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RXOUTREACH
Patient Assistance Program

Patient assistance programs (PAPs) are programs created by drug companies, such as RXOUTREACH, to offer free or low cost drugs to individuals who are unable to pay for their medication.  These Programs may also be called indigent drug programs, charitable drug programs or medication assistance programs.  Most of the best known and most prescribed drugs can be found in these programs.  All of the major drug companies have patient assistance programs, although every company has different eligibility and application requirements.

The RXOUTREACH patient assistance program offers free medication to people who otherwise cannot afford their medications.  Patients must meet financial and other program specific criteria to be eligible for assistance.

To find out how to apply for medication assistance from the RXOUTREACH patient assistance program, visit our Patient Center and use our Database to search for the medication needed.

For a complete listing of RXOUTREACH medications available through their patient assistance programs, see below:

Rx OUTREACH

      The medications available through this program are:
     
  Abilify (aripiprazole)
     
  Allegra OTC (fexofenadine OTC tablet)
     
  Aygestin (norethindrone acetate tablet)
     
  Celebrex (celecoxib)
     
  Colazal (balsalazide)
     
  Cytra-K (potassium citrate)
     
  Effexor XR (venlafaxine)
     
  Epinephrine auto injector .15mg (epinephrine auto injector)
     
  EpiPen (epinephrine)
     
  EpiPen Jr (epinephrine)
     
  Famvir (famciclovir tablet)
     
  Flexeril (Cyclobenzaprine)
     
  Klor-Con 8mEQ ( potassium chloride ER tablet)
     
  Klor-Con M10 ( potassium chloride ER tablet)
     
  Nardil (phenelzine sulfate)
     
  Symmetrel (amantadine)
     
  Tegretol XR (carbamazepine extended release)
     
  zafirlukast Accolate
     
  quinapril HCI Accupril
     
  quinapril/HCTZ tablet Accuretic
     
  rabeprazole sodium Aciphex
     
  alclometasone dipropionate cream Aclovate
     
  risedronate sodium tablet Actonel
     
  pioglitazone hydrochloride Actos
     
  nifedipine CR tablet Adalat cc
     
  dextroamphetamine-amphetamine ER capsule Adderall XR
     
  ketotifen fumerate OTC solution Alaway OTC
     
  albuterol inhalation solution Albuterol Inhalation Solution
     
  spironolactone and hydrochlorothiazide Aldactazide
     
  spironolactone Aldactone
     
  ramipril Altace
     
  glimepiride Amaryl
     
  Zolpidem Ambien
     
  amitriptyline tablet Amitriptyline tablet
     
  amoxapine tablet Amoxapine tablet
     
  naproxen sodium tablet Anaprox DS
     
  fluoxymesterone Androxy tablet
     
  meclizine HCI Antivert
     
  donepezil HCI Aricept
     
  anastrazole Arimidex
     
  artificial tears 1.4% drops (OTC) Artificial Tears 1.4% drops (OTC)
     
  aspirin EC tablet (OTC) Aspirin EC Tablet (OTC)
     
  Azelastine nasal spray Astelin
     
  azelastine Astepro
     
  candesartan cilextil Atacand
     
  candesartan cilexetil-hydrochlorothiazide Atacand HCT
     
  lorazepam tablet Ativan
     
  irbesartan-hydrochlorothiazide Avalide
     
  irbesartan Avapro
     
  sulfasalazine Azulfidine
     
  sulfasalazine, USP Azulfidine EN-Tabs
     
  sulfamethoxazole/trimethoprim DS tablet Bactrim DS
     
  belladonna alkaloids/phenobarbital Belladonna alkaloids/Phenobarbital
     
  dicyclomine capsule Bentyl
     
  dicyclomine tablet Bentyl
     
  benzonatate capsule Benzonatate capsule
     
  benztropine tablet Benztropine tablet
     
  brimonidine tartrate Brimonidine Tartrate 0.2% Solution
     
  bromocriptine tablet Bromocriptine tablet
     
  buspirone tablet Buspar
     
  verapamil HCl Calan
     
  verapamil SR tablet Calan-SR
     
  captopril tablet Capoten
     
  capsaicin cream, 0.035% (OTC) Capsaicin Cream, 0.035% (OTC)
     
  sucralfate Carafate
     
  diltiazem hcl cd Cardizem CD
     
  doxazosin mesylate Cardura
     
  bicalutamide Casodex
     
  clonidine HCL tablets Catapres
     
  clonidine patch Catapres TTS -3
     
  citalopram tablet Celexa
     
  mycophenolate mofetil CellCept
     
  chlordiazepoxide capsule Chlordiazepoxide capsule
     
  chlorpromazine HCL Chlorpromazine HCL
     
  chlorthalidone tablet Chlorthalidone tablet
     
  loratadine OTC tablet Claritin OTC
     
  clindamycin phosphate Cleocin
     
  colestipol hcl Colestid
     
  amiodarone tablet Cordarone
     
  carvedilol Coreg tablets
     
  dorzolamide HCl 2% Solution Cosopt
     
  losartan potassium Cozaar
     
  rosuvastatin calcium Crestor
     
  liothyronine sodium Cytomel
     
  decitabine Dacogen
     
  valproic acid Depakene
     
  Divalproex DR tablet Depakote
     
  testosterone cypionate Depo-Testosterone
     
  trazodone tablet Desyrel
     
  tolterodine tartrate tablet Detrol
     
  dextroamphetamine sulfate ER capsule Dextroamphetamine sulfate ER capsule
     
  dextroamphetamine-amphetamine tablet Dextroamphetamine-Amphetamine tablet
     
  phenoxybenzamine Dibenzyline capsule
     
  fluconazole Diflucan
     
  diltiazem ER capsule Dilacor XR
     
  phenytoin sodium capsule Dilantin
     
  valsartan hydrochloride Diovan
     
  valsartan hydrochlorothiazide Diovan HCT
     
  augmented betamethasone dipropionate Diprolene Cream
     
  oxybutynin tablet Ditropan
     
  doxepin capsule Doxepin capsule
     
  Ipratropium/Albuterol Inhalation Solution DuoNeb
     
  metoprolol succinate/hctz Dutoprol Tablet
     
  triamterene/HCTZ capsule Dyazide
     
  minocycline HCL capsule Dynacin
     
  triamterene Dyrenium capsule
     
  venlafaxine tablet Effexor
     
  mometasone furoate Elocon Cream
     
  mometasone furoate Elocon Ointment
     
  lactulose oral solution Enulose
     
  epinephrine auto injector Epinephrine Auto Injector .3mg
     
  eplerenone tablet Eplerenone tablet
     
  estradiol tablet Estrace
     
  raloxifene tablet Evista
     
  cevimeline HCl Evoxac
     
  rivastigmine tartrate capsule Exelon
     
  amlodipine and valsartan Exforge
     
  amlodipine, valsartan, hydrochlorothiazide Exforge HCT
     
  letrozole Femara
     
  ferrous sulfate EC tablet Ferrous Sulfate EC tablet
     
  flecainide acetate tablet Flecainide Acetate tablet
     
  tamsulosin hydrochloride Flomax
     
  fluticasone nasal spray (50 mcg) Flonase (50 mcg)
     
  fluvoxamine maleate tablet Fluvoxamine Maleate tablet
     
  Dexmethylphenidate HCl tablet Focalin
     
  dietary suppliment Folgard
     
  dietary suppliment Folgard OS tablet
     
  dietary suppliment Folgard RX tablet
     
  folic acid tablet Folic Acid
     
  folic acid 2.2 tablet Folic Acid 2.2 tablet
     
  Calcitonin-salmon (rDNA origin) Fortical Nasal Spray
     
   alendronate tablet Fosamax
     
  metformin Glucophage
     
  metformin hcl, extended release Glucophage XR
     
  glipizide Glucotrol
     
  glipizide extended release Glucotrol XL
     
  glyburide/Metformin tablet Glucovance
     
  micronized glyburide Glynase PresTab
     
  haloperidol tablet Haloperidol tablet
     
  altretamine Hexalen capsules
     
  hydralazine tablet Hydralazine tablet
     
  hydroxyurea capsule Hydrea
     
  hydrochlorothiazide tablet hydrochlorothiazide tablet
     
  hydrocortisone tablet Hydrocortisone tablet
     
  hydroxyzine HCL tablet Hydroxyzine HCL tablet
     
  terazosin capsule Hytrin
     
  antihypertensive combinations Hyzaar
     
  isosorbide mononitrate Imdur
     
  sumatriptan succinate Imitrex (Tablets)
     
  azathioprine Imuran
     
  indapamide tablet Indapamide tablet
     
  propranolol tablet Inderal
     
  propranolol HCL ER Inderal LA Capsules
     
  guanfacine Intuniv Extended Release Tablets
     
  isosorbide mononitrate (10mg,20mg) Ismo
     
  isoniazid tablet Isoniazid/INH
     
  verapamil SR tablet Isoptin-SR
     
  warfarin sodium Jantoven
     
  potassium chloride ER tablet K-Dur 20MEQ
     
  levetiracetam tablet Keppra
     
  levetiracetam ER Keppra XR tablets
     
  clonazepam tablet Klonopin
     
  potassium chloride ER tablet Klor-Con 10mEQ
     
  potassium chloride ER tablet Klor-Con M20
     
  lamotrigine Lamictal
     
  digoxin tablets Lanoxin
     
  furosemide tablet Lasix
     
  levothyroxine Levoxyl
     
  escitalopram oxalate Lexapro 10mg
     
  escitalopram oxalate Lexapro 20mg
     
  escitalopram oxalate Lexapro 5mg
     
  lidocaine 2% viscous solution Lidocaine 2% viscous solution
     
  lidocaine patch 5% Lidoderm
     
  baclofen tablet Lioresal
     
  atorvastatin calcium Lipitor
     
  Lithium Carbonate capsule Lithium Carbonate
     
  etodolac capsule Lodine
     
  etodolac tablet Lodine tablet
     
  fenofibrate, micronized capsule Lofibra
     
  diphenoxylate hydrochloride/atropine sulfate Lomotil
     
  diphenoxylate/atropine tablet Lonox
     
  loperamide capsule Loperamide capsule
     
  gemfibrozil Lopid
     
  metoprolol tartrate tablet Lopressor
     
  benazepril tablet Lotensin
     
  benazepril HCTZ tablet Lotensin HCT
     
  Amlodipine/Benazepril capsule Lotrel
     
  clotrimazole/betamethasone cream Lotrisone Cream
     
  omega-3-acid ethyl esters Lovaza
     
  loxapine capsule Loxapine capsule
     
  eszopiclone Lunesta
     
  magnesium oxide tablet (OTC) Magnesium Oxide tablet (OTC)
     
  trandolapril tablet Mavik
     
  triamterene/HCTZ tablet Maxzide
     
  pyridostigmine bromide Mestinon
     
  methylphenidate CD capsule Metadate CD
     
  methotrexate Methotrexate
     
  lovastatin tablet Mevacor
     
  telmisartan Micardis
     
  glyburide tablet Micronase
     
  hydrochlorothiazide capsule Microzide
     
  midodrine HCl tablet Midodrine HCl tablet
     
  minocycline capsule Minocin
     
  pramipexole dihydrochloride tablets Mirapex tablets
     
  meloxicam Mobic
     
  isosorbide mononitrate (10mg,20mg) Monoket
     
  ibuprofen tablet Motrin
     
  primidone Mysoline
     
  nabumetone tablet Nabumetone tablet
     
  memantine hcl Namenda Tablets
     
  naproxen tablet Naprosyn
     
  gabapentin Neurontin
     
  esomeprazole DR capsule Nexium
     
  niacin Niacin
     
  niacin SA capsule (OTC) Niacin SA capsule (OTC)
     
  niacin extented-release tablets Niaspan ER
     
  nifedipine capsule Nifedipine capsule
     
  nilutamide Nilandron tablet
     
  nitroglycerin SA capsule Nitroglycerin SA capsule
     
  amlodipine besylate Norvasc
     
  nyamyc topical powder Nystatin powder
     
  nystatin tablet Nystatin tablet
     
  estropipate tablet Ogen
     
  norethindrone tablet Ortho Micronor
     
  sprintec tablet Ortho-Cyclen
     
  tri-previfem tablet Ortho-Tri-Cyclen
     
  tri-sprintec tablet Ortho-Tri-Cyclen
     
  norethindrone/ethinyl estradiol tablet Ovcon 35
     
  oxandrolone tablet Oxandrin
     
  nortriptyline HCL capsule Pamelor
     
  alitretinoin Panretin gel
     
  tranylcypromine Parnate 10mg tablets
     
  paroxetine HCL tablet Paxil
     
  famotidine tablet Pepcid
     
  perphenazine tablet Perphenazine tablet
     
  calcium acetate PhosLo gelcaps
     
  hydroxychloroquine tablet Plaquenil
     
  clopidogrel bisulfate tablets Plavix
     
  felodipine ER tablet Plendil ER
     
  cilostazol tablet Pletal
     
  PNV Prenatal Multivitamin Plus Iron PNV Prenatal Multivitamin Plus Iron
     
  SSKI oral solution Potassium Iodide
     
  repaglinide tablet Prandin
     
  pravastatin tablet Pravachol
     
  prazosin capsule prazosin capsule
     
  prednisone tablet Prednisone tablet
     
  lansoprazole DR capsule Prevacid
     
  cholestyramine Prevalite Powder
     
  omeprazole capsule Prilosec
     
  lisinopril tablet Prinivil
     
  lisinopril/HCTZ tablet Prinzide
     
  albuterol sulfate ProAir RespiClick Powder Inhaler
     
  prochlorperazine tablet Prochlorperazine tablet
     
  progesterone capsule Progesterone capsule
     
  tacrolimus capsule Prograf
     
  propylthiouracil tablet Propylthiouracil tablet
     
  finasteride tablet Proscar
     
  pantoprazole sodium Protonix
     
  medroxyprogesterone acetate Provera
     
  fluoxetine capsule Prozac
     
  budesonide inhalation suspension Pulmicort Respules
     
  topiramate ER Qudexy XR capsule
     
  metoclopramide HCL tablet Reglan
     
  mirtazapine tablet Remeron
     
  ropinirole hydrochloride Requip tablets
     
  temazepam capsule Restoril
     
  sildenafil citrate tablet Revatio
     
  risperidone Risperdal
     
  methylphenidate tablet Ritalin
     
  methylphenidate hcl Ritalin LA
     
  methocarbamol tablet Robaxin
     
  calcitriol capsule Rocaltrol
     
  propafenone hydrochloride Rythmol
     
  sulfamethoxazole/trimethoprim DS tablet Septra DS
     
  quetiapine fumarate Seroquel
     
  carbidopa/levo tablet Sinemet
     
  carbidopa/levo SR tablet Sinemet CR
     
  montelukast sodium Singulair
     
  zaleplon Sonata
     
  sotalol HCl Sorine
     
  potassium Iodide SSKI oral solution
     
  levothyroxine Synthroid
     
  tamoxifen citrate tablet Tamoxifen citrate tablet
     
  methimazole tablets Tapazole
     
  carbamazepine tablet Tegretol
     
  atenolol/chlorthalidone tablet Tenoretic
     
  atenolol tablet Tenormin
     
  benzonatate Tessalon Capsule
     
  topiramate Topamax tablets
     
  labetalol HCL tablet Trandate
     
  pentoxifylline ER tablet Trental
     
  triamcinolone cream, 0.1% Triamcinolone cream, 0.1%
     
  triamcinolone ointment, 0.1% Triamcinolone ointment, 0.1%
     
  fenofibrate Tricor
     
  trifluoperazine HCl tablet Trifluoperazine HCl tablet
     
  fenofibric acid DR capsule Trilipix
     
  trospium chloride tablet Trospium Chloride tablet
     
  dorzolamide HCL Trusopt
     
  tramadol hydrochloride/acetaminophen tablets Ultracet
     
  tramadol tablet Ultram
     
  halobetasol prop ointment, 0.05% Ultravate
     
  bethanechol tablet Urecholine
     
  alfuzosin hcl Uroxatral
     
  diazepam tablet Valium
     
  valacyclovir HCL tablet Valtrex tablet
     
  enalapril maleate-hydrochlorothiazide tablets Vaseretic
     
  enalapril maleate tablet Vasotec
     
  hydroxyzine pamoate Vistaril
     
  Vitamin B Complex capsule (OTC) Vitamin B Complex capsule (OTC)
     
  Vitamin B-6 tablet (OTC) Vitamin B-6 tablet (OTC)
     
  Vitamin D3 capsule (OTC) Vitamin D3 capsule (OTC)
     
  Vitamin D3 tablet (OTC) Vitamin D3 tablet (OTC)
     
  testosterone gel packet Vogelxo gel packet
     
  testosterone gel pump Vogelxo gel pump
     
  testosterone gel tube Vogelxo gel tube
     
  diclofenac EC tablet Voltaren
     
  diclofenac ER tablet Voltaren XR
     
  bupropion HCL tablet Wellbutrin
     
  bupropion hcl Wellbutrin SR
     
  bupropion hcl Wellbutrin XL
     
  latanoprost solution Xalatan
     
  alprazolam Xanax
     
  levalbuterol hcl Xopenex
     
  levocetirizine dihydrochloride Xyzal tablets
     
  Tizanidine 4mg tab Zanaflex
     
  ranitidine Zantac
     
  metolazone tablet Zaroxolyn
     
  lisinopril/HCTZ tablet Zestoretic
     
  lisinopril tablet Zestril
     
  bisoprolol/HCTZ tablet Ziac
     
  zidovudine tablet Zidovudine tablet
     
  simvastatin tablets Zocor
     
  ondansetron tablet Zofran
     
  ondansetron ODT tablet Zofran ODT
     
  sertraline HCI Zoloft
     
  acyclovir capsule Zovirax
     
  acyclovir tablet Zovirax
     
  allopurinol tablet Zyloprim
     
  olanzapine Zyprexa
     
  cetirizine HCl tablet - OTC Zyrtec OTC
  

Rx OUTREACH - Diabetic Supplies

      The medications available through this program are:
     
  Prodigy Insulin Syringes (Insulin Syringes)
     
  Prodigy No Coding Blood Glucose Strips (blood glucose strips)
     
  Prodigy Preferred Blood Glucose Monitor (blood glucose monitor)
     
  Prodigy Twist Top Lancets 28G (lancets)
  

Rx OUTREACH - Fragmin

      The medications available through this program are:
     
  Fragmin (dalteparin sodium)
  
 
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