<DOCUMENT>
<TYPE>EX-99
<SEQUENCE>5
<FILENAME>f4130448d.txt
<DESCRIPTION>EXHIBIT 99.4 JOINT FILER INFO FOR ORACLE INSTITUTIONAL PARTNERS
<TEXT>

                                                                    Exhibit 99.4
                         FORM 4 JOINT FILER INFORMATION

          (Attachment to Form 4 in accordance with instruction 4(b)(v))


Check this box if no longer subject to
  Section 16:                             [ ]

Name and Address:                         Oracle Institutional Partners, L.P.
                                          c/o Oracle Associates, LLC
                                          200 Greenwich Avenue, 3rd Floor
                                          Greenwich, CT 06830

Issuer and Ticker Symbol:                 Access Pharmaceuticals, Inc. ("ACCP")

Date of Earliest Transaction:             12/31/2005

Relationship to Issuer:                   10% Owner

Designated Filer:                         Larry N. Feinberg

TABLE I INFORMATION
Title of Security:                        Common Stock
Transaction Date:                         12/31/2005
Transaction Code:                         P
Securities Disposed:                      82,745
Acquired or Disposed:                     A
Price:                                    $0.65
Ownership Form:                           D
Amount Beneficially Owned After
  Transaction                             (15)
Nature of Indirect Beneficial
  Ownership

Title of Security:                        Common Stock
Transaction Date:                         6/5/2006
Transaction Code:                         (J) (4)
Securities Disposed:                      222,116
Acquired or Disposed:                     D
Price:                                    $0.00
Ownership Form:                           D
Amount Beneficially Owned After
  Transaction                             (15)
Nature of Indirect Beneficial
  Ownership

Title of Security:                        Common Stock
Transaction Date:                         2/26/2007
Transaction Code:                         S
Securities Disposed:                      5,000
Acquired or Disposed:                     D
Price:                                    $7.314
Ownership Form:                           D
Amount Beneficially Owned After
  Transaction                             (15)
Nature of Indirect Beneficial
  Ownership


<PAGE>


Title of Security:                        Common Stock
Transaction Date:                         2/27/2007
Transaction Code:                         S
Securities Disposed:                      100
Acquired or Disposed:                     D
Price:                                    $7.00
Ownership Form:                           D
Amount Beneficially Owned After
  Transaction                             (15)
Nature of Indirect Beneficial
  Ownership

Title of Security:                        Common Stock
Transaction Date:                         6/19/2007
Transaction Code:                         P
Securities Disposed:                      40,000
Acquired or Disposed:                     A
Price:                                    $5.17
Ownership Form:                           D
Amount Beneficially Owned After
  Transaction                             (15)
Nature of Indirect Beneficial
  Ownership

Title of Security:                        Common Stock
Transaction Date:                         2/12/2008
Transaction Code:                         P
Securities Disposed:                      29,736
Acquired or Disposed:                     A
Price:                                    $3.15
Ownership Form:                           D
Amount Beneficially Owned After
  Transaction                             (15)
Nature of Indirect Beneficial
  Ownership

TABLE II INFORMATION
Title of Derivative Security:             Preferred Stock
Conversion or Exercise Price of
  Derivative Security                     (6)
Transaction Date:                         11/10/07
Transaction Code:                         J
Securities Acquired:                      76
Date Exercisable and Expiration Date:     (6)
Title of Underlying Securities:           Common Stock
Amount of Underlying Securities:          253,600
Price of Derivative Securities:           (7)
Number Beneficially Owned                 76
Ownership Form:                           D

Title of Derivative Security:             Warrants
Conversion or Exercise Price of
  Derivative Security                     (9)
Transaction Date:                         11/10/07
Transaction Code:                         P
Securities Acquired:                      126,800
Date Exercisable and Expiration Date:     (9)
Title of Underlying Securities:           Common Stock
Amount of Underlying Securities:          126,800
Price of Derivative Securities:           (7)
Number Beneficially Owned                 126,800
Ownership Form:                           D
Nature of Indirect Beneficial
  Ownership


<PAGE>


Title of Derivative Security:             Preferred Stock
Conversion or Exercise Price of
  Derivative Security                     (6)
Transaction Date:                         3/11/08 (7)
Transaction Code:                         P
Securities Acquired:                      72
Date Exercisable and Expiration Date:     (6)
Title of Underlying Securities:           Common Stock
Amount of Underlying Securities:          240,000
Price of Derivative Securities:           (8)
Number Beneficially Owned                 148
Ownership Form:                           D
Nature of Indirect Beneficial
  Ownership

Title of Derivative Security:             Warrants
Conversion or Exercise Price of
  Derivative Security                     (9)
Transaction Date:                         3/11/08 (7)
Transaction Code:                         P
Securities Acquired:                      119,811
Date Exercisable and Expiration Date:     (9)
Title of Underlying Securities:           Common Stock
Amount of Underlying Securities:          119,811
Price of Derivative Securities:           (8)
Number Beneficially Owned                 246,611
Ownership Form:                           D
Nature of Indirect Beneficial
  Ownership



Explanation of Responses:

(4), (6) - (9), (12), and (15) See Exhibit
  99.1.


   Signature:                             ORACLE INSTITUTIONAL PARTNERS, L.P.

                                          By: Oracle Associates, LLC,
                                              its General Partner

                                          By:  /s/ Larry N. Feinberg
                                               ---------------------------------
                                               Name:   Larry N. Feinberg
                                               Title:   Managing Member

    Date:                                 June 10, 2008

</TEXT>
</DOCUMENT>
