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      Patient Assistance Program Center
 

  
Commonly Prescribed Medications Available
Through Patient Assistance Programs

Listed by drug class, these commonly prescribed medications are available through the pharmaceutical companies' patient assistance programs. Other medications in these drug classes are also available through patient assistance programs. To find out more information about these medications, and 800 other medications available through patient assistance programs, register for free to search the RxAssist database.

PRICE KEY:

$        under $20
$$      $21-$50
$$$    $51-$100
$$$$ $100-$150

ANTI-ASTHMATIC MEDICATIONS
 

Brand Name/Brand Name equivalent

Generic Name

Company program

Average Retail Price*

PAP Form available online

Accolate

zafirlukast

AstraZeneca

$$$/ 80 tablets

yes

Advair Diskus

fluticasone propionate and salmeterol

GlaxoSmithKline

$$$$/1 diskus

yes

Atrovent

ipratropium inhalation aerosol

Boehringer Ingelheim

$$$/1 inhaler

yes

Azmacort

triamcinolone inhalation aerosol

KOS

$$$/1 inhaler

yes

Flovent

fluticasone propionate inhalational aerosol

GlaxoSmithKline

$$$/1 inhaler

yes

Pulmcort Respules

budesonide inhalation suspension

AstraZeneca

$$$$/30 plastic containers

yes

Serevent

salmeterol inhalation aerosol

GlaxoSmithKline

$$$$/1 inhaler

yes

Singulair

montelukast sodium

Merck

$$$/30 5mg chew tabs

yes

Ventolin

albuterol inhalation aerosol

RxOutreach
GlaxoSmithKline

$/ 1 inhaler

yes

yes


ANTI-DIABETIC MEDICATIONS

Brand Name/Brand Name equivalent

Generic Name

Company program

Average Retail Price*

PAP Form available online

Amaryl

glimipiride

Sanofi-Aventis

$/30 tablets

yes

Avandia tablets

rosiglitazone maleate

GlaxoSmithKline

$$$$ /60 tablets

yes

Glucotrol

glipizide

Pfizer

$/60 tablets

yes

Glucophage

metformin

Bristol-Myers Squibb

$$/60 tablets

yes

Humulin, Humalog

insulin

Eli Lilly

$$/1 vial

yes

Nolog, Novolin

insulin

Novo Nordisk

$$/1 vial

yes



CARDIOVASCULAR & ANTI-HYPERTENSIVES

Brand Name/Brand Name Equivalent

Generic Name

Company
Program

Average Retail Price*

PAP Form Available online

Aceon

perindopril erbumin

Solvay

$$/30 tablets

no

Accupril

quinapril HCI

Pfizer

$/30 tablets

yes

Accuretic

quinapril and hydrochlorothiazide

Pfizer

$$/30 tablets

yes

Calan

verapamil

RxOutreach

$/90 tablets

yes

Capoten

captopril

RxOutreach

$/100 tablets

yes

Cardizem

diltiazem

KOS

$/90 tablets

yes

Catapres

Clonidine HCL

Boehringer Ingelheim

$/60 tablets

yes

Lipitor

atorvastatin calcium

Pfizer

$$$/30 tablets

yes

Lotensin,
Lotensin HCT

benazepril (and benazepril HCT)

RxOutreach

$$/30 tablets

yes

Monopril

fosinopril

Bristol-Myers Squibb

$$$/60 tablets

yes

Mavik Tablets
Tarka Tablets

trandolapril tablets

Abbott

$$/30 tablets

yes

Mevacor

lovostatin

RxOutreach

$$/30 tablets

yes

Norvasc

amlodipine besylate

Pfizer

$$/30 tablets

yes

Plendil

felodipine

AstraZeneca

$$/30 tablets

yes

Prinivil

lisinopril

RxOutreach

$$/2 bottles

yes

Procardia XL

nifedipine ER

Pfizer

$$$/90 capsules

yes

Tenormin

atenolol

RxOutreach

$$/30 tablets

yes

Timoptic

timolol maleate

Merck

$/1 bottles

yes

Vasotec

enalapril maleate

RxOutreach

$/30 tablets

yes

Zetia

ezetimide

Merck

$$$/30 tablets

yes

Zocor

simvastatin

Merck

$$/30 tablets

yes


ANTI-ANXIETY / ANTI-DEPRESSANTS

Brand Name/Brand Name Equivalent

Generic Name

Company Name

Average Retail Price*

PAP Form Available Online

Buspar

buspirone

RxOutreach

$$/60 tablets

yes

Celexa

citalopram

RxOutreach
Forest

$$/120 ml solution

yes

yes

Depakote

divalproex sodium

Abbott

$$/60 tabs

yes

Effexor
Effexor XR

venlafaxine

Wyeth

$$$/30 tablets

yes

Klonopin

clonazepam

Roche

$/30 tablets

no

Lexapro

escitalopram oxalate

Forest

$$$/30 tablets

yes

Paxil

paroxetine HCL

GlaxoSmithKline

$$$/ 30 tablets

yes

Prozac

fluoxetine HCL

RxOutreach
Eli Lilly

$$$$/30 capsules

yes

Valium

diazepam

Roche

$/ 30 tablets

no

Wellbutrin

bupropion HCL

GlaxoSmithKline

$$$$/90 tablets

yes

Zoloft

sertraline

Pfizer

$$$/30 tablets

yes



* Price information was collected on 12/21/2005 using www.drugstore.com.  The prices given are based on the lowest dosage available, for a one-month supply, and, where available, the price range is based on the cost of generic medication. Prices vary widely based on the pharmacy used and geographic location of the patient.  For more accurate assessment of the cost of a medication, call your local pharmacies.

 

 
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