Medication Lookup: 

Free Medication Program


We are always looking for ways to help patients get the medications they need. Our innovative programs have helped tens-of-thousands of people across the country for the past 5 years. We are proud to introduce our new program. Patients can receive up to 30 day supply of select popular brand medications absolutely Free. It is easy for you, your physician's office or an advocate to apply on your behalf to get up to 30 day supply of medications free. Your free medication will be shipped within one to two weeks after your request is approved by your physician.

Certain offers may not be valid in Massachusetts

You can apply online or you may choose to print an online prescription form to take to your physician:

Current Free Medication List

Print Form ABILIFY 10MG Quantity #30 One Tab Daily
Print Form ABILIFY 15MG Quantity #30 One Tab Daily
Print Form ABILIFY 20MG Quantity #30 One Tab Daily
Print Form ABILIFY 2MG Quantity #30 One Tab Daily
Print Form ABILIFY 30MG Quantity #30 One Tab Daily
Print Form ABILIFY 5MG Quantity #30 One Tab Daily
Print Form ABILIFY DISCMELT 10MG Quantity #30 One Tab Daily
Print Form ABILIFY DISCMELT 15MG Quantity #30 One Tab Daily
Print Form ACCU-CHECK AVIVA KIT Quantity 1 As Directed
Print Form ACIPHEX 20MG Quantity 14 As Directed
Print Form ADVAIR DISKUS 100-50MCG Quantity 1 As Directed
Print Form ADVAIR DISKUS 250-50MCG Quantity 1 As Directed
Print Form ADVAIR DISKUS 500-50MCG Quantity 1 As Directed
Print Form ADVAIR HFA 115-21MCG Quantity 1 As Directed
Print Form ADVAIR HFA 230-21MCG Quantity 1 As Directed
Print Form ADVAIR HFA 45-21MCG Quantity 1 As Directed
Print Form AGGRENOX 200-25MG Quantity 30 As Directed
Print Form AMBIEN CR 12.5MG Quantity 4 As Directed
Print Form AMBIEN CR 6.25MG Quantity 4 As Directed
Print Form ASCENSIA BREEZE 2 Quantity #1 As Directed
Print Form ASCENSIA CONTOUR SYSTEM Quantity #1 As Directed
Print Form ASMANEX TWISTHALER 30INHL 110MCG Quantity 1 As Directed
Print Form ASMANEX TWISTHALER 30INHL 220MCG Quantity 1 As Directed
Print Form AVANDAMET 2-1000MG 30 DAYS FREE + BGM #1 UD
Print Form AVANDAMET 2-500MG 30 DAYS FREE + BGM #1 UD
Print Form AVANDAMET 4-1000MG 30 DAYS FREE + BGM #1 UD
Print Form AVANDAMET 4-500MG 30 DAYS FREE + BGM #1 UD
Print Form AVANDIA 2MG 30 DAYS FREE + BGM #1 UD
Print Form AVANDIA 4MG 30 DAYS FREE + BGM #1 UD
Print Form AVANDIA 8MG 30 DAYS FREE + BGM #1 UD
Print Form AXERT 12.5MG Quantity 2 As Directed
Print Form AXERT 6.25MG Quantity 2 As Directed
Print Form BONIVA 150MG Quantity 1 As Directed
Print Form CONCERTA 18MG Qty 42 (Original Rx Required)
Print Form CONCERTA 36MG Qty 30 (Original Rx Required)
Print Form CRESTOR 10MG Quantity 30 As Directed
Print Form CRESTOR 20MG Quantity 30 As Directed
Print Form CRESTOR 5MG Quantity 30 As Directed
Print Form ENABLEX 15MG Quantity 30 As Directed
Print Form ENABLEX 7.5MG Quantity 30 As Directed
Print Form ENBREL 25MG
Print Form ENBREL 25MG/0.5ML
Print Form ENBREL 50MG/ML
Print Form ENBREL SURECLICK 50MG/ML
Print Form ENJUVIA 0.3MG Quantity 30 As Directed
Print Form ENJUVIA 0.45MG Quantity 30 As Directed
Print Form ENJUVIA 0.625MG Quantity 30 As Directed
Print Form ENJUVIA 0.9MG Quantity 30 As Directed
Print Form ENJUVIA 1.25MG Quantity 30 As Directed
Print Form FANAPT 10MG Quantity #60 as directed
Print Form FANAPT 12MG Quantity #60 as directed
Print Form FANAPT 1MG Quantity #60 as directed
Print Form FANAPT 2MG Quantity #60 as directed
Print Form FANAPT 4MG Quantity #60 as directed
Print Form FANAPT 6MG Quantity #60 as directed
Print Form FANAPT 8MG Quantity #60 as directed
Print Form FEMARA 2.5MG Quantity 30 As Directed
Print Form GLIMEPIRIDE 1MG #60 AS DIRECTED + BGM #1 UD
Print Form GLIMEPIRIDE 2MG #60 AS DIRECTED + BGM #1 UD
Print Form GLIMEPIRIDE 4MG #60 AS DIRECTED + BGM #1 UD
Print Form GLIPIZIDE 10MG Quantity 60 As Directed + BGM
Print Form GLIPIZIDE 5MG Quantity 60 As Directed + BGM
Print Form GLIPIZIDE ER 2.5MG Quantity 30 + BGM #1 As directed
Print Form GLYBURIDE MICRONIZED 3MG #60 AS DIRECTED + BGM #1 UD
Print Form GLYBURIDE MICRONIZED 6MG #60 AS DIRECTED + BGM #1 UD
Print Form INTUNIV 1MG Quantity #30 As Directed
Print Form INTUNIV 2MG Quantity #30 As Directed
Print Form INTUNIV 3MG Quantity #30 As Directed
Print Form INTUNIV 4MG Quantity #30 As Directed
Print Form JANUMET 50-1000MG Quantity 30 + BGM #1 As directed
Print Form JANUMET 50-500MG Quantity 30 + BGM #1 As directed
Print Form JANUVIA 100MG QTY 30 UD + BGM #1 UD
Print Form JANUVIA 25MG QTY 30 UD + BGM #1 UD
Print Form JANUVIA 50MG QTY 30 UD + BGM #1 UD
Print Form LEVITRA 10MG Quantity 3 As Directed
Print Form LEVITRA 2.5MG Quantity 3 As Directed
Print Form LEVITRA 20MG Quantity 3 As Directed
Print Form LEVITRA 5MG Quantity 3 As Directed
Print Form LIPITOR 10MG Quantity 30 As Directed
Print Form LIPITOR 20MG Quantity 30 As Directed
Print Form LIPITOR 40MG Quantity 30 As Directed
Print Form LIPITOR 80MG Quantity 30 As Directed
Print Form LUNESTA 1MG Quantity 7 At Bedtime
Print Form LUNESTA 2MG Quantity 7 At Bedtime
Print Form LUNESTA 3MG Quantity 7 At Bedtime
Print Form MAXALT 10MG Quantity 3 As Directed
Print Form MAXALT 5MG Quantity 3 As Directed
Print Form MAXALT MLT 10MG Quantity 3 As Directed
Print Form MAXALT MLT 5MG Quantity 3 As Directed
Print Form METFORMIN HCL 1000MG #60 AS DIRECTED + BGM #1 UD
Print Form METFORMIN HCL 500MG #60 AS DIRECTED + BGM #1 UD
Print Form METFORMIN HCL 850MG #60 AS DIRECTED + BGM #1 UD
Print Form METFORMIN HCL ER 500MG #60 AS DIRECTED + BGM #1 UD
Print Form METFORMIN HCL ER 750MG #60 AS DIRECTED + BGM #1 UD
Print Form MICARDIS 20MG Quantity #30 As Directed
Print Form MICARDIS 40MG Quantity #30 As Directed
Print Form MICARDIS 80MG Quantity #30 As Directed
Print Form MYFORTIC 180MG Quantity 120 As Directed
Print Form MYFORTIC 360MG Quantity 120 As Directed
Print Form NIASPAN 1000MG Quantity 30 As Directed
Print Form NIASPAN 500MG Quantity 30 As Directed
Print Form NIASPAN 750MG Quantity 30 As Directed
Print Form NUVIGIL 150MG Quantity 30 As Directed
Print Form NUVIGIL 250MG Quantity 30 As Directed
Print Form ROZEREM 8MG Quantity 7 as directed
Print Form RYZOLT 100MG Quantity 30 As Directed
Print Form RYZOLT 200MG Quantity 30 As Directed
Print Form RYZOLT 300MG Quantity 30 As Directed
Print Form SIMCOR 1000-20MG Quantity 30 As Directed
Print Form SIMCOR 500-20MG Quantity 30 As Directed
Print Form SIMCOR 750-20MG Quantity 30 As Directed
Print Form SINGULAIR 10MG Quantity 30 One Daily
Print Form SINGULAIR 4MG Quantity 30 One Daily
Print Form SINGULAIR 5MG Quantity 30 One Daily
Print Form SOMA 250MG QTY 75 UD
Print Form SYMBICORT 160-4.5MCG Quantity #1 As Directed
Print Form SYMBICORT 80-4.5MCG Quantity #1 As Directed
Print Form TOVIAZ 4MG Quantity 30 QD
Print Form TOVIAZ 8MG Quantity 30 QD
Print Form VESICARE 5MG Quantity 30 As Directed
Print Form VIVELLE-DOT 0.025MG/24HR Quantity 4 As Directed
Print Form VIVELLE-DOT 0.0375MG/24HR Quantity 4 As Directed
Print Form VIVELLE-DOT 0.05MG/24HR Quantity 4 As Directed
Print Form VIVELLE-DOT 0.075MG/24HR Quantity 4 As Directed
Print Form VIVELLE-DOT 0.1MG/24HR Quantity 4 As Directed
Print Form VYTORIN 10-10MG Quantity 30 As Directed
Print Form VYTORIN 10-20MG Quantity 30 As Directed
Print Form VYTORIN 10-40MG Quantity 30 As Directed
Print Form VYTORIN 10-80MG Quantity 30 As Directed
Print Form XYZAL 5MG Quantity 5 As Directed
Print Form ZETIA 10MG Quantity 30 As Directed