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ALLERGAN, INC.
Patient Assistance Program

Patient assistance programs (PAPs) are programs created by drug companies, such as ALLERGAN, INC., 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 ALLERGAN, INC. 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 ALLERGAN, INC. patient assistance program, visit our Patient Center and use our Database to search for the medication needed.

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

Botox Patient Assistance Program

      The medications available through this program are:
     
  Botox (botulinum toxin type A)
  

Botox Reimbursement Solutions

      The medications available through this program are:
     
  Botox (botulinum toxin type A)
  

Dalvance Connects Co-Pay Assistance Program

      The medications available through this program are:
     
  Dalvance Vials (dalbavancin)
  

Estrace Cream Savings Card Program

      The medications available through this program are:
     
  Estrace Cream (estradiol vaginal cream)
  

Liletta Patient Savings Program

      The medications available through this program are:
     
  Liletta Intrauterine Contraceptive Device (levonorgestrel)
  

Ozurdex Patient Assistance Program

      The medications available through this program are:
     
  Ozurdex Intravitreal Implant (dexamethasone)
  

Patient Assistance Program - Eye and Dermatology Medications

      The medications available through this program are:
     
  Acuvail (ketorolac tromethamine ophthalmic solution)
     
  Aczone Gel 5% (dapsone)
     
  Alphagan P 1% (brimonidine tartrate ophthalmic solution)
     
  Combigan (brimonidine tartrate/timolol maleate opthalmic solution)
     
  Lumigan (bimatoprost ophthalmic solution)
     
  Pred Forte Ophthalmic Suspension 1.0% (prednisolone acetate)
     
  Restasis (cyclosporine)
     
  Tazorac Cream .05% (tazarotene)
     
  Tazorac Cream .1% (tazarotene)
     
  Tazorac Gel .05% (tazarotene)
     
  Tazorac Gel .1% (tazarotene)
  

Patient Assistance Program - Medications/Devices

      The medications available through this program are:
     
  Aerochamber (inhaler spacer)
     
  Aerochamber Plus Flow-Vu mouthpiece/mask (inhaler spacer)
     
  Armour Thyroid (thyroid)
     
  Bystolic (nebivolol)
     
  Canasa (mesalamine)
     
  Crinone (progesterone gel)
     
  Dalvance Vials (dalbavancin)
     
  Delzicol DR Capsules (mesalamine)
     
  Estrace Cream (estradiol vaginal cream)
     
  Fetzima Extended Release Capsules (levomilnacipran)
     
  Gelnique (oxybutynin chloride)
     
  InFed (infed)
     
  Liletta Intrauterine Contraceptive Device (levonorgestrel)
     
  Linzess Capsules (linaclotide)
     
  Monurol Powder (fosfomycin)
     
  Namenda Oral Solution (memantine)
     
  Namenda Tablets (memantine hcl)
     
  Namenda Titration Pak (memantine hcl)
     
  Namenda XR capsule (memantine)
     
  Namzaric Capsules (memantine hydrochloride extended-_release and donepezil _hydrochloride)
     
  Pylera Capsules (bismuth subcitrate potassuim, metronidazole, tetracycline HCI)
     
  Rapaflo (silodosin)
     
  Rectiv ointment (nitroglycerin)
     
  Saphris sublingual tablets (asenapine maleate)
     
  Savella (milnacipran HCl tablets)
     
  Savella Titration Pak (milnaciprab)
     
  Teflaro (ceftaroline)
     
  Trelstar (triptorelin pamoate for injectable suspension)
     
  Ultresa (pancrelipase)
     
  Viberzi (eluxadoline)
     
  Viibryd tablets (vilazodone)
     
  Viokace tablets (pancrelipase)
     
  Vraylar (cariprazine)
     
  Zenpep capsules (pancrelipase)
  
 
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