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      Patient Assistance Program Center


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:


      The medications available through this program are:
  Abilify (aripiprazole)
  Allegra OTC (fexofenadine OTC tablet)
  Ampyra Tablet (dalfampridine)
  Aygestin (norethindrone acetate tablet)
  Baraclude (entecavir)
  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)
  Zonegran (zonisamide)
  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
  amoxapine tablet Amoxapine tablet
  naproxen sodium tablet Anaprox DS
  testosterone gel AndroGel
  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
  rasagiline tablets Azilect
  sulfasalazine Azulfidine
  sulfasalazine, USP Azulfidine EN-Tabs
  sulfamethoxazole/trimethoprim DS tablet Bactrim DS
  rufinamide Banzel
  rufinamide Banzel Oral Suspension 40mg/ml
  dicyclomine tablet Bentyl
  dicyclomine capsule 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
  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
  Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate, Scopolamine Hydrobromide Donnatal Elixir
  Belladonna Alkaloids with Phenobarbital Donnatal Tablet
  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
  amitriptyline tablet Elavil
  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
  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
  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
  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
  ranolazine extended-release tablets Ranexa
  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
  pilocarpine Salagen Tablet
  sulfamethoxazole/trimethoprim DS tablet Septra DS
  quetiapine fumarate Seroquel
  carbidopa/levo tablet Sinemet
  carbidopa/levo SR tablet Sinemet CR
  montelukast sodium Singulair
  zaleplon Sonata
  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
  sildenefil citrate Viagra
  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
  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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