses. This medication is used to treat rheumatoid arthritis and lupus; and to treat or prevent malaria. How To Use. Take this medication with food to prevent stomach upset. Take this medication exactly as prescribed. Do not stop taking it without consulting your doctor. Patient assistance programs PAPs are programs created by drug companies, such as MYLAN, to offer free or low cost drugs to individuals who are unable to pay for their medication. These Programs may also be called indigent drug programs, charitable drug programs or medication assistance programs. Patient Assistance Programs for Plaquenil. Patient assistance programs PAPs are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.