PRESCRIPTION ASSISTANCE (G-I)
| GOUT COLCHICINE XUBEX PHARM (866)699-8239 WWW.XUBEX.COM PROBENECID (URICOSURIC) WWW.RXHOPE.COM ZYLOPRIM (ALLOPURINOL) PROMETHEUS (800)769-3880 http://www.rxhope.com/statepap/healthyoregon/ Headache And Migraine Amerge (Naratriptan) GlaxoSmithKline (866)728-436 http://www.bridgestoaccess.com/PatientEnrollment?pageFunction=FORMPATIENT8 Axert (Almotriptan) Ortho-Mcneil. 800-652-6227, opt 1 http://www.needymeds.com/papforms/johnso0996.pdf Blocadren (Timolol) Merck (800)999-1796 http://www.merck.com/merckhelps/patientassistance/english_enrollment.pdf Cafergot (Ergotamine) Novartis (800)277-2254 Depakote (Divalproex) Abbott (800)222-6885 ext. 568 http://www.needymeds.com/papforms/abblab0001.pdf Fioricet (Butalbital) Watson (800)921-0072 Heartburn/Indigestion/GERD/Ulcers ACIPHEX (RABERAZOLE) EISAI (800)523-5870 http://www.seniormag.com/free-medication/applications/aciphex.pdf ALLOPURINOL (ZYLOPRIM) XUBEX PHARM (866)699-8239 www.xubex.com BIAXIN (CLARITHROMYCIN) ABOTT (800)222-6885 https://www.rxhope.com/statepap/healthyoregon/ CARAFATE (SUCRALFATE) AXCAN SCANDIPHARM (866)292-2679 WWW.RXHOPE.COM Cytotec (Misoprostol) Pfizer (866)776-3700 http://www.pfizerhelpfulanswers.com/pages/find/findresult.aspx Gaviscon (Aluminum Hydroxide) GlaxoSmithKline (866)728-4368. NO AVAILABLE PROGRAMS Levsin (Hyoscyamine) Schwartz Pharma (800)558-5114 http://www.pfizerhelpfulanswers.com/pages/find/find.aspx Librax (Chlordiazepoxide) Valeant Pharm. (888) 380-6337 http://www.a2zimaging.com/free_medications.htm NEXIUM (ESOMEPRAZOLE) ASTRAZENECA (800)292-6363 WWW.ASTRAZENECA.COM Nulev(Hyoscyamine Sulfate) Schwarz Pharma. No Program Available PEPCID (FAMOTIDINE) XUBEX PHARM (866)699-8239 WWW.XUBEX.COM Prevacid (Lansoprazole) TAP (800)865-7211 http://www.togetherrxaccess.com/apply.html PRILOSEC (OMEPRAZOLE) ASTRAZENECA (866)851-2826 WWW.ASTRAZENECA.COM PROTONIX WYETH (800)568-9938 https://j.ovm1.net/ahp1/protonix/renew/registration.aspx?SK=2322 REGLAN (METACLOPRAMIDE) SCHWARTZ PHARMA (800)558-5114 http://www.pfizerhelpfulanswers.com/pages/find/find.aspx Robinal (Glycopyrrolate) Sciele (401)729-3284 http://www.rxassist.org/Register/Patient_Reg.cfm TAGAMENT (CIMETIDINE) XUBEX PHARM (866)699-8239 http://WWW.XUBEX.COM ZANTAC (RANITIDINE) UPSHER-SMITH (866)851-2826 WWW.rxhope.com ZEGERID (OMEPRAZOLE) SANTARUS http://www.zegerid.com/ZEGERID_Coupon.asp Hemorroids Anamantle HC (Lidocaine+Hydrocortisone) Bradley Pharm. (401)729-3284 http://www.rxassist.org/Register/Patient_Reg.cfm Anusol-Hc Suppositories (Hydrocortisone) Salix (866)282-6563 ZOVIRAX CREAM/OINTMENT BIOVAIL PHARM. (866)268-7325 WWW.PPARX.ORG High Blood Pressure ATENOLOL (TENORMIN) XUBEX PHARM (866)699-8239 WWW.XUBEX.COM AVAPRO (IRBESARTAN) BRISTOL-MYERS (800)736-0003 WWW.BMSPAF.ORG BENICAR (OLMESARTAN) DAIICHI SANKYO (866)268-7327 WWW.RXASSIST.ORG CADUET (AMLODIPINE) PFIZER, INC. (866)906-2800 WWW.PFIZERHELPFULANSWERS.COM CATAPRES (CLONIDINE) BOEHRINGER PHARM (800)556-8317 WWW.RXHOPE.COM LISINOPRIL (PRINIVIL) UPSHER-SMITH (866)851-2826 WWW.rxhope.com METOPROLOL (LOPRESSOR) UPSHER-SMITH (866)851-2826 WWW.needymeds.com PROPRANOLOL (INDERAL) UPSHER-SMITH (866)851-2826 WWW.rxhope.com TARKA (VERAPAMIL) ABBOTT (866)851-2826 WWW.TOGETHERRXACCESS.COM NORVASC (AMLODIPINE) XUBEX PHARM (866)699-8239 WWW.XUBEX.COM TOPROL (METOPROLOL) ASTRAZENECA (866)851-2826 WWW.ASTRAZENECA.COM VASOTEC (ENALAPRIL) BIOVAIL PHARM. (866)268-7325 WWW.RXASSIST.ORG VERAPAMIL (ISOPTIN) UPSHER-SMITH (866)851-2826 WWW.rxassist.org QUINAPRIL (ACCUPRIL) XUBEX PHARM (866)699-8239 WWW.XUBEX.COM High Cholesterol Advicor (Niacin+Lovastatin) Abbott (800)222-6885 http://www.rxassist.org/Register/Patient_Reg.cfm Antara (Fenofibrate) Oscient No Program Available Colestid (Colestipol) Pfizer (866)906-2800 http://www.rxassist.org/Register/Patient_Reg.cfm CRESTOR (ROSUVASTATIN) ASTRAZENECA (800)292-6363 http://www.rxassist.org/Register/Patient_Reg.cfm Lescol XL (Fluvastatin) Reliant (800)277-2254 http://www.pharma.us.novartis.com/novartis/pap/pap_other_products_enroll.jsp LIPITOR (ATORVASTATIN) PFIZER, INC. (866)906-2800 WWW.PFIZERHELPFULANSWERS.COM Lopid (Gemfibrozil) Pfizer (800)707-8990 WWW.PFIZERHELPFULANSWERS.COM LOVASTATIN (Mevacor)UPSHER-SMITH (866)851-2826 WWW.TOGETHERRXACCESS.COM NIASPAN (NIACIN) ABBOTT (866)851-2826 WWW.TOGETHERRXACCESS.COM Omacor (Tocopherol) Reliant (866)792-2737 http://www.rxassist.org/Register/Patient_Reg.cfm Questran Light (Cholestyramine) Par Pharm. No Program Available SIMVASTATIN (ZOCOR) UPSHER-SMITH (866)851-2826 WWW.TOGETHERRXACCESS.COM TRICOR (FENOFIBRATE) ABBOTT (866)851-2826 WWW.TOGETHERRXACCESS.COM Vytorin (Ezetimibe+Simvastatin) Merck (800)347-7503 http://www.rxassist.org/Register/Patient_Reg.cfm Welchol (Colesevelam Hcl) Daiichi-Sankyo (800)242-7014 http://www.rxassist.org/Register/Patient_Reg.cfm Zetia (Ezetimibe) Merck (800)921-0072 http://www.freemedicineprogram.org/application_form.html Infections Amoxil (Amoxicillin) GlaxoSmithKline (866)728-4368 http://www.bridgestoaccess.com/enrollment/eligibility_criteria.html Augmentin (Amoxicillin+clavulantic acid) GlaxoSmithKline (866)728-4368 http://www.bridgestoaccess.com/PatientEnrollment?pageFunction=FORMPATIENT Avelox (Moxifoxacin) Bayer (800) 998-9180 http://www.seniormag.com/free-medication/bayer.htm Bactrim (Sulfonamide+Folic Acid) Ar Scientific (800)443-6676 http://www.rocheusa.com/programs/patientassist.asp Biaxin Xl (Clarithromycin) Abbott (800)688-9118 http://togetherrxaccess.com/home.html Ceclor CD (Elan) No Program Available Ceftin (cefuroxime) GlaxoSmithKline (800)921-0072 http://www.freemedicineprogram.org/application_form.html Cefzil (Cefprozil) Bristol-Myers Squibb (800)736-0003 http://www.cm-crmc.com/BMS-Plavix-Meds.pdf Cipro (Ciprofloxacin) Bayer (800) 656-9485 http://www.needymeds.com/papforms/alconc0003.pdf Cleocin (Lincosamide+Clindamycin) Pfizer (866)776-3700 http://www.pfizerhelpfulanswers.com/files/C2C_English.pdf E.E.S. (Erythromycin) Abbott http://www.freemedicineprogram.org/available_medicine/e Ery-Tab (Erythromycin) Abbott (800)921-0072 http://www.meijer.com/pharmacy/antibiotics.asp Factive (Gemifloxacin) Oscient No Assistance Program Available Flagyl (Metronidazole) Pfizer (866)776-3700 http://www.pfizerhelpfulanswers.com/files/C2C_English.pdf Floxin (Ofloacin) Ortho-Mcneil (800)577-3788 http://www.access2wellness.com/a2w/patient-welcome.html Furadantin (Nitrofurantoin) Sciele (800)921-0072 http://www.freemedicineprogram.org/form.pdf Keflex (Cephalexin) Advancis (800)921-0072 http://www.freemedicineprogram.org/form.pdf Levaquin (Levofloxacin) Ortho-Mcneil (800)652-6227 Lorabid (Loracarbef) King Pharm No Assistance Programs Available Macrobid (Nitrofurantoin) Procter And Gamble (800)448-4878 Macrodantin (Nitrofurantoin) Proctor and Gamble (800)448-4878 Monurol (Fosfomycin) Forest (800)847-7147 http://rxvouchers.com/voucher.html?id=050717 Noroxin (Norfloxacin) Merck (800)999-1796 http://www.merck.com/merckhelps/patientassistance/english_enrollment.pdf Rocephin (Ceftriaxone) Roche (800)443-6676 http://www.rocheusa.com/programs/patientassist.asp Trimox (Amoxicillin) Bristol-Myers Squibb No Assistance Program Available |
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