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.
For a complete listing of RXOUTREACH medications available through
their patient assistance programs, see below:
Rx OUTREACH
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The medications available through this program are:
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| Allegra OTC
(fexofenadine OTC tablet) |
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| Ampyra Tablet
(dalfampridine) |
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| Aygestin
(norethindrone acetate tablet) |
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| Cytra-K
(potassium citrate) |
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| Epinephrine auto injector .15mg
(epinephrine auto injector) |
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| Famvir
(famciclovir tablet) |
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| Flexeril
(Cyclobenzaprine) |
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| Klor-Con 8mEQ
( potassium chloride ER tablet) |
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| Klor-Con M10
( potassium chloride ER tablet) |
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| Nardil
(phenelzine sulfate) |
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| Tegretol XR
(carbamazepine extended release) |
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| quinapril/HCTZ tablet
Accuretic |
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| rabeprazole sodium
Aciphex |
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| alclometasone dipropionate cream
Aclovate |
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| risedronate sodium tablet
Actonel |
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| pioglitazone hydrochloride
Actos |
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| nifedipine CR tablet
Adalat cc |
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| dextroamphetamine-amphetamine ER capsule
Adderall XR |
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| ketotifen fumerate OTC solution
Alaway OTC |
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| albuterol inhalation solution
Albuterol Inhalation Solution |
|
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| spironolactone and hydrochlorothiazide
Aldactazide |
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| amoxapine tablet
Amoxapine tablet |
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| clomipramine hcl
Anafranil |
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| naproxen sodium tablet
Anaprox DS |
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| testosterone gel
AndroGel |
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| artificial tears 1.4% drops (OTC)
Artificial Tears 1.4% drops (OTC) |
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| aspirin EC tablet (OTC)
Aspirin EC Tablet (OTC) |
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| Azelastine nasal spray
Astelin |
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| candesartan cilextil
Atacand |
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| candesartan cilexetil-hydrochlorothiazide
Atacand HCT |
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| irbesartan-hydrochlorothiazide
Avalide |
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| rasagiline tablets
Azilect |
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| sulfasalazine, USP
Azulfidine EN-Tabs |
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| sulfamethoxazole/trimethoprim DS tablet
Bactrim DS |
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| rufinamide
Banzel Oral Suspension 40mg/ml |
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| dicyclomine capsule
Bentyl |
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| dicyclomine tablet
Bentyl |
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| benzonatate capsule
Benzonatate capsule |
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| benztropine tablet
Benztropine tablet |
|
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| brimonidine tartrate
Brimonidine Tartrate 0.2% Solution |
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| bromocriptine tablet
Bromocriptine tablet |
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| verapamil SR tablet
Calan-SR |
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| capsaicin cream, 0.035% (OTC)
Capsaicin Cream, 0.035% (OTC) |
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| diltiazem hcl cd
Cardizem CD |
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| doxazosin mesylate
Cardura |
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| clonidine HCL tablets
Catapres |
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| clonidine patch
Catapres TTS -3 |
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| mycophenolate mofetil
CellCept |
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| chlordiazepoxide capsule
Chlordiazepoxide capsule |
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| chlorpromazine HCL
Chlorpromazine HCL |
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| chlorthalidone tablet
Chlorthalidone tablet |
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| loratadine OTC tablet
Claritin OTC |
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| clindamycin phosphate
Cleocin |
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| amiodarone tablet
Cordarone |
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| losartan potassium
Cozaar |
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| rosuvastatin calcium
Crestor |
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| liothyronine sodium
Cytomel |
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| Divalproex DR tablet
Depakote |
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| testosterone cypionate
Depo-Testosterone |
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| tolterodine tartrate tablet
Detrol |
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| dextroamphetamine sulfate ER capsule
Dextroamphetamine sulfate ER capsule |
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| dextroamphetamine-amphetamine tablet
Dextroamphetamine-Amphetamine tablet |
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| phenoxybenzamine
Dibenzyline capsule |
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| diltiazem ER capsule
Dilacor XR |
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| phenytoin sodium capsule
Dilantin |
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| valsartan hydrochloride
Diovan |
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| valsartan hydrochlorothiazide
Diovan HCT |
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| augmented betamethasone dipropionate
Diprolene Cream |
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| oxybutynin tablet
Ditropan |
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| Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate, Scopolamine Hydrobromide
Donnatal Elixir |
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| Belladonna Alkaloids with Phenobarbital
Donnatal Tablet |
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| doxepin capsule
Doxepin capsule |
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| Ipratropium/Albuterol Inhalation Solution
DuoNeb |
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| metoprolol succinate/hctz
Dutoprol Tablet |
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| triamterene/HCTZ capsule
Dyazide |
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| minocycline HCL capsule
Dynacin |
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| triamterene
Dyrenium capsule |
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| venlafaxine tablet
Effexor |
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| amitriptyline tablet
Elavil |
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| mometasone furoate
Elocon Cream |
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| mometasone furoate
Elocon Ointment |
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| lactulose oral solution
Enulose |
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| epinephrine auto injector
Epinephrine Auto Injector .3mg |
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| eplerenone tablet
Eplerenone tablet |
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| rivastigmine tartrate capsule
Exelon |
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| amlodipine and valsartan
Exforge |
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| amlodipine, valsartan, hydrochlorothiazide
Exforge HCT |
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| ferrous sulfate EC tablet
Ferrous Sulfate EC tablet |
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| flecainide acetate tablet
Flecainide Acetate tablet |
|
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| tamsulosin hydrochloride
Flomax |
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| fluticasone nasal spray (50 mcg)
Flonase (50 mcg) |
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| fluvoxamine maleate tablet
Fluvoxamine Maleate tablet |
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| Dexmethylphenidate HCl tablet
Focalin |
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| folic acid tablet
Folic Acid |
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| folic acid 2.2 tablet
Folic Acid 2.2 tablet |
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| Calcitonin-salmon (rDNA origin)
Fortical Nasal Spray |
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| alendronate tablet
Fosamax |
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| metformin hcl, extended release
Glucophage XR |
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| glipizide extended release
Glucotrol XL |
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| glyburide/Metformin tablet
Glucovance |
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| micronized glyburide
Glynase PresTab |
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| haloperidol tablet
Haloperidol tablet |
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| altretamine
Hexalen capsules |
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| hydralazine tablet
Hydralazine tablet |
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| hydroxyurea capsule
Hydrea |
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| hydrochlorothiazide tablet
hydrochlorothiazide tablet |
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| hydrocortisone tablet
Hydrocortisone tablet |
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| hydroxyzine HCL tablet
Hydroxyzine HCL tablet |
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| antihypertensive combinations
Hyzaar |
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| isosorbide mononitrate
Imdur |
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| sumatriptan succinate
Imitrex (Tablets) |
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| indapamide tablet
Indapamide tablet |
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| propranolol tablet
Inderal |
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| propranolol HCL ER
Inderal LA Capsules |
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| guanfacine
Intuniv Extended Release Tablets |
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| isosorbide mononitrate (10mg,20mg)
Ismo |
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| isoniazid tablet
Isoniazid/INH |
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| verapamil SR tablet
Isoptin-SR |
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| potassium chloride ER tablet
K-Dur 20MEQ |
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| levetiracetam tablet
Keppra |
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| levetiracetam ER
Keppra XR tablets |
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| clonazepam tablet
Klonopin |
|
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| potassium chloride ER tablet
Klor-Con 10mEQ |
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| potassium chloride ER tablet
Klor-Con M20 |
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| escitalopram oxalate
Lexapro |
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| escitalopram oxalate
Lexapro 20mg |
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| escitalopram oxalate
Lexapro 5mg |
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| lidocaine 2% viscous solution
Lidocaine 2% viscous solution |
|
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| lidocaine patch 5%
Lidoderm |
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| atorvastatin calcium
Lipitor |
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| Lithium Carbonate capsule
Lithium Carbonate |
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| etodolac tablet
Lodine tablet |
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| fenofibrate, micronized capsule
Lofibra |
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| diphenoxylate hydrochloride/atropine sulfate
Lomotil |
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| diphenoxylate/atropine tablet
Lonox |
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| loperamide capsule
Loperamide capsule |
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| metoprolol tartrate tablet
Lopressor |
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| benazepril tablet
Lotensin |
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| benazepril HCTZ tablet
Lotensin HCT |
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| Amlodipine/Benazepril capsule
Lotrel |
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| clotrimazole/betamethasone cream
Lotrisone Cream |
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| omega-3-acid ethyl esters
Lovaza |
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| loxapine capsule
Loxapine capsule |
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| magnesium oxide tablet (OTC)
Magnesium Oxide tablet (OTC) |
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| trandolapril tablet
Mavik |
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| triamterene/HCTZ tablet
Maxzide |
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| pyridostigmine bromide
Mestinon |
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| methylphenidate CD capsule
Metadate CD |
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| methotrexate
Methotrexate |
|
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| lovastatin tablet
Mevacor |
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| glyburide tablet
Micronase |
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| hydrochlorothiazide capsule
Microzide |
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| midodrine HCl tablet
Midodrine HCl tablet |
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| minocycline capsule
Minocin |
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| pramipexole dihydrochloride tablets
Mirapex tablets |
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| isosorbide mononitrate (10mg,20mg)
Monoket |
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| nabumetone tablet
Nabumetone tablet |
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| esomeprazole DR capsule
Nexium |
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| niacin SA capsule (OTC)
Niacin SA capsule (OTC) |
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| niacin extented-release tablets
Niaspan ER |
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| nifedipine capsule
Nifedipine capsule |
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| nilutamide
Nilandron tablet |
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| nitroglycerin SA capsule
Nitroglycerin SA capsule |
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| amlodipine besylate
Norvasc |
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| nyamyc topical powder
Nystatin powder |
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| nystatin tablet
Nystatin tablet |
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| norethindrone tablet
Ortho Micronor |
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| sprintec tablet
Ortho-Cyclen |
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| tri-previfem tablet
Ortho-Tri-Cyclen |
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| tri-sprintec tablet
Ortho-Tri-Cyclen |
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| norethindrone/ethinyl estradiol tablet
Ovcon 35 |
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| oxandrolone tablet
Oxandrin |
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| nortriptyline HCL capsule
Pamelor |
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| alitretinoin
Panretin gel |
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| tranylcypromine
Parnate 10mg tablets |
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| paroxetine HCL tablet
Paxil |
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| perphenazine tablet
Perphenazine tablet |
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| calcium acetate
PhosLo gelcaps |
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| hydroxychloroquine tablet
Plaquenil |
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| clopidogrel bisulfate tablets
Plavix |
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| felodipine ER tablet
Plendil ER |
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| PNV Prenatal Multivitamin Plus Iron
PNV Prenatal Multivitamin Plus Iron |
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| SSKI oral solution
Potassium Iodide |
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| repaglinide tablet
Prandin |
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| pravastatin tablet
Pravachol |
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| prazosin capsule
prazosin capsule |
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| prednisone tablet
Prednisone tablet |
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| lansoprazole DR capsule
Prevacid |
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| cholestyramine
Prevalite Powder |
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| omeprazole capsule
Prilosec |
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| lisinopril tablet
Prinivil |
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| lisinopril/HCTZ tablet
Prinzide |
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| albuterol sulfate
ProAir RespiClick Powder Inhaler |
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| prochlorperazine tablet
Prochlorperazine tablet |
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| progesterone capsule
Progesterone capsule |
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| tacrolimus capsule
Prograf |
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| propylthiouracil tablet
Propylthiouracil tablet |
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| finasteride tablet
Proscar |
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| pantoprazole sodium
Protonix |
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| medroxyprogesterone acetate
Provera |
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| fluoxetine capsule
Prozac |
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| budesonide inhalation suspension
Pulmicort Respules |
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| topiramate ER
Qudexy XR capsule |
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| ranolazine extended-release tablets
Ranexa |
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| metoclopramide HCL tablet
Reglan |
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| mirtazapine tablet
Remeron |
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| ropinirole hydrochloride
Requip tablets |
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| temazepam capsule
Restoril |
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| sildenafil citrate tablet
Revatio |
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| methylphenidate tablet
Ritalin |
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| methylphenidate hcl
Ritalin LA |
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| methocarbamol tablet
Robaxin |
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| calcitriol capsule
Rocaltrol |
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| propafenone hydrochloride
Rythmol |
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| pilocarpine
Salagen Tablet |
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| sulfamethoxazole/trimethoprim DS tablet
Septra DS |
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| quetiapine fumarate
Seroquel |
|
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| carbidopa/levo tablet
Sinemet |
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| carbidopa/levo SR tablet
Sinemet CR |
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| montelukast sodium
Singulair |
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| potassium Iodide
SSKI oral solution |
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| tamoxifen citrate tablet
Tamoxifen citrate tablet |
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| methimazole tablets
Tapazole |
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| carbamazepine tablet
Tegretol |
|
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| atenolol/chlorthalidone tablet
Tenoretic |
|
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|
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| benzonatate
Tessalon Capsule |
|
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| topiramate
Topamax tablets |
|
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| labetalol HCL tablet
Trandate |
|
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| pentoxifylline ER tablet
Trental |
|
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| triamcinolone cream, 0.1%
Triamcinolone cream, 0.1% |
|
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| triamcinolone ointment, 0.1%
Triamcinolone ointment, 0.1% |
|
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|
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| trifluoperazine HCl tablet
Trifluoperazine HCl tablet |
|
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| fenofibric acid DR capsule
Trilipix |
|
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| trospium chloride tablet
Trospium Chloride tablet |
|
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|
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| tramadol hydrochloride/acetaminophen tablets
Ultracet |
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| halobetasol prop ointment, 0.05%
Ultravate |
|
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| bethanechol tablet
Urecholine |
|
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|
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|
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| valacyclovir HCL tablet
Valtrex tablet |
|
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| enalapril maleate-hydrochlorothiazide tablets
Vaseretic |
|
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| enalapril maleate tablet
Vasotec |
|
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| sildenefil citrate
Viagra |
|
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| hydroxyzine pamoate
Vistaril |
|
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| Vitamin B Complex capsule (OTC)
Vitamin B Complex capsule (OTC) |
|
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| Vitamin B-6 tablet (OTC)
Vitamin B-6 tablet (OTC) |
|
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| Vitamin D3 capsule (OTC)
Vitamin D3 capsule (OTC) |
|
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| Vitamin D3 tablet (OTC)
Vitamin D3 tablet (OTC) |
|
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| testosterone gel packet
Vogelxo gel packet |
|
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| testosterone gel pump
Vogelxo gel pump |
|
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| testosterone gel tube
Vogelxo gel tube |
|
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| diclofenac EC tablet
Voltaren |
|
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| diclofenac ER tablet
Voltaren XR |
|
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| bupropion HCL tablet
Wellbutrin |
|
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| bupropion hcl
Wellbutrin SR |
|
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| bupropion hcl
Wellbutrin XL |
|
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| latanoprost solution
Xalatan |
|
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|
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|
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| levocetirizine dihydrochloride
Xyzal tablets |
|
| |
| Tizanidine 4mg tab
Zanaflex |
|
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| metolazone tablet
Zaroxolyn |
|
| |
| lisinopril/HCTZ tablet
Zestoretic |
|
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| lisinopril tablet
Zestril |
|
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| bisoprolol/HCTZ tablet
Ziac |
|
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| zidovudine tablet
Zidovudine tablet |
|
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| simvastatin tablets
Zocor |
|
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| ondansetron tablet
Zofran |
|
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| ondansetron ODT tablet
Zofran ODT |
|
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|
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|
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| acyclovir capsule
Zovirax |
|
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| allopurinol tablet
Zyloprim |
|
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|
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| 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) |
|
|
|
