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Patient Assistance Program Medication List


Following are a list of generic medications available through our Patient Assistance Program. Click on the header to sort medication list.

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Generic NameStrengthBrand NameTreatmentMax QtyPrice
ACEBUTOLOL HCL 200MGSectral®Hypertension180$30
ACYCLOVIR 200MG, 400MG, 800MGZovirax®Anti-Viral360$30
ALBUTEROL SULFATE 0.83MG/ML, 5MG/MLVentolin® Proventil®Anti-asthma - Beta-2 Agonist180/60$20
ALBUTEROL SULFATE 2MG, 4MGVentolin® Proventil®Anti-asthma - Beta-2 Agonist360$20
ALBUTEROL/IPRATROPIUM NOT AVAILABLEDuoNeb®COPD,Emphysema60x3ml$30
ALENDRONATE SODIUM 5MG, 10MG, 35MG, 70MGFosamax®Osteoporosis12$20
ALLOPURINOL 100MG, 300MGZyloprim®Anti-inflammatory agent, Anti-gout agent180$20
ALPRAZOLAM 0.25MG, 0.5MG, 1MGXanax®Anxiety360$30
AMILORIDE HCL/HCTZ 5-50MGModuretic®Diuretics180$20
AMINOPHYLLINE 100MG, 200MGAminophyllineBroncho Dilator360$20
AMIODARONE HCL 200MGCordaron®Heart Condition180$30
AMITRIPTYLINE HCL 10MG, 25MG, 50MG, 75MG, 100MG, 150MGElavil®Anti-depressants360$20
AMLODIPINE BESYLATE 2.5MG, 5MG, 10MGNorvasc®Hypertension180$20
ANASTROZOLE1MGArimidex ® 90$45
ANUCORT-HC 25MGAnusol-HC SuppHemorrhoids36$20
ATENOLOL 25MG, 50MG, 100MGTenormin®Beta-2 Antagonist270$20
ATENOLOL/CHLORTHALIDONE 50-25MG, 100-25MGTenoretic®Beta-2 Antagonist/Diuretic270$20
ATROPINE SULFATE 1%Isopto-Atropine®EyeCondition45$20
BACLOFEN 10MG, 20MGLioresal®Muscle Relaxer360$30
BENAZEPRIL 10MG, 20MG, 40MGLotensin®Antihypertensive180$20
BENAZEPRIL/HCTZ 5-6.25MG, 10-12.5MG, 20-12.5MG, 20-25MGLotensin-HCT®Antihypertensive180$20
BENZTROPINE MESYLATE 0.5MG, 1MG, 2MGCogentin®Antipsychotic180$20
BETAMETHASONE DIPROPIONATE 0.05%DiprosoneEczema/dermatitis180$20
BETAMETHASONE DP AUGMENTED 0.05%Diprolene-AF®Eczema/dermatitis150$30
BETAMETHASONE VALERATE 0.1%Valisone Cr/ointDermatitis135$20
BICALUTAMIDE 50MGCasodex®Prostate Cancer90$80
BISOPROLOL/HCTZ 2.5-6.25MG, 5-6.25MG, 10-6.25MGZiac®Beta-2 Antagonist/Diuretic180$20
BUMETANIDE 0.5MG, 1MG, 2MGBumex®Diuretics180$30
BUPROPION 75MG, 100MGWellbutrin®Depression270$30
BUPROPION 75MG, 100MGWellbutrin®Selective Seratonin Receptor Inhibitor270$30
BUPROPION XL 300MGWellbutrin XL®  Depression90$65
BUPROPION XL 150MGWellbutrin XL®  Depression90$65
BUSPIRONE HCL 5MG, 10MG, 15MGBuSpar®Anxiolytics, Sedatives, Hypnotics270$20
CAPTOPRIL 12.5MG, 25MG, 50MG, 100MGCapoten®ACE Inhibitors360$20
CAPTOPRIL/HCTZ 25-15MG, 25-25MG, 50-15MG, 50-25MGCapozide®ACE Inhibitors/Diuretic360$20
CARBAMAZEPINE 100MG, 200MGTegretol®Anticonvulsant360$20
CARISOPRODOL 350MGSoma®Muscle Relaxer360$30
CARVEDILOL 3.125MG, 6.25MG, 12.5MG, 25MGCoreg®Heart Failure180$20
CETIRIZINE 10MGZyrtec®Allergy90$20
CHLORDIAZEPOXIDE HCL 5MG, 10MG, 25MGLibrium®Anxiety360$30
CHLORPROPAMIDE 100MG, 250MGDiabinese®Treat High Sugar270$30
CHLORTHALIDONE 25MG, 50MGThalitone®Diuretic180$20
CHLORZOXAZONE 500MGParafon-Forte®Skeletal Muscle Relaxants360$20
CILOSTAZOL 50MG, 100MGPletal®Circulation180$30
CIMETIDINE 300MG, 400MG, 800MGTegamet®Histamine-2 Antagonist360$20
CIPROFLOXACIN HCL 250MG, 500MG, 750MGCipro®Antibiotics180$20
CITALOPRAM HYDROBROMIDE 10MG, 20MG, 40MGCelexa®Selective Seratonin Receptor Inhibitor180$20
CLOMIPRAMINE HCL 25MG, 50MG, 75MGAnafranilO.C.D.180$30
CLONAZEPAM 0.5MG, 1MG, 2MGKlonopin®Seizure Disorder360$30
CLONIDINE HCL 0.1MG, 0.2MG, 0.3MGCatapres®Centrally Acting Anti-adrenergics270$20
CLORAZEPATE DIPOTASSIUM 3.75MG, 7.5MG, 15MGTranxeneAnxiety180$30
CLOTRIMAZOLE/BETAMETHASONE DIP 1-0.05%Lotrisone® CreamDermatitis135$20
CROMOLYN SODIUM 4%Crolom®Allergy30$30
CYCLOBENZAPRINE HCL 5MG, 10MGFlexeril®Muscle Relaxer360$30
DIAZEPAM 2MG, 5MG, 10MGValium®Anxiety360$30
DICYCLOMINE HCL 10MG, 20MGBentyl®I.B.S.360$20
DIGOXIN 0.125MG, 0.25MGLanoxin®Cardiac Glycosides180$20
DILTIAZEM HCL 180MGCardizem-CD®, Tiazac®, Diltia-XR®Hypertension90$40
DILTIAZEM HCL 240MGCardizem-CD®, Tiazac®, Diltia-XR®Hypertension90$60
DILTIAZEM HCL 30MG, 60MG, 90MG, 120MGCardizem®Calcium Channel Blockers360$20
DILTIAZEM HCL CD 120MGCardizem-CD®, Tiazac®, Diltia-XR®Hypertension90$40
DIPHENOXYLATE/ATROPINE 2.5-0.025MGLomotil ®Diarrhea270$30
DIVALPROEX SODIUM 125MG, 250MG, 500MGDepakote®Biploar/Epilepsy180$30
DOXAZOSIN MESYLATE 1MG, 2MG, 4MG, 8MGCardura®Benign Prostatic Hyperplasia (BPH)180$20
DOXEPIN HCL 10MG, 25MG, 50MG, 75MG, 100MG, 150MGSinequan®Anti-depressant360$20
DOXYCYCLINE HYCLATE 50MG, 100MGVibramycin®Antibiotic270$20
ENALAPRIL MALEATE 2.5MG, 5MG, 10MG, 20MGVasotec®ACE Inhibitors270$20
ENALAPRIL MALEATE/HCTZ 5-12.5MG, 10-25MGVaseretic® ACE Inhibitors180$20
ESTRADIOL 0.5MG, 1MG, 2MGEstrace®Hormones, Estrogens180$20
ESTROPIPATE 0.75MG, 1.5MGOgen®Hormones, Estrogens90$20
ETODOLAC 200MG, 300MG, 400MG, 500MGLodine®NSAID Arthritis180$30
FAMOTIDINE 20MG, 40MGPepcid®Histamine-2 Antagonist180$20
FLUCONAZOLE 100MG, 150MG, 200MGDiflucan®Anti-fungal90$30
FLUOCINOLONE ACETONIDE 0.01%Synalar®Eczema/dermatitis240$20
FLUOCINONIDE 0.05%Lidex®Eczema/dermatitis240$20
FLUOXETINE HCL 10MG, 20MGProzac®Selective Seratonin Receptor Inhibitor270$20
FLUPHENAZINE HCL 1MG, 2.5MG, 5MG, 10MGProlixin®Anti-psychotics270$20
FLURAZEPAM HCL 15MG, 30MGDalmane®Insomnia90$30
FLURBIPROFEN 50MG, 100MGAnsaid®NSAID Arthiritis180$20
FOLIC ACID 1MGFolviteVitamins270$20
FOSINOPRIL SODIUM 10MG, 20MG, 40MGMonopril®Hypertension90$30
FUROSEMIDE 20MG, 40MG, 80MGLasix®Diuretics360$20
GABAPENTIN 100MG, 300MG, 400MGNeurontin®Seizure/Pain270$30
GEMFIBROZIL 600MGLopid®Cholestrol180$30
GLIMEPIRIDE 1MG, 2MG, 4MGAmaryl ®Antidiabeticagent180$20
GLIPIZIDE 5MG, 10MGGlucotrol®Anti-diabetic Agent-Sulfonylureas360$20
GLIPIZIDE ER 2.5MG, 5MG, 10MGGlucotrol XL® Diabetes180$40
GLYBURIDE MICRONIZED 1.5MG, 3MG, 6MGGlynase®Anti-diabetic Agent Sulfonylureas360$20
GLYBURIDE/METFORMIN 1.25-250MG, 2.5-500MG, 5-500MGGlucovanceDiabetes180$30
GUAIFENESIN 200MGBidex/LiquibidExpectorant270$30
GUAIFENESIN 400MGBidex/LiquibidExpectorant360$30
GUAIFENESIN 200MGBidex/Liquibid 400mgExpectorant270$30
GUANFACINE HCL 1MG, 2MGTenex®Hypertension180$30
HALOPERIDOL 0.5MG, 1MG, 2MG, 5MGHaldol®Schizophrenia270$20
HYDRALAZINE HCL 10MG, 25MG, 50MGApresoline®Hypertension100$20
HYDROCHLOROTHIAZIDE 12.5MG, 25MG, 50MGEsidrix®, HydroDiuril®Diuretics180$20
HYDROCORTISONE 20MGCortef TabsCorticosteroid270$30
HYDROXYCHLOROQUINE SULFATE 200MGPlaquenil®Rheumatoid Arthritis180$30
HYDROXYZINE PAMOATE 25MG, 50MGVistaril®Sedative360$20
IBUPROFEN 400MG, 600MG, 800MGMotrin®Anti-inflammatory Agent360$20
INDAPAMIDE 1.25MG, 2.5MGLozol®Diuretics180$20
IPRATROPIUM BROMIDE 0.2MG/MLAtrovent®Anti-cholionergic, Respiratory Agent180$20
ISONIAZID 300MGIsoniazid®Tuberculosis270$20
ISOSORBIDE DINITRATE 5MG, 10MG, 20MGIsordil®Anti-anginal, Nitrates360$20
ISOSORBIDE MONONITRATE 20MG, 30MG, 60MGImdur®Anti-anginal, Nitrates90$30
JANTOVEN 1MG, 2MG, 2.5MG, 3MG, 4MG, 5MG, 6MG, 7.5MG, 10MGCoumadin®, Jantoven ®Blood Thinner180$30
KETOCONAZOLE 2%Nizoral®Anti-Fungal120$30
KETOCONAZOLE 200MGNizoral®Anti-Fungal90$30
KETOPROFEN 50MG, 75MGOrudis®NSAID Arthritis270$30
KLOR-CON 10 10MEQKlor-Con®Supplement270$30
KLOR-CON 8 8MEQKlor-Con®Supplement270$30
KLOR-CON M20 20MEQKlor-Con®Supplement270$30
LABETALOL HCL 100MG, 200MG, 300MGTrandate®Hypertension180$30
LAMOTRIGINE 25MG, 100MG, 150MG, 200MGLamictal®Epilepsy180$30
LEFLUNOMIDE 10MG, 20MGArava® R.A.90$65
LEVETIRACETAM 250MG, 500MGKeppra®    Seizures180$50
LEVETIRACETAM 750MGKeppra®    Seizures180$60
LEVOBUNOLOL HCL 0.25%, 0.5%Betagan®Glaucoma30$20
LEVOTHYROXINE SODIUM 25MCG, 50MCG, 75MCG, 88MCG, 100MCG, 112MCG, 125MCG, 137MCG, 150MCG, 175MCG, 200MCG, 300MCGSynthroid®Thyroid Hormones90$20
LISINOPRIL 2.5MG, 5MG, 10MG, 20MG, 30MG, 40MGPrinivil® , Zestril®ACE Inhibitors270$20
LISINOPRIL/HCTZ 10-12.5MG, 20-12.5MG, 20-25MGZestoretic®ACE Inhibitors270$20
LITHIUM CARBONATE 300MG, 450MGLithobid®Manic Depression180$40
LORATADINE 10MGClaritinAlergy100$20
LORAZEPAM 0.5MG, 1MG, 2MGAtivan®Anxiety360$30
LOVASTATIN 10MG, 20MG, 40MGMevacor®Cholestrol90$30
MECLIZINE HCL 12.5MG, 25MGAntivertDizziness270$20.00
MEDROXYPROGESTERONE ACETATE 2.5MG, 5MG, 10MGAmen®, Provera®Hormones, Progestins180$20
MELOXICAM 7.5MG, 15MGMobic®NSAID Arthiritis180$20
METFORMIN HCL 500MG, 850MG, 1000MGGlucophage®Anti-diabetes Agent360$30
METFORMIN HCL ER 500MG, 750MGGlucophage-XR®Anti-diabetic Agent180$30
METHOCARBAMOL 500MG, 750MGRobaxin ®Muscle Relaxant360$30
METHOTREXATE 2.5MGRheumatrex®Neoplastic Diseases/RA96$20
METHOTREXATE 25MG/MLRheumatrex®Neoplastic Diseases/RA20$30
METHYLDOPA 250MGAldometHypertension270$30
METHYLPREDNISOLONE 4MGMedrol®Corticosteroid270$20
METOCLOPRAMIDE HCL 5MG, 10MGReglan®Heartburn360$20
METOPROLOL TARTRATE 25MG, 50MG, 100MGLopressor®Beta-2 Antagonist270$20
MIRTAZAPINE 15MG, 30MG, 45MGRemeron®Depression90$30
MYCOPHENOLATE MOFETIL 250MGCellcept®Immune System120$60
NADOLOL 20MG, 40MGCorgard®Beta-2 Antagonist180$20
NAPROXEN 250MG, 375MG, 500MGNaprosyn®Anti-inflammatory Agent180$20
NAPROXEN SODIUM 275MG, 550MGAnaproxAnti-inflammatory Agent180$20
NAPROXEN SODIUM 275MG, 550MGAnaprox-DSAnti-inflammatory Agent180$20
NIACIN TD 500MGNIACINCholestrol360$20
NICARDIPINE HCL 20MG, 30MGCardene®Hypertension180$30
NORTRIPTYLINE HCL 10MG, 25MG, 50MG, 75MGPamelor®Anti-depressants270$20
NYSTATIN 100MU/GMMycostatin Cream/OintAntifungal180$20
NYSTATIN/TRIAMCINOLONE 100MU-0.1%/GMMycolog ® Cream/OintmentAntifungal/Anti-Itch180$20
OMEPRAZOLE 20MGPrilosec®GERD90$30
ONDANSETRON HCL 4MG, 8MGZofran®Nausea30$30
OXYBUTYNIN CHLORIDE5MGDitropan®Anti-choligneric, Genitourinary Agent270$20
PAROXETINE HCL 10MG, 20MG, 30MG, 40MGPaxil®Depression90$30
PHENOBARBITAL 15MG, 30MG, 60MG, 100MGPhenobarbitalSeizure360$30
POTASSIUM CHLORIDE 20MEQKlor-Con®Supplement270$30
PRAVASTATIN SODIUM 10MG, 20MG, 40MGPravachol®Cholestrol90$30
PREDNISONE 5MG, 10MG, 20MGDeltasone®Corticosteroid360$20
PROCHLORPERAZINE 5MGCompazine®nausea and vomiting270$30
PROCHLORPERAZINE MALEATE 10MGCompazine®nausea and vomiting270$30
PROPAFENONE HCL 150MGRythmol ®Heart180$40
PROPRANOLOL HCL 10MG, 20MG, 40MG, 80MGInderal®Beta-2 Antagonist360$20
QUINAPRIL HCL 5MG, 10MG, 20MG, 40MGAccupril®ACE Inhibitors90$30
RAMIPRIL 1.25MG, 2.5MG, 5MG, 10MGAltace®Blood Pressure90$20
RANITIDINE HCL 150MG, 300MGZantac®Histamine-2 Antagonist180$20
RISPERIDONE 0.25MG, 0.5MG, 1MG, 2MG, 3MG, 4MGRisperdalSchizophrenia180$60
ROPINIROLE 0.25MG, 0.5MG, 1MG, 2MG, 3MG, 4MG, 5MGRequip®Parkinsons, RLS90$40
SALSALATE 500MGDisalcid®Arthiritis270$30
SERTRALINE HCL 25MG, 50MG, 100MGZoloft®Depression180$30
SIMVASTATIN 5MG, 20MG, 40MG, 80MGZocor®Cholestrol90$20
SOTALOL AF 80MG, 120MG, 160MGBetapace®-AF®Heart180$40
SOTALOL HCL 80MG, 120MG, 160MGBetapace®Heart180$30
SPIRONOLACTONE 25MGAldactone®Diuretic180$30
SPIRONOLACTONE 50MGAldactone®Diuretic90$30
SUCRALFATE 1GMCarafateUlcer270$45
SULFAMETHOXAZOLE/TRIMETHOPRIM 400-80MG, 800-160MGSeptra-DS/Bactrim-DS®Antibiotic180$20
SULFASALAZINE 500MGAzulfidine®Ulcerative Colitis360$30
SULFAZINE EC 500MGAzulfidine® Entab ECUlcerative Colitis/Crohn`s180$40
SULINDAC 150MG, 200MGClinoril®Arthiritis180$30
SUMATRIPTAN SUCCINATE 25MG, 50MG, 100MGImitrex® Migraines18$35
TEMAZEPAM 15MG, 30MGRestoril®Insomnia90$30
TERAZOSIN HCL 1MG, 2MG, 5MG, 10MGHytrin®Prostate180$20
TERBINAFINE HCL 250MGLamisil®Anti-Fungal90$30
THEOPHYLLINE ANHYDROUS 100MG, 200MG, 300MGTheo-Dur ®COPD/Asthma180$30
THIOTHIXENE 1MG, 2MG, 5MG, 10MGNavane®Schizophrenia180$30
TICLOPIDINE HCL 250MGTiclid®Stroke180$30
TIMOLOL MALEATE 0.25%, 0.5%Timoptic®Glaucoma30$20
TIMOLOL MALEATE 5MGTimoptic®Glaucoma180$30
TIZANIDINE HCL 2MG, 4MGZanaflex®Muscle Relaxer360$30
TOPIRAMATE 25MG, 50MG, 100MG, 200MGTopamax®Migraine180$30
TORSEMIDE 5MG, 10MG, 20MGDemadex®Diuretics180$30
TRAMADOL HCL 50MGUltram®Pain360$30
TRANDOLAPRIL 1MG, 2MG, 4MGMavik®Hypertension90$30
TRAZODONE HCL 50MG, 100MG, 150MGDesyrel®Anti-depressants360$20
TRIAMCINOLONE ACETONIDE 0.1%Kenalog®Eczema/dermatitis240$20
TRIAMTERENE/HCTZ 37.5-25MG, 75-50MGDyazide®, Maxzide®Diuretics180$20
TRIAZOLAM 0.125MG, 0.25MGHalcion® Insomnia90$30
TRIHEXYPHENIDYL HCL 2MGArtane®Antipsychotic180$20
VENLAFAXINE HCL 25MG, 37.5MG, 50MG, 75MG, 100MGEffexor®  Depression120$40
VERAPAMIL HCL 240MGCalan/Isoptin SR®Hypertension90$30
VERAPAMIL HCL 80MG, 120MGCalan®, Isoptin®Calcium Channel Blockers360$20
VERAPAMIL HCL ER 180MGCalan/Isoptin SR®Hypertension90$30
WARFARIN SODIUM 1MG, 2MG, 2.5MG, 4MG, 5MG, 6MG, 7.5MG, 10MGCoumadin®, Jantoven ®Blood Thinner180$30
ZALEPLON 5MG, 10MGSonata®Insomnia90$30
ZOLPIDEM TARTRATE 5MG, 10MGAmbien®Insomnia90$30
ZONISAMIDE 25MG, 50MGZonegran®Anticonvulsants180$30
* Quantity Limitation Applies.
**** All creams have quantity limitation
! Medicare eligibility required. Administrative fee applies.
Medications beyond therapeutic dosages according to the manufacturer will be dispensed based on established therapeutic guidelines.