PRESCRIPTION ASSISTANCE (A-F)

This is a list of medications and Pharmaceutical companies
which provide them free of charge -- Or At an affordable cost
to low income patients with no prescription drug coverage.
We have organized the medications by the diseases or
conditions which they are used to treat. For example, if you
are looking for a water pill just scroll alphabetically until you
find the "W" section and then continue to scroll until you find
the desired medication. If there are any medications that
you do not see on the list please feel free to contact our
office and we will be happy to assist you.

Allergies
AllegraSanofi-Aventis(800)221-4025
www.needymeds.com

Clarinex Shering (800) 656-9485
http://www.rxassist.org

Claritin Schering Labs (800) 656-9485
http://www.freemedicineprogram.org/application_form.html

Palgic (Carbinoxamine) PamLab (800)921-0072
http://www.freemedicineprogram.org/application_form.html

Singulair (Montelukast) Merck (800)727-5400
http://www.singulair.com/singulair/shared/documents/english/english_pap_enrollment.pdf

Vistaril (Hydroxyzine)Pfizer (800)707-8990
http://www.pfizerhelpfulanswers.com

ZYRTEC (CETIRIZINE)PFIZER, INC. (866)906-2800
www.pfizerhelpfulanswers.com

Alzheimer's/Dementia
ARICEPT (DONEPEZIL) PFIZER, INC. (800)266-2072
http://www.pfizerhelpfulanswers.com

Exelon novartis (800)277-2254
www.pharma.us.novartis.com/novartis/pap/pap_other_products_enroll.jsp

NAMENDA (MEMANTINE) FOREST PHARM. (800)851-0728
www.forestpharm.com/PAP

RAZADYNE (GALANTAMINE) JOHNSON&JOHNSON (800)652-6227
www.access2wellness.com/a2w/patient-welcome.html

Anemia
CHROMAGEN FA (FERROUS FUMARATE)
www.rxhope.com

EPOGEN AMGEN PHARM. (800)272-9376
http://www.amgen.com/patients/assistance_epogen.html

FEOSOL(FERROUS SULFATE) GLAXOSMITHKLINE (888)825-5249
http://www.freemedicineprogram.org/application_form.html

FERRLECIT (SODIUM FERRIC) WATSON (866)755-3315
http://trelstar.com/hcp/reimbursement.asp

FOLIC ACID (FOLVITE) XUBEX PHARM (866)699-8239
http://www.xubex.com

NIFEREX (IRON) Ther Rx (800)553-3851
www.rxhope.com

PROCRIT ORTHO BIOTECH CORP.(800)553-3851
http://www.procritline.com/patientassist/intro.jsp

REVLIMID(LENALIDOMIDE) CELGENE COPR. (888)423-5436
http://www.atdn.org

Angina
CADUET (AMPLODIPINE)PFIZER (800) 707-8990
www.rxhope.com/pap_selectdrug.asp

CALAN (VERAPAMIL )PFIZER (800) 707-8990
http://www.rxhope.com/papinfo/company/pap_list_bydrug.asp

CARDIZEM (DILTIAZEM) Bioval
www.rxassist.org/REGISTER/PATIENT_REG.CFM

CORGARD (NADOLOL) KING PHARM. (877)546-5332
www.freerxofamerica.com/how_to_apply.html

COVERA PFIZER (800) 707-8990
www.pfizerhelpfulanswers.com

DILACOR WATSON PHARM.(888)397-4766
www.pparx.org/ViewProgramDetails.php?program_id=146

INDERAL (PROPRANOLOL) WYETH (800)568-9938
www.wyeth.com/contact?rid=/wyeth_html/home/shared/footer/Patient/contact_patient_assist.html

ISORDIL (ISOSORBIDE DINITRATE) BIOVAIL CORP. (888)825-8474
www.valuepointrx.com

ISOSORBIDE (IMDUR) UPSHER-SMITH (866)851-2826
www.rxhope.com

LOPRESSOR (METOPROLOL) NOVARTIS (800)277-2254
http://www.scbn.org/newForm/appA.php

NITROGLYCERIN (NITROSTAT,NITRO-BID,MINITRAN,NITROLINGUAL)3M (800)328-0255 – Option 1
www.3m.com/us/healthcare/pharma/patient_assistance.jhtml

NORVASC (AMLODIPINE) XUBEX PHARM (866)699-8239
http://www.xubex.com

PROCARDIA (NIFEDIPINE) PFIZER, INC. (866)906-2800
www.pfizerhelpfulanswers.com

RANEXA (RANOLAZINE) (877)CVT-7171
www.azandme.com/making/mak_pap.aspx#medicine_list

TENORMIN (ATENOLOL) ASTRAZENECA (800) 424-3727
www.azandme.com/MAKING/MAK_PAP.ASPX

TIAZAC (DILTIAZAM) FOREST PHARM (800)851-0728
www.forestpharm.com/PAP

TOPROL-XL (METOPROLOL) ASTRAZENECA (800) 424-3727
www.azandme.com/making/mak_pap.aspx#medicine_list

Anxiety
Alprazolam(Xanax) Roxane (800)769-3880
www.rxoutr0each.com/en/eligibility.php

Cymbalta Lilly (800)545-6962
www.lillycares.com/index.jsp

Effexor Wyeth (800)568-9938
http://www.wyeth.com/hcp/pap

Klonopin (Clonazepam) Roche (877)757-6243
www.pparx.org/PreQual.php

LEXAPRO (ESCITALOPRAM) FOREST PHARM. (800)851-0758
www.forestpharm.com/PAP

Librium Valeant (866)699-8239
https://www.rxhope.com/pap_info.asp

LORAZEPAM (ATIVAN) UPSHER-SMITH (866)851-2826
www.azandme.com/MAKING/MAK_PAP.ASPX

Paxil GlaxoSmithKline (800)545-6962
www.needymeds.com

Prozac Lilly (800)545-6962
http://www.needymeds.com

Sinequan Pfizer (800) 869-9979
www.rxhope.com/papinfo/company/pap_list_bydrug.asp

TranxeneOvation (800)921-0072
www.freemedicineprogram.org/application_form.html

WELLBUTRIN (BUPROPION) XUBEX PHARM (866)699-8239
www.xubex.com

VALIUM (DIAZEPAM) XUBEX PHARM (866)699-8239
www.xubex.com

Zoloft Pfizer (866)906-2800
www.nami.org/Content/ContentGroups/Helpline1/Prescription_Drug_Patient_Assistance_Programs.html

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Arthritis
ANSAID (FLURBROFEN) PFIZER (866)906-2800
www.pfizerhelpfulanswers.com

ARAVA (LEFLUNOMIDE) SANOFI AVENTIS (888)477-2669
http://www.rxassist.org/Register/Patient_Reg.cfm

ARTHROTEC (DICLOFENAC) PFIZER, INC. (866)906-2800
www.pfizerhelpfulanswers.com

AZULFINIDE (SULFONAMIDE) PZIFER (866)906-2800
www.pfizerhelpfulanswers.com

DAYPRO (OXAPROZIN) PFIZER (866)906-2800
www.pfizerhelpfulanswers.com

ECOTRIN (SALICYLATE) GlaxoSmithKline (866) 518-4357

ENBREL (ETANERCEPT) AMGEN (888)436-2735
www.enbrel.com/ra/insurance-help.jsp?channel=GOSEA&subchannel=SENC#top

FELDENE (PIROXICAM) PFIZER (866)776-3700
http://www.pfizerhelpfulanswers.com/pages/Find/findresult.aspx

HUMIRA INJ. (ADALIMUNAB) ABBOTT (800)448-6472
WWW.PPARX.ORG

IMURAN (AZATHIOPRINE) PROMETHEUS PHARM. (800)762-4636
http://www.pparx.org/SelectMedication.php

INDOCIN (IDOMETHACIN) MERCK (800) 727-5400
http://www.merck.com/merckhelps/patientassistance/whats_covered.html

KINERET (ANAKINRA) AMGEN (800)272-9376
http://www.amgen.com/patients/assistance.html

LODINE (ETODOLAC) WYETH (800) 568-9938
http://www.xubex.com/medications.shtml

MOBIC (MELOXICAM) BOEHRINGER PHARM. (800) 556-8317
http://www.azandme.com/making/mak_pap.aspx

MOTRIN (IBUPROFEN) PFIZER (866)906-2800
WWW.PFIZERHELPFULANSWERS.COM

NAPROXEN (NAPROSYN) XUBEX PHARM (866)699-8239
WWW.XUBEX.COM

NEORAL (CYCLOSPORINE) NOVARTIS (800)277-2254
http://www.pharma.us.novartis.com/novartis/pap/pap_cns_enroll.jsp

ORENCIA (ABATACEPT) BRISTOL-MYERS SQUIBB (800) 736-0003 Option 4
http://www.pparx.org/Intro.php

PLAQUENIL (HYDROXCHLOROQUINE) SANOFI AVENTIS (800) 221-4025
HTTP://WWW.TOGETHERRXACCESS.COM/APPLY.HTML

RELAFEN (NABUMETONE) GLAXOSMITHKLINE (866) 728-4368
https://www.rxhope.com/statepap/healthyoregon/

RHEUMATREX (METHOTREXATE SODIUM) STADA
http://www.azandme.com/making/index.aspx

VOLTAREN-XR (DICLOFENIC) NOVARTIS (800) 277-2254
http://www.rxvouchers.com/voucher.html?id=020254

Asthma/COPD
Accolate (zafirlukast) ASTRAZENECA (800)292-6363
WWW.ASTRAZENECA.COM

Advair Diskus GlaxoSmithKline (888)825-5249
http://www.bridgestoaccess.com/enrollment/eligibility_criteria.html

Aerobid (Flunisolide) FOREST PHARM. (800)851-0728
WWW.FORESTPHARM.COM/PAP

Albuterol PFIZER, INC. (866)906-2800
WWW.PFIZERHELPFULANSWERS.COM

Alupent Inhaler (mometasone) Boehringer Ingelheim (800) 556-8317
http://www.ashp.org/s_ashp/quart2a.asp?CID=3501&DID=5439#BIP

Asmax Twisthaler Schering (800)656-9485
http://www.freemedicinerevolution.com/index.php#app

ATROVENT (IPATROPIUM) BOEHRINGER PHARM (800)556-8317
WWW.RXHOPE.COM

Azmacort (triamcinolone) Abbott (800)222-6885
https://www.pparx.org/SelectMedication.php

Brovana (Arformoteral) Sepracor (888)878-6266
http://www.brovana.com/patient_assistance.html

COMBIVENT INHALER BOEHRINGER PHARM (800)556-8317
WWW.RXHOPE.COM

Duoneb (Ipatropium and Albuterol) Dey Pharm. (707) 224-3200
https://www.rxhope.com/pap_info.asp

Flovent (Fluticasone Propionate) GlaxoSmithKline (888)825-5249
http://www.bridgestoaccess.com/enrollment/eligibility_criteria.html

IPRATROPIUM UPSHER-SMITH (866)851-2826
WWW.Rxhope.com

Pulmicort (Budesonide) Astrazeneca (800) 424-3727
http://www.pfizerhelpfulanswers.com/pages/find/find.aspx

Singulair (Montelukast) Merck (800)727-5400
http://www.merck.com/merckhelps/patientassistance/application.html

SPIRIVA HANDIHALER BOEHRINGER PHARM (800)556-8317
WWW.RXHOPE.COM

Uniphyl (Xanthine) Purdue Pharma. (888)726-7535
http://www.freemedicineprogram.org/application_form.html

Ventolin (hydrofluoroalkane) GlaxoSmithKline (888)825-5249
http://www.bridgestoaccess.com/enrollment/eligibility_criteria.html

Vospire ER (albuterol) DAVA (800)847-7147
http://www.rxvouchers.com/voucher.html?id=076130

Xolair (Omalizumab) Novartis (888)249-4918
http://www.rxassist.org/Register/Patient_Reg.cfm

Xopenex (Levalbuterol) Sepracor (888) 878-6266
https://www.rxhope.com/papinfo/company

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Atrial Fibrilation/Arrhythmias
AMIODARONE (PACERONE) UPSHER-SMITH (866)851-2826
WWW.rxhope.com

Betapace (Sotalol HCL) Berlex (888)842-2937 Option 7
http://www.needymeds.com/papforms/baybet0032.pdf

Calan (Verapamil) Pfizer (800)707-8990
http://www.needymeds.com/papforms/pficon0133.pdf

Cordarone (Amioderone) Wyeth (866)851-2826
http://www.needymeds.com/papforms/upsher0173.pdf

DIGOXIN (LANOXIN) XUBEX PHARM (866)699-8239
WWW.XUBEX.COM

Mexitil (Mexiletine) Boehringer Ingelheim (800)556-8317

Norpace (Disopyramide) Pfizer (866)776-3700
http://www.rxassist.org/Register/Patient_Reg.cfm

Quinidine Lilly (800)545-6962
http://www.needymeds.com/papforms/lilfou0096.pdf

Rythmol (Propafenone HCL) Reliant
http://www.rxassist.org/Register/Patient_Reg.cfm

Sectral (Acebutolol) Dr.Reddy's (866)699-8239
http://www.xubex.com/XubexApplicationForm_new.pdf

Tambocor (Flecainide) Graceway (888)477-2669
http://www.rxassist.org/Register/Patient_Reg.cfm

Tikosyn (Dofetilide) Pfizer (401)729-3284
http://www.rxassist.org/Register/Patient_Reg.cfm

Blood Clot/DVT
Aggrenox (Dipyridamole) Boehringer Ingelheim (800)556-8317
https://www.rxhope.com/pap/patient-requests/p1.asp

Ecotrin (Aspirin) GlaxoSmithKline (888)331-1002
http://www.ecotrin.com/coupon.aspx

FRAGMIN (Heparin/Dalteparin) EISAI (888)331-1002
http://www.rxhelp360.org/programs/Fragmin-Reimbursement-Assistance-Center.php

HEPARIN BAXTER (888)437-4262 option 1
www.rxhope.com

LOVENOX (ENOXAPARIN) SANOFI AVENTIS (888)632-8607
http://www.lovenox.com/consumer/resources/reimbursementServices.aspx

PLAVIX (CLOPIDOGREL) BRISTOL-MYERS (800)736-0003
WWW.BMSPAF.ORG

TICLID (TICLOPIDINE) ROCHE (877)734-2797
http://www.rxhope.com

WARFARIN (COUMADIN) UPSHER-SMITH (866)851-2826
WWW.NEEDYMEDS.COM

Colitis
Asacol (Mesalamine) Procter And Gamble (800)830-9049
http://www.pgpharma.com/patient_assistance.shtml

Azulfidine En-tabs (Sulfasalazine) Pfizer (800)707-8990
http://www.pfizerhelpfulanswers.com/pages/Find/findresult.aspx

Colazal (Balsalazide)Salix (866)282-6563
http://www.rxassist.org/Register/Patient_Reg.cfm

Dipentum (Olsalazine) UCB (866)523-3994
http://www.seniormag.com/free-medication/celltech.htm

Lialda (Mesalamine) Shire (800)847-7147
http://rxvouchers.com/voucher.html?id=022000

Pentasa (Mesalamine) Shire 866-325-8224

Rowasa (Mesalamine) Solvay (800)788-9277
https://www.pparx.org/resources/2004-08-20.Solvay_Pharmaceuticals_Incorporated.
Solvay_Pharmaceuticals_Incorporated_Patient_Assistance_Program.215.pdf

Congestive Heart Failure
Accupril (Quinapril) Pfizer (908)725-1247
https://secure.xubex.com/apply/

Altace (Ramipril) King Pharm. (866)734-7366
http://www.needymeds.com/papforms/kingka0225.pdf

Atacand (Candesartan) AstraZeneca (800)292-6363
http://www.azandme.com/making/mak_pap.aspx

Bidil (Isorbide) NitroMed (908)713-7744
http://www.bidil.com/hcp/programs.php

Capoten (Captopril) Pfizer (888)249-4918
http://www.freemedicineprogram.org/application_form.html

Coreg Cr (Carvedilol) GlaxoSmithKline (888)825-5249
http://www.bridgestoaccess.com/enrollment/eligibility_criteria.html

Diovan (Valsartan) Novartis (800)277-2254
http://www.pharma.us.novartis.com/novartis/pap/pap_enrollment_application.pdf

Inspra (Eplerenone) Pfizer (866)776-3700
http://www.pfizerhelpfulanswers.com/files/C2C_English.pdf

Mavik (Trandolapril) Abbott (800)222-6885
http://www.rxassist.org/Register/Patient_Reg.cfm

Monopril (Fosinopril) Bristol-Myers Squibb (800)736-0003
https://www.rxhope.com/papinfo/company/pdf/bristol_pap.pdf

Prinivil (Lisinopril) Merck (800)999-1796
http://www.atdn.org/access/pa/trie.html

Procanbid (Procainamide) King Pharm (888)331-1002
http://www.scbn.org/newForm/appA.php

Zestril (Lisinopril) AstraZeneca (800)424-3727
http://www.astrazeneca-us.com/content/patientAssistance/patientAssistanceProgram/astrazeneca-how-to-apply.asp?id

Constipation
Amitiza (Lubiprostone) Takeda (800)830-9159
http://www.rxassist.org/Register/Patient_Reg.cfm

Citrucel (Methylcellulose) GlaxoSmithKline (800)722-9294
No Website Available

Colace (Docusate Sodium) Purdue Pharm.
No Program Available

Fibercon (calcium Polycarbophil) Wyeth (800)568-9938
http://www.freemedicineprogram.org/application_form.html

Glycolax (Polyethylene Glycol) Schwartz Pharma.
http://www.usfreedomrx.com/OnlineEnrollmentForm.htm

Golytely (Polyethylene Glycol) Braintree (800)921-0072
http://www.freemedicineprogram.org/application_form.html

Visicol (Sodium Phosphate) Salix (800)508-0024

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Cough /Cold
Allegra-D (Fexofenadine) Sanofi Aventis (800)221-4025, opt 2
http://www.needymeds.com/papforms/sanofi0150.pdf

Allerx (Pseudoephedrine) Cornerstone
No Assistance Program Available

Clarinex-D (Desloratadine) Schering (800)521-7157 opt.2
https://www.rxhope.com/papinfo/company/pap_list_bycompany.asp?companyid=198

Mucinex (Guaifenesin)
No Assistance Program Available

Sudafed (Pseudoephedrine) Mcneil.
No Asssistance Program Available

Tanafed (Dexchlorpheniramine) Sciele (800)921-0072
http://www.freemedicineprogram.org/application_form.html

Tussionex (Hyrdocodone + Chlorpheniramine) Ucb (800)921-0072
http://www.freemedicineprogram.org/application_form.html

Zyrtec-d (Cetirizine) Pfizer 866-776-3700
http://www.pfizerhelpfulanswers.com/files/C2C_English.pdf

Depression
CELEXA (CITALOPRAM) FOREST PHARM. (800)851-0758
WWW.FORESTPHARM.COM/PAP

MIRTAZAPINE (REMERON) UPSHER-SMITH (866)851-2826
http://www.pparx.org/Intro.php

PEXEVA (PAROXETINE) JDS PHARM. (888)296-1826
WWW.JDSPHARMA.COM

PROZAC (FLUOXETINE) XUBEX PHARM (866)699-8239
WWW.XUBEX.COM

SERTALINE (ZOLOFT) UPSHER-SMITH (866)851-2826
HTTP://WWW.XUBEX.COM/NEWS.SHTML

TRAZODONE (DESYREL) UPSHER-SMITH (866)851-2826
HTTP://WWW.RXOUTREACH.COM/DPA1.PHP

Dermatitis
Aclovate (Aclometasone) PharmaDerm (732)507-7400
https://www.rxhope.com/statepap/healthyoregon/

Aristocort (Triamcinolone Acetonide) Astellas Pharm. (800)769-3880
http://www.rxoutreach.com/en/dpa1.php

Clobex (Clobetasol Propionate) Galderma Pharm (817)961-5000
http://www.rxassist.org/Register/Patient_Reg.cfm

Desonate (Desonide) SkinMedica (800)847-7147
http://www.rxvouchers.com/voucher.html?id=021844

Diprolene (Betamethasone) Schering (800)521-7157 option 2
https://www.rxhope.com/papinfo/company/pap_list_bycompany.asp?companyid=198

Elolcon (Mometasone Furoate) Schering (800)521-7157 option 2
http://www.rxassist.org/Register/Patient_Reg.cfm

HYDROCORTIZONE CREAM FERNDALE LAB (800)621-6033
WWW.PPARX.COM

Lidex (Fluocinonide) Medicis (800)550-5115
http://www.freemedicineprogram.org/application_form.html

Luxiq (Betamethasone) Stiefel (888)784-3335
http://www.rxhelp360.org/free-prescription-tools/pre-qualification-calculator.php

Olux (Clobetasol Propionate) Stiefel (888)784-3335
http://rxvouchers.com/voucher.html?id=021142

Pandel (Hydrocortisone Probutate) CollaGenex (800)847-7147
http://www.rxvouchers.com/voucher.html?id=020453

Synalar (Fluocinolone Acetonide) Medicis (800)550-5115
http://www.freemedicineprogram.org/application_form.html

Temovate (Clobetasol Propionate) Pharmaderm (866)337-6457
https://www.rxhope.com/statepap/healthyoregon/

Topicort (Desoximetasone) TaroPharma (800)921-0072
http://www.freemedicineprogram.org/application_form.html

Westcort (Hydrocortisone Valerate) Bristol-Myers Squibb (800)847-7147
http://www.rxvouchers.com/voucher.html?id=017950on_form.html

Diabetes
Actoplus MET (Thiazolidinedione + Biguanide) Takeda
http://www.rxhelp360.org/drugs/

ACTOS (PIOGLITAZONE) TAKEDA PHARM. (800)830-9159
WWW.TPNA.COM

Amaryl (Glimepride) Sanofi Aventis (800)996-6626
http://www.sanofi-aventis.us/live/us/en/layout.jsp?cnt=34FFDF5A-E281-466F-BDCE-2658D8763A11

Avandamet (Thiazolidinedione+ Biguanide) GlaxoSmithKline (888)825-5249
http://www.bridgestoaccess.com/enrollment/eligibility_criteria.html

Avandaryl (Thiazolidinedione+Sulfonylurea) GlaxoSmithKline (888)825-5249
http://www.bridgestoaccess.com/enrollment/eligibility_criteria.html

Avandia (Thiazolidinedione) GlaxoSmithKline (888)825-5249
http://www.bridgestoaccess.com/enrollment/eligibility_criteria.html

Avapro (Angiotensin) Bristol-Myers Squibb (866)475-3678).
http://www.gskforyou.com/10_programs.htm

Capoten (Captopril) Par Pharm. (800)727-0923
https://www.rxhope.com

Cozaar (Losartan Potassium) Merck (866)776-3700
http://www.cozaar.com/losartan_potassium/cozaar/hcp/coverage_and_availability/patient_assistance.jsp

Diabeta (Glyberide) Sanofi Aventis (800)996-6626
https://www.rxhope.com

Diabinese (Sulfonylurea) PFIZER, INC. (866)906-2800
WWW.PFIZERHELPFULANSWERS.COM

EXUBERA INHALATION POWDER PFIZER, INC. (866)906-2800
WWW.PFIZERHELPFULANSWERS.COM

FREESTYLE GLUCOSE METER ABBOTT (866)224-8887
WWW.TOGETHERRXACCESS.COM

GLIPIZIDE (GLUCOTROL) XUBEX PHARM (866)699-8239
WWW.XUBEX.COM

GLYBERIDE/METFORMIN UPSHER-SMITH (866)851-2826
HTTP://WWW.TOGETHERRXACCESS.COM/APPLY.HTML

Glucagon (Glucagon) Lilly (800)545-6962
http://www.lillycares.com/index.jsp

Humalog Insulin Lilly (800)545-6962
http://www.lillycares.com/index.jsp

Humulin 70/30 Insulin Lilly (800)545-6962
http://www.lillycares.com/index.jsp

Lantus Insulin Sanofi Aventis(800)996-6626
http://togetherrxaccess.com/home.html

Levemir Insulin Novo Nordisk (800)727-6500
https://www.rxhope.com/statepap/healthyoregon/

METFORMIN (GLUCOPHAGE) UPSHER-SMITH (800)736-0003
http://www.ncdiabetes.org/guidelines/MedicalAssistance.asp

NOVOLIN 70/30 INNOJET INJECTION NOVO NORDISK (866)310-7549
WWW.NOVOMEDLINK.COM

NOVOLIN R INJECTION NOVO NORDISK (866)310-7549
WWW.NOVOMEDLINK.COM

NOVOLOG FLEXPEN CARTRIDGE NOVO NORDISK (866)310-7549
WWW.NOVOMEDLINK.COM

NOVOLOG FLEXPEN INJECTION NOVO NORDISK (866)310-7549
WWW.NOVOMEDLINK.COM

Diarrhea
Alinia Tabs (Nitazoxanide) Romark (813)282-8544
http://www.needymeds.com/papforms/romali0273.pdf

Imodium (Loperamide) Mcneil
https://www.imodium.com/vcrc/manage/nmimcampaign.jhtml?oid=5518&id=ad

Lomotil (Diphenoxylate Hcl) Pfizer (800) 921-0072
http://www.freemedicineprogram.org/application_form.html

Xifaxan (Rifaximin) Salix (866)387-2926
http://www.salix.com/gastrocenter/Helpline_XIFAXAN.pdf

Erectile Dysfunction
Caverject (Prostaglandin) Pfizer (888)477-2669
http://www.pfizerhelpfulanswers.com/pages/find/findresult.aspx

Cialis (Tidalafil) Lilly (800)545-6962
http://www.lillycares.com/index.jsp

Levitra (Vardenafil) GlaxoSmithKline (866)475-3678
http://www.freemedicinerevolution.com/?gclid=CMup1Ku-rI4CFQYjWAod_0f-Yg

Muse (Prostaglandin) Vivus
None Available

VIAGRA (SILDENAFIL) PFIZER, INC. (866)906-2800
WWW.PFIZERHELPFULANSWERS.COM

Fungal Infection
Cancidas (Caspofungin) Merck (866)840-5400
https://www.rxhope.com/statepap/healthyoregon/
Diflucan (Fluconazole) Pfizer (866)776-3700
http://www.pfizerhelpfulanswers.com/pages/find/findresult.aspx
Eraxis (Anidulafungin) Pfizer (866)776-3700
http://www.pfizerhelpfulanswers.com/pages/find/findresult.aspx
Grifulvin V (Griseofulvin) OrthoNeutrogena (800)797-7737
https://www.rxhope.com/statepap/healthyoregon/
Lamisil (Terbinafine) Novartis (800)277-2254
https://www.rxhope.com/statepap/healthyoregon/
Mepron (Atovaquone) GlaxoSmithKline (866)728-4368
https://www.rxhope.com/statepap/healthyoregon/
MYCELEX (CLOTRIMAZOLE) JOHNSON&JOHNSON (800)652-6227
WWW.JNJ.COM
Mycostatin (Nystatin) Bristol-Myers Squibb (800)736-0003
No Website Available
Nizoral (Ketoconazole) Janssen (800)652-6227
http://www.atdn.org/access/pa/fent.html
Noxafil (Posaconazole) Schering (800)521-7157
http://www.schering-plough.com/pdf/commitapp.pdf
Sporanox (Itraconazole) Janssen (800)652-6227
http://www.atdn.org/access/pa/fent.html
Vfend (Voricinazole) Pfizer (866)776-3700
http://www.pfizerhelpfulanswers.com/pages/find/findresult.aspx

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