This Plaquenil price guide is based on using the discount card which is accepted at most U. Prices are for cash paying customers only and are not valid with insurance plans. A generic version of Plaquenil is available, see hydroxychloroquine prices. Hydroxychloroquine macular toxicity Plaquenil side effects liver Eligibility Pre-screen Select a Different Disease Fund Search for and select covered medications. If you do not find the medication on the list, please contact the PAN Call Center at 1-866-316-7263. No Patient Assistance Programs available now that we know. Other knowledge Reviews For Hydroxychloroquine Important Notice These drugs reviews maybe helpful, but can not substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care. How to Apply Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource. Sanofi-Aventis Patient Assistance Program Application Please note: This is a drug discount program, not an insurance plan. Print Now The free Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions. Hydroxychloroquine patient assistance program Patient Assistance Information, Hydroxychloroquine Coupon 2020 - New - Free Rx Discount Card Hydroxychloroquine sulfate arthritisGreater mekong subregion chloroquine resistanceIs there a difference between plaquenil and generic Hydroxychloroquine - oral Important Note The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. HYDROXYCHLOROQUINE SULFATE Patient Assistance Program. Sanofi-Aventis Patient Assistance Program -. PLAQUENIL Patient Assistance Program. The patient must be getting treatment for rheumatoid arthritis. The patient must have Medicare 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 400% of the Federal Poverty Level. Or other applicable privacy laws, this patient's authorization; 4 To the best of my knowledge, this patient has no prescription insurance cncludingoverage i Medicaid, Medicare, or other public or pri vate programs, or inables u to afford the cost-sharing requirements associated with his/her insurance coverage, for thiedication;s m Pharmaceutical Assistance Program. Some pharmaceutical companies offer assistance programs for the drugs they manufacture. Click on the first letter of your drug name to see if any programs are available for the drugs you are taking. If your drug is on the list, click on "details" for detailed information about the program.