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. Hydroxychloroquine effects on taste Lc3 aging gapdh chloroquine heart Speak to your prescribing physician and ask if the prescribed medication has a co-pay card assistance program or you can visit to find co-pay card assistance programs. Fill out the co-pay card enrollment form provided by your prescriber and send the form to the appropriate drug manufacturer. Depending on the health insurance plan, savings may apply toward co-pay, co-insurance or deductible. Eligible patients pay $5 per injection with a $20,000 maximum program benefit per calendar year. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Patient Assistance Application for HUMIRA® adalimumab The AbbVie Patient Assistance Foundation provides HUMIRA at no cost to individuals who meet specific program eligibility criteria PLEASE COMPLETE ALL SECTIONS, SIGN, AND FAX THIS FORM TO 1-866-250-2803 OR MAIL TO ABBVIE PATIENT ASSISTANCE FOUNDATION P. O. BOX 789 SAN BRUNO, CA 94066. 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 RxAssist - MYLAN Patient Assist Program, Patient Resources SIMPONI® golimumab Sjogren's syndrome and plaquenilIs prednisone and plaquenil safe during pregnancyPlaquenil safe to take Hydroxychloroquine Plaquenil is used to treat malaria, lupus, and rheumatoid arthritis. Learn about side effects, warnings, dosage, and more. Hydroxychloroquine Side Effects, Dosage, Uses, and More. Patient Assistance Application for HUMIRA adalimumab. Patient Enrollment. Copay assistance program is not available to patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs for example, Medicare including Part D, Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs or where prohibited by law or by the patient’s health insurance provider. 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 Connection Connecting eligible patients to medication at no cost Sanofi Patient Connection ® can provide certain Sanofi prescription medications at no cost if you meet program eligibility requirements.