SAMPLE of Drugs Provided By Patient Assistance Programs This is NOT a Complete List Brand Name K-Tab Kytril Lacrilube Lamictal Lamisil Lamisil Oral Lamprene Lanoxicaps Lanoxin Lariam Lasix Lasix Oral L-Carnitine Capsules Ledercillin VK Lescol Leucovorin Leukeran Leukine Leustatin Levaquin Levlen Levobunolol Levora Levotabs Levothroid Levoxyl Lexxel Librax Librium Lidocane Viscous Lindane Lipitor Lithium Carbonate Lithobid Lithonate Lithotabs Livostin Lo/Ovral 21 Lo/Ovral 28 Lodine Lodine XL Loestrin Loestrin 21 1.5/30 Loestrin Fe 1.5/30 Mepergan Fortis Mepron Mesnex Mestinon Methazolamide Generic Name potassium chloride granisetron lamotrigine terbinafine hcl terbinafine hcl clofazimine digoxin digoxin mefloquine furosemide furosemide levocarnitine-oral penicillin v potassium fluvastatin sodium citrovorum factor chlorambucil sargramastim cladribine levofloxacin levonorgestrel-ethinyl estradiol levobunolol hydrachloride levonorgestrel-ethinyl estradiol levothyroxine sodium levothyroxine sodium levothyroxine sodium enalapril; felodipine clidinium/cl-diazepoxide chlordiazepoxide hcl lidocaine Hydrochloride lindane atorvastatine calcium lithium carbonate lithium carbonate lithium carbonate lithium carbonate levocabastine hydrochloride norgestrel-ethinyl estradiol norgestrel-ethinyl estradiol etodolac etodolac norethindrone acetate; ethinyl estradiol norethindrone a-ethinyl estradiol noreth a-et estr/fe fumarate meperidine/promethazine esterfied estrogens mesna pyridostigmine bromide methazolamide Brand Name Lopid Lopressor Lopressor HCT Loprox Lorabid Lorazepam Lorcet Plus Lorcet-10 Lortab 10 Lortab 5 Lortab 7 Lortab Elixir Lotensin Lotensin HCT Lotrel Lotrimin Lotrisone Loxitane Lozol Ludiomil Lupron Depot Luride Luvox Lysodren Macrobid Macrodantin Mag-Ox Marax Marinol Materna Mavik Maxair Maxair Autohaler Maxaquin Maxitrol Maxzide Maxzide25 Mebendazole Meclizine HCI Medrol Tabs Medrxyprgsterone Tab Megace Oral Susp Mellaril Menest MS Contin Multivits w/Flur chw Muse Mutamycin Mycelex Troche Generic Name Pgemfibrozil metoprolol tartrate hydrochlorothiazide/metoprol ciclopirox olamine loracarbef lorazepam hydrocodone bitartrate/apap hydrocodone bitartrate/apap hydrocodone bitartrate/apap hydrocodone bitartrate/apap hydrocodone bitartrate/apap hydrocodone bitartrate/apap benazepril hydrochloride benazepril hydrochloride/hct benazepril/amlodopine besylate clotrimazole clotrimazole/betamethasone loxipine hydrochloride indapamide maprotiline leuprolide acetate sodium fluoride fluvoxamine maleate mitotane nitrofurantoin/nitrofuran macrocrystal nitrofurantoin macrocrystal magnesium oxide theophylline; ephedrine; hydroxyzine dronabinol prenatal vits w-ca, fe,fa(1mg) trandolapril pirbuterol acetate pirbuterol acetate lomefloxacin neo/polymyxin/dexamethasone hctz/triamterene hctz/triamterene mebendazole meclizine hydrochloride methylprednisolone medroxyprogesterone acetate megestrol acetate thioridazine hydrochloride estrogen morphine sulfate multivitamins w-fluoride alprostadil mitomycin clotrimazole SAMPLE of Drugs Provided By Patient Assistance Programs This is NOT a Complete List Brand Name Methergine Maleate Methocarbamol Methotrexate Lpf Methyldopa Methylphenidate Methylphenidate SR Methylprednis Tabs Metoclopramide Metopirone Metoprolol Tartrate Metrocream Metrodin MetroGel MetroGel-Vaginal Metronidazole Mevacor Mexitil Mezlin Miacalcin Miacalcin Nasal Micro-K Micro-K 10 Micronase Micronor Midrin Migranal NS Milontin Minipress Minitran Minizide Minocin Minocycline Mirapex Mithracin Moban Modicon Moduretic Monistat-Derm Monodox Monoject Insuln syrg Monopril Motrin Nitro-Dur Nitrogard Nitroglycerin Nitrolingual Spray Nitrostat Nitrostat SL Nix Generic Name methylergonovine maleate methocarbamol methotrexate sodium methyldopa methylphenidate hcl methylphenidate hcl methylprednisolone metoclopramide hydrochloride metyrapone metoprolol tartrate metronidazole urofolitropin metronidazole metronidazole metronidazole lovastatin mexiletine Mezlocillin calcitonin salmon calcitonin salmon potassium chloride potassium chloride glyburide norethindrone apap/isometheptene/dichlphen dihydroergotamine phensuximide prazosin hcl nitroglycerin prazosin; polythiazide minocycline hydrochloride minocycline hydrochloride pramipexole plicamycin molindone norethindrone-ethinyl estradiol hydrochlorothiazide/amilorid miconazole nitrate doxycycline monohydrate syringe-ndl,ins disposable fosinopril sodium ibuprofen nitroglycerin nitroglycerin nitroglycerin nitroglycerin nitroglycerin nitroglycerin permethrin Brand Name Mycobutin capsules Mycostatin Topical Myleran Myphetane DX Mysoline Mytelase N.T.A. Nadalol Naftin Naftin Gel Naprelan Naprosyn Naprosyn EC Naproxen Nardil Nasacort Nasacort AQ Nasalcrom Nasalide Nasarel Natalcare Natalins Rx Navane Navelbine NebuPent Necon 1/35 NegGram Nelova 1/35E Neomycin/Polymx/HC Neoral Neosar for injection Nephrocaps Nephro-Fer Tablets Nestabs FA Neupogen Neurontin Neutrexin Nicotrol NS Nifedipine Niferex PN Niferex PN Forte Nitro-Bid Ointment Ortho Diaphragm Ortho Diaphragm Ortho Tri-cyclen Ortho-Cept Ortho-Cyclen Ortho-Est Ortho-Novum 1/35 Generic Name rifabutin nystatin busulfan d-methorphan/p-ephedrine/bpm primidone ambenonium chloride nystatin/triamcin nadalol naftifine hydrochloride naproxen sodium naproxen naproxen naproxen phenelzine triamcinolone acetonide triamcinolone acetonide cromolyn sodium flunisolide flunisolide prenatal vits,min,fa>1mg,no prenatal vits w-ca,fe,fa(1mg) thiothixene vinorelbine pentamidine norethindrone-ethinyl estradiol nalidixic acid norethindrone-ethinyl estradiol Neomycin/Polymx/HC cyclosporine cyclophosphamide multivitamins ferrour furmarate prenatal vits w-ca,fe,fa(1mg) filgrastim gabapentin trimetrexate nicotine nifedipine prenatal vits w-ca,fe,fa(1mg) prenatal vits w-ca,fe,fa(1mg) nitroglycerin ointment diaphragm diaphragm norgestimate-ethinyl estradiol desogestrel-ethinyl estradiol norgestimate-ethinyl estradiol estropipate norethindrone-ethinyl estradiol SAMPLE of Drugs Provided By Patient Assistance Programs This is NOT a Complete List Brand Name Nizoral Shampoo Nizoral Systemic Nizoral Topical Nolvadex NORD Botox Nordette Norethin 1/35E Norethin 1/50M Norflex Norgesic Forte Norinyl 1/35 Normodyne Noroxin Norpace CR Norplant Norpramin Norvasc Norvasc Norvir Novacet Novafed A Generic Name ketoconazole ketoconazole ketoconazole tamoxifen citrate botulinum toxin levonorgestrel-ethinyl estradiol norethindrone-ethinyl estradiol norethindrone-ethinyl estradiol orphenadrine citrate orphenadrine/aspirin/caffein norethindrone-ethinyl estradiol labetalol norfloxacin disopyramide phosphate levonorgestrel desipramine amiodipine amlodipine besylate ritonavir sulfacetamide/sulfur.sublime chlorpheniramine; pseudoephedrine Brand Name Ortho-Novum 1/50 Ortho-Novum 7/7/7 Oruvail Ovcon-35 Ovcon-50 Ovral-28 Oxazepam Oxistat Oxybutynin Chloride Oxycodone w/APAP Oxycontin P1E1-P4E1 P6E1 Pamelor Pancof HC Pancof XP Pancrease Pannaz Paraplatin Parlodel Parnate Generic Name norethindrone-mestrylanol norethindrone-ethinyl estradiol ketoprofen norethindrone-ethinyl estradiol norethindrone-ethinyl estradiol norgestrel-ethinyl estradiol oxazepam oxiconazole nitrate oxybutynin chloride oxycodone hcl/acetaminophen oxycodone hcl Novantrone Novolin N Novolin R Novoline 70/30 NuLytely Nutropin Nystatin Systemic Nystatin Topical Nystatin/Triamcinoln Ocuflox Ocupress Ocutricin Ogen Oral Optipranolol Oramorph SR Tabs mitoxantrone insulin nph human semi-synthetic insulin reg human semi-synthetic insulin hm/insulin nph human electrolyte solution/pegs somatropin; recombinant nystatin nystatin nystatin/triamcin ofloxacin carteolol hydroxhloride neomycin/gramicid/polymyxin estropipate metipranolol morphine Pavabid Paxil PCE Dispertab Pediapred Pediotic Peg 3350/Electrolyt Pen Vee K Penicillin VK Pentasa Pepcid Percocet-5 Percodan Peridex Periogard Permax papaverine Paroxetine hcl erythromycin base prednisolone sodium phosphate neomycin sulfate/polymyxin/hc electrolyte solution/peg's penicillin v potassium penicillin v potassium mesalamine famotidine oxycodone hcl/acetaminophen asa/oxycod/oxycodone ter/narcotic chlorhexidine gluconate chlorhexidine gluconate pergolide mesylate Orap Orasone Ornade pimozide prednisone phenylprop/chlorphenir Persantine Phenazopyridine HCI dipyridamole phenazopyridine hcl Phenergan Supp Phenergan Tabs Phenergan w/Codeine promethazine hydrochloride promethazine hydrochloride codeine/promethazine Prenatal Plus Prenatal Rx Prenatal RX w/B-Caro prenatal vits w-ca,fe,fa(1mg) prenatal vits w-ca,fe,fa(1mg) prenatal vits w-ca,fe,fa(1mg) Phenobarb/Bella belladonna alkaloids/phenobarbital Prenatal-Z prenatal vits w-ca,fe,fa(1mg) Phenobarbital Phentermine Phisohex phenobarbital phentermine hydrochloride hexachlorophene Prenate 90 Prevacid Prevalite prenatal vits w-ca,fe,fa(1mg) lansoprazole cholestyramine/aspartame Phos-Flur sodium fluoride Prevident sodium fluoride nortriptyline hydrochloride p-ephedrine/hydrocodone/cpm guaifenesin/p-ephedrine/hcod pancrelipase pe/phenylprop/cpm/bella carboplatin bromocriptine mesylate tranylcypromine SAMPLE of Drugs Provided By Patient Assistance Programs This is NOT a Complete List Brand Name PhosLo Phospholine Iodide Phrenilin Phrenilin Forte Pilagan Pilocar Pilocarpin Pilopine HS Pilostat Piroxicam Plaquenil Platinol Plendil Poly Vi Flor Chew Poly Vi Flor Drops Poly-Histine CS Poly-Histine DM Poly-Histine-D Polysporin Ophthalmic Polytrim Ophth Polyvitamin w/Fluor Pondimin Potassium Chloride Pramosone Pravachol Prazosin PreCare Precose Pred Forte Prednisolne Acet Oph Prednisone Oral Prelone Premarin Tabs Premarin Vaginal Premphase Prempro Prenatal 1+1 Prenatal 1+1 w/Iron Prenatal MTR Prozac Psorcon Pulmozyme Purinethol Pyridium Questran Questran Light Quinaglut Quine Sulfate Quinidex Extentabs Generic Name calcium acetate echothiophate iodide acetaminophen/caffeine/butalbital acetaminophen/butalbital pilocarpine pilocarpine hcl pilocarpine hcl pilocarpine hcl pilocarpine hcl piroxicam hydroxychloroquine sulfate cisplatin felodipine multivitamins w-fluoride multivitamins w-fluoride phenylprop/cod/br-phenir d-methorphan/phenylprop/bpm phenylprop/pyril/p-tlox/phenyl polysporin polymyxin b sulfate/tmp multivitamins w-fluoride Fenfluramine potassium chloride pramoxine/hc acetate pravastatin sodium prazosin hcl prenatal vits w-ca,fe,fa(<1mg) acarbose prednisolone acetate prednisolone acetate prednisone prednisolone estrogens, conjugated estrogens, conjugated estrogen/medroxyprogesterone estrogen/medroxyprogesterone prenatal vits w-ca,fe,fa(1mg) prenatal vits w-ca,fe,fa(1mg) prenatal vits w-ca,fe,fa(1mg) fluoxetine hydrochloride diflorasone diacetate deoxyribonuclease mercaptopurine phenazopyridine hcl cholestyramine/sucrose cholestyramine/aspartame quinidine gluconate quinine sulfate quinidine sulfate Brand Name Prevident 5000 Plus Prilosec Primaquine Prinivil Prinzide Procainamide SR Procanbid Procardia XL Prochlorperaz Mal Procrit Proctocream HC Proctofoam-HC Proctosol-HC Prograf Capsules Proleukin Prolixin Proloprim Promethazine DM Promethazine Liq Promethazine Tabs Promethazine VC Promethazine VC w/Co Promethazine/Codeine Propacet 100 Propecia Propine Propoxyphene-N/APAP Propranolol HCI Propranolol LA Propulsid Propylthiouracil Proscar Prosom Proventil Aerosol Proventil HFA Proventil HFA Proventil Neb Soln Proventil Repetabs Generic Name sodium fluoride omeprazole primaquine lisinopril lisinopril/hydrochlorothiazide procainamide hcl procainamide hcl nifedipine prochlorperazine maleate epoetin alfa pramoxine/hc acetate pramoxine/hydrocortisone acetate hydrocortisone acetate tacrolimus aldesleukin fluphenazine trimethoprime d-methorphan/promethazine promethazine hydrochloride promethazine hydrochloride phenylephrine/promethazine phenylephrine/cod/promethazine codeine/promethazine propoxyphene N/APAP finasteride dipivefrin hcl propoxyphene napsylate/apap propranolol hydrochloride propranolol hydrochloride cisapride monohydrate propylthiouracil finasteride estazolam albuterol albuterol sulfate albuterol sulfate albuterol sulfate albuterol sulfate Rythmol Salsalate Sandimmune Sandoglobulin Sandostatin Sectral Seldane Seldane-D Selegiline Semprex-D propafenone hydrochloride salsalate cyclosporine immune globulin intravenous octreotide acebutolol hydrochloride terfenadine p-ephedrine/terfenadine selegiline hydrochloride pseudoephedrine hcl/acrivas SAMPLE of Drugs Provided By Patient Assistance Programs This is NOT a Complete List Brand Name Quinidine Gluconate Quinidine Sulfate SR Quinine Sulfate Recombinate ReDux Refresh Reglan Relafen Remoeron Renese Renova Generic Name quinidine gluconate quinidine sulfate quinine sulfate antihemophilic factor dexfenfluramine hcl carboxymethylcellulose metoclopramide hydrochloride nabumetone mirtazapine polythiazide tretinoin/emollient Brand Name Septra Septra DS Serentil Serevent Serophene Seroquel Serzone Silvadene Sinemet Sinemet CR Sinequan Generic Name sulfamethoxazole trimethoprim sulfamethoxazole trimethoprim mesoridazine besylate salmeterol xinofoate clomiphene citrate quetiapine nefazodone hcl silver sulfadiazine carbidopa/levodopa carbidopa/levodopa doxepin hydrochloride Rescriptor Restoril Retin-A delavirdine temazepam tretinoin Skelaxin Skelid Slo-Bid metaxalone tiludronate theophylline anhydrous Retrovir zidovudine Slo-Niacin niacin Rezulin Rheumatrex Rhinocort Ridaura Rifadin Rilutek Risperdal Ritalin Ritalin-SR Robaxin-750 Robitussin AC Rocaltrol Rocephin Rowasa Roxanol Oral Solution Roxicet Roxicodone R-Tannate R-Tannate Ped Rufen Rynatan Rynatan-S Ped Susp Sulindac Suprax Survanta Symmetrel Syrup Syn-Rx troglitazone methotrexate budesonide durano rifampin riluzole risperidone methylphenidate hcl methylphenidate hcl methocarbamol guaifenesin/codeine phosphate calcitriol ceftriaxone sodium mesalamine morphine oxycodone/APAP oxycodone phenylephrine/pyrilamine/cpm phenylephrine/pyrilamine/cpm ibuprofen phenylephrine/pyrilamine/cpm phenylephrine/pyrilamine/cpm sulindac cefixime beractant armantadine guaifenesin/pseudoephedrine Slow-K Slow-Mag Sodium Chlor Inhal Sodium Chlor Irrig Sodium Fluoride Sodium Sulfactmd/Slf Solaquin Forte Soma Sorbitrate Spectazole Spironolactone Sporanox SSD Cream Stadol NS Stelazine Sterapred Stuartnatal Plus Sular Sulfacetamide Ophth Sulfacet-R Sulfair Fort Sulfasalazine Tobramycin Ophth Tobrex Tofranil Tofranil PM Tolmetin Sodium potassium chloride magnesium chloride sodium cl for inhalation sodium cl irrig.soln sodium fluoride sulfacetamide/sulfur.sublime oxybenzone/dioxyben/h-quinon carisoprodol isosorbide dinitrate econazole nitrate speronolactone itraconazole silver sulfadiazine butorphanol tartrate trifluoperazine prednisone prenatal vits w-ca,fe,fa(1mg) nisoldipine sulfacetamide sodium sulfacetamide/sulfur.sublime sulfacetamide sodium sulfasalazine tobramycin sulfate tobramycin sulfate imipramine hydrochloride imipramine pamoate tolmetin sodium Synthroid Tagamet Talacen Talwin-NX Tambocor Tamoxifen Tapazole levothyroxine sodium cimetidine acetaminophen/pentazocine/narcotic pentazocine/naloxone flecainide acetate tamoxifen methimazole Tonocard Topicort Toposar injection Toprol Toprol-XL Toradol Oral Trancopal tocainide esoximetasone etoposide metoprolol succinate metoprolol ketorolac tromethamine SAMPLE of Drugs Provided By Patient Assistance Programs This is NOT a Complete List Brand Name Tarka Tegamide Tegretol Tegretol XR Temazepam Temovate Temovate E Tenoretic Tenormin Tenuate Dospan Terazol 3 Terazol 7 Teslac Tessalon Perles Tetracycline Theo-24 Theochron Theo-Dur Theolair SR Theophylline SR TheraCys Thermazene Thioguanine Thiotepa Injection Thorazine Thyrolar Tiazac Ticlid Tigan Tilade Timentin Timolol Maleate Oph Timoptic Timoptic XE Generic Name trandolapril; verapamil trimethobenzamide hcl carbamazeprine carbamazeprine temazepam clobetasol propionate clobetasol propionate/emoll chlorthalidone/atenolol atenolol diethylpropion hydrochloride terconazole terconazole testolactone benzonatate tetracycline hydrochloride theophylline anhydrous theophylline anhydrous theophylline anhydrous theophylline anhydrous theophylline anhydrous bacillus calmette-guerin live silver sulfadiazine chlorpromazine liotrix diltiazem hydrochloride ticlopidine hydrochloride trimethobenzamide hcl nedocromil sodium ticarcillin; calvulanate timolol maleate timolol maleate timolol maleate Brand Name Trandate Transderm-Nitro Tranxene T-Tab Trazodone Trazodone HCl Trental Triamcinolone Acet Triamterene w/HCTZ Triaz Tridesilon Tri-Levlen Trimeth/Sulfameth Trimox Trinalin Tri-Norinyl Triphasil Trusopt T-Stat Ultram Uripas Valium Valtrex Vancenase Vanceril Vasodilan Vasotec Veetids Ventolin Ventolin Aerosol VePesid Veramune Verapamil SR Vermox Vibramycin Vibra-Tabs Videx Vincarr PFS injection Viramune Viroptic Vistaril Vistaril-In Vivelle Voltaren XR Vumon Wellburtrin Wellbutrin SR Wellcovorin Xalantan Xalatan Generic Name labetalol nitroglycerine clorazepate dipotassium trazodone trazodone hydrochloride pentoxifylline triamcinolone acetonide hctz/trimterene benzoyl peroxide desonide levonorgestrel-ethinyl estradiol trimeth/sulfameth amoxicillin azatadine; pseudophedrine norethindrone-ethinyl estradiol L-norgestrel/ethinyl Estradiol dorzolamide erythromycin base tramadol flavoxate benzodiazepine valacyclovir beclomethasone beclomethasone isoxsurpine enalapril penicillin VX albuterol albuterol etoposide nevirapine verapamil mebendasole doxycycline doxycycline didanosine vincristine vevirapine trifluridine hydroxyzine hydroxyzine estradiol diclofenac teniposide bupropion bupropion leucovorin latanoprost latanoprost SAMPLE of Drugs Provided By Patient Assistance Programs This is NOT a Complete List Brand Name Xanax Zanaflex Zanosar Zantac Zerit Zestoretic Zestril Ziac Zinecard Zinecard injection Zithromax Zithromax Zocor Zofran Zoladex Zoloft Zovirax Zyban Zyloprim Zyprexa Zyrtec Generic Name alprazolam tizanidine streptozocin ranitidine stavudine lisinopril; hydrochlorothiazide lisinopril bisoprolol/HCTZ dexrazoxane dexrazoxane azithromycin azythromycin simvastatin ondanestron goserelin sertraline acyclovit brupropion hydrochloride allopurinol olanzapine cetirizine Brand Name Generic Name
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