Patient Assistance Program Drug Lookup

If your medication is listed here, the Patient Assistance Program can help you.
Call 877-233-9425 to speak with a Medication Specialist.

Drug Name:

Brand Drug Name
Abelcet
Abilify
Abilify Discmelt
Abilify OS
Abraxane
Accolate
Accupril
Accuretic
Aciphex
Actemra
Acthar Gel
Actimmune
Activase
Activella
Actonel
Actonel with Calcium
Actoplus met
Actoplus met XR
Actos
Acuvail
Aczone Gel 5%
Adacel
Adagen Injection 1
Adalat cc
Adenoscan IV 20ml
Advair diskus 100/50
Advair diskus 250/50
Advair diskus 500/50
Advair HFA
Advate
Advicor
Aerobid & Aerobid-M
Aerochamber/Mask
Afinitor
Aggrenox
Alamast
Aldactazide
Aldactone
Aldomet
Aldurazyme
Alimta
Alinia suspension
Alinia tablets
Allegra
Alodox
Aloxi
Alphanate injection
AlphaNine SD
Alrex suspension .2%
Altabax
Altace
Altace
Alvesco
Amaryl
AmBisome injection
Amevive
Amitiza
Amitriptyline tablet
Anadrol-50
Analpram cream
Analpram lotion
Analpram ointment
Ancobon Caps
AndroGel
Angeliq
Angiomax
Ansaid
Antivert
Anusol-HC Cream
Anusol-HC suppository
Anusol-HC Suppository
Anzemet Injection
Anzemet Tablets
Apidra
Apidra Solostar
Aplenzin
Apligraf
Aptivus capsules
Aptivus Oral Solution
Aralast
Aranesp
Arava
Aricept
Arimidex
Arixtra injection
Armour Thyroid
Aromasin
Arranon
Arthrotec
Arzerra injection
Asacol
Asacol HD
Ascencia Breeze Meter
Ascencia Contour Meter
Asmanex Inhaler
Asmanex Twisthaler
Astepro
Atacand
Atacand HCT
Atripla
Atrovent
Atrovent HFA Inhalation Aerosol
Avandamet tablets
Avandaryl tablets
Avandia tablets
Avapro
Avastin
Avelox
Avodart soft gelatin tablets
Avonex
Axert
Azasan
Azilect
Azopt
Azor
Azulfidine
Azulfidine EN-Tabs
Bactroban cream
Bactroban Nasal Ointment
Bactroban ointment
Banzel
Banzel Oral Suspension 40mg/ml
Baraclude
Beconase AQ nasal spray
Belladonna alkaloids/Phenobarbital
BeneFIX Coagulation Factor IX
Benicar
Benicar HCT
BenzaClin Topical Gel
Benzamycin Topical Gel
Berinert
Betagan
Betapace
Betapace 120mg
Betapace 160mg
Betapace 80mg
Betapace AF 120mg
Betapace AF 160mg
Betapace AF 80mg
Betaseron
Betimol
Betoptic S
Bexxar
Biafine topical emulsion
BiCNU
BiDil
Biltricide
Bion Tears
Boniva
Boostrix
Botox
Bumex
Bumex
Bupap tablets
Buphenyl
Byetta
Bystolic
Caduet
Calan
Calan SR
Calan/Isoptin
Calan-SR
Calcilo XD Powder
Campral Dose Pak
Campral Tablets
Camptosar
Canasa
Cancidas
Capex Shampoo .01% 4oz
Caphosol Oral Solution
Carac Cream
Carafate
Carbatrol
Cardura
Cardura XL
Carimune NF injection
Carnitor
Carteolol hcl
Casodex
Catapres
Catapres
Cathflo Activase
Caverject
Cayston
CeeNu
Celebrex
Celexa
Celexa
CellCept
Celontin
Cenestin
Ceredase
Cerezyme
Cervarix
Cetacaine
Cetrotide injection
Chantix
Chemet Capsules
Chlordiazepoxide hcl/Clidinium Bromide
Cialis
Ciloxan Ointment
Ciloxan Solution
Cinryze
Cipro
Cipro HC Ophthalmic Ointment
Ciprodex
Clarinex
Clarinex RediTabs
Clarinex-D
Cleocin
Cleocin HCL
Cleocin Pediatric
Cleocin Phosphate
Cleocin T
Cleviprex
Climara .025mg
Climara .0375mg
Climara .05mg
Climara .06mg
Climara .075mg
Climara .1mg
Climara Pro 0.045mg/.015mg
Clindagel Topical Gel
Clinimix E Injection
Clinimix Injection
Clobex Lotion .05% 2oz
Clobex Shampoo .05%
Clobex Spray .05%
Clozapine
Clozaril
Coartem
Cogentin
Cogentin Injection
Colazal
Colcrys tablet
Colestid
Colestid Flavored
Combigan
Combivent Inhalation Aerosol
Combivir tablets
Comtan
Concerta
Copegus
Cordaron
Cordarone
Corgard
Corgard
Cortef
Cortifoam
Corvert
Cosmegen Injection
Cosopt
Coumadin
Coumadin
Covera HS
Creon Minimicrospheres
Crestor
Crixivan
Crolom
Cubicin injection
Cuprimine capsules
Cyclinex-1 Powder
Cyclinex-2 Powder
Cyclosporine capsules
Cyclosporine oral solution
Cyklokapron
Cymbalta
Cystadane
Cytotec
Dacogen
Dalmane
Daypro
DDAVP
DDAVP Injection
DDAVP Rhinal Tube
Decavac
Deltasone
Demadex
Demser capsules
Depakote
Depakote
Depakote ER Tablets
Depakote Tablets
Depo Estradiol
Depo Provera
Depocyt
Depo-Medrol
Depo-Testosterone
Desyrel
Desyrel
Detrol
Detrol LA
Dexilant
Diabeta/micronase
Diabinese
Diastat AcuDial
Diastat Gel
Dibenzyline tablets
Didrex
Differin Gel .1% 45gm
Differin Gel .3% 45m
Diflucan
Dilacor XR
Dilantin
Dilantin Extended oral capsules
Dilantin Infatabs
Dilantin Kapseals
Dilantin-125
Diovan
Diovan HCT
Dipentum
Diprolene AF Cream
Diprolene AF cream
Diprolene AF ointment
Diprolene Lotion
Diprolene Ointment
Diprosone cream/ointment
Disalcid
Ditropan
Ditropan
Ditropan XL
Doxepin capsule
Doxil
Drisdol
Droxia
Duetact
Dulera Inhalation Aerosol
DuoNeb
DuoTrav Eye Drops
Duragesic
Dyazide
Dyazide
Dynacin
DynaCirc CR
Dyrenium tablets
Econopred Plus
Edarbi
Edecrin tablets
Effexor XR
Effient Tablets
Egrifta
Elavil
EleCare Powder
Eletone cream
Eligard
Ellence
Elmiron
Elocon Cream
Elocon Lotion
Elocon Ointment
Eloxatin
Emcyt
EMEND
EMSAM
Emtriva
Enablex
Enbrel
Engerix-B
Enjuvia
Enlive!
Ensure
Ensure Fiber with FOS
Ensure High Calcium
Ensure High Protein
Ensure Plus
EpiCeram
Epiduo Gel
Epiquin Micro
Epivir oral solution
Epivir tablets
Epivir-HBV oral solution
Epivir-HBV tablets
Epogen
Epzicom tablets
Equetro
Erbitux
Ertaczo
Eskalith
Estrace
Estrace
Estrasorb
Estring
Estrogel gel
Etopophos
Evista
Evoclin Foam
Evoxac
Exalgo tablets
Exelon
Exelon Patch
Exforge
Exforge HCT
Exjade
Extavia
Extina Foam
Fabrazyme
Fanapt
Faslodex
Feiba VH powder
Felbatol
Feldene
Feldene Caps
Femara
Fenofibric Acid
Fentora
Feraheme Injection
Ferrlecit
Fibricor tablet 105mg
Finacea
Finacea Plus
Flagyl
Flagyl 375
Flagyl ER
Flarex
Flebogamma
Flolan
Flomax
Flonase
Flonase 50 mcg
Flovent Diskus 100mcg
Flovent Diskus 250 mcg
Flovent Diskus 50mcg
Flovent HFA 110 mcg
Flovent HFA 220 mcg
Flovent HFA 44 mcg
Focalin XR
Folic Acid
Folotyn
Folvite
Foradil Aerolizer
Foradil Powder for Inhalation
Forteo
Fosamax
Fosamax
Fosrenol
Fragmin
Frova 2.5mg
Fuzeon
Gabitril
Galzin
Gammagard
Gardasil
Gelnique
Gemzar
Gengraf Capsules
Genotropin
Geodon
Gilenya
Gleevec
Gliadel Wafer
GlucaGen Hypokit
Glucagon
Glucerna
Glucerna HiCal Shake
Glucerna Select
Glucophage
Glucophage XR
Glucotrol
Glucotrol XL
Glutarex-1 Powder
Glutarex-2 Powder
Glynase
Glynase Pres Tab
Glyset
Gonal-f prefilled pen
Grifulvin V tablets
Halaven Injection
Halcion
Haldol
Haldol Decanoate Injection
Haldol injection
Haloperidol tablet
Havrix
Hectorol .5mcg; 1mcg; 2.5mcg Capsules
Hectorol 2mcg/mL injection
Hectorol 4mcg/2ml injection
Helixate FS
Hemabate
Hemofil M AHF
Hepsera
Herceptin
Hexalen-capsules
Hi-Cal Drink
Hominex-1 Powder
Hominex-2 Powder
Humalog Injection
Humalog KwikPen
Humalog KwikPen Mix 50/50
Humalog KwikPen Mix 75/25
Humalog Mix 75/25
Humalog Mix50/50
Humate-P
Humatrope
HUMIRA
Humulin 70/30
Humulin N Injection
Humulin R Injection
Hyalgan
Hycamtin capsules
Hycamtin injection
Hydralazine tablet
Hydrea
hydrochlorothiazide tablet
HydroDiuril
Hytrin
Hytrin
ICaps Eye Vitamin AREDS Formula
ICaps Lutein & Zeaxanthin Formula
ICaps Multivitamin Formula
Idamycin
Ilaris
Imdur
Imitrex Nasal Spray
Imitrex Tablets
Imogam
Imovax
Indapamide tablet
Inderal
Inderal
Indocin Injection
InFed
Infergen
Innopran XL
Inspra
Intelence
Intron-A
Intuniv Extended Release Tablets
Invanz
Invega
Invega Sustenna
Invirase
Iopidine
Iquix
Isentress
Ismo
Isoniazid
Isoniazid/INH
Isoptin
Isoptin-SR
Isopto Carbachol
Isopto Carpine
Isopto-Atropine
Isordil
Istodax injection
ITB Therapy
I-Valex-1 Powder
I-Valex-2 Powder
Ixempra
Jalyn
Jantoven
Janumet
Januvia
Jevity 1 Cal
Jevity 1.2 Cal
Jevity 1.5 Cal
Jevtana
Juven
Kadian
Kaletra capsules
Kaletra oral solution
Kaletra tablets
Kapidex
Kayexalate
K-Dur 20MEQ
Kenalog cream/ointment
Kepivance
Ketonex-1 Powder
Ketonex-2 Powder
Kineret
Klaron Lotion
Klonopin
Klonopin
Klor-Con
Klor-Con 10
Klor-Con M20
Kogenate FS
Kombiglyze XR
K-Phos #2 tablets
K-phos M.F. tablets
K-Phos original tablet
Kuvan
Lacrisert Ophthalmic insert
Lamictal
Lamictal ODT patient titration kits
Lamictal XR
Lamisil
Lamisil Oral Granules
Lanoxin
Lanoxin
Lanoxin Tablets
Lantus
Lantus SoloStar pen
Latuda tablets
Lescol
Lescol XL
Letairis Tablets
Leustatin
Levaquin
Levemir
Levitra tablets
Levolbunolol HCL
Levothroid
Levoxyl
Levoxyl
Lexapro 10mg
Lexapro 20mg
Lexapro 5mg
Lexiscan
Lexiva oral suspension
Lexiva tablets
Lialda
Librium
Lidex cream
Lidoderm
Lincocin
Lioresal
Lioresal
Lipitor
Liquibid
Lithium Carbonate
Lithobid tablets
Lithostat
Livalo
Lmx lotion
Locoid Lipocream
Locoid Lotion .1%
Lodosyn tablets
Lopid
Lotemax .5%
Lotensin-HCT
Lotrisone Cream
Lotrisone Lotion
Lovaza
Lovenox
Lucentis
Lumigan
Lumizyme IV
Lunesta
Lupron Depot
Lupron Depot ped
Luxiq foam
Lyrica Capsules C-V
Lysodren
Macugen injection
Mag-Tab SR
Malarone tablets
Marplan
Matulane
Maxair Autohaler
Maxalt
Maxalt-MLT
Maxitrol suspension
Menactra
Menomune
Menostar
Mephyton tablets
Mepron suspension
Merrem I.V.
Mestinon Timespan tablets
Mestinon; syrup
Metipranolol solution
Metozolv Oral Disinigrating Tablet
MetroGel Topical Gel 1%
Mevacor
Micardis
Micardis HCT
Micronase
Migranal nasal spray
Minocin
Minocin capsules
Mirapex Extended Release tablets
Mirapex tablets
Mirena
M-M-R ll
Monoclate-P
Monoket
MonoNine Injection
Monopril
Motrin
Motrin
MoviPrep
Multaq
Mycobutin
Mycostatin cream/ointment
Myfortic
Mylotarg
Myozyme
Mysoline
Mytelase
Nabumetone tablet
Naglazyme
Namenda Tablets
Namenda Titration Pak
Naprosyn
Naprosyn
Nardil
Nasacort AQ
Nascobal USP Nasal Spray
Nasonex
Natrecor
Navane
Neocate Powdered Formula
Neoral
Nepro with Carb Steady
Neulasta
Neumega
Neupogen
Neurontin
Nevanac Ophthalmic Solution
Nexavar
Nexium
Nexium for Oral Suspension
Nexium I.V. injection
Niacin
Niaspan
Niaspan ER
Nicotrol inhaler
Nilandron
Nitro-dur
Nitroglycerin SA capsule
Nitrolingual spray
Nitrostat
Nizoral
Noritate Cream
Noroxin Tablets
Norpace
Norpace CR
Norvasc
Norvir oral solution
Norvir Soft Gelatin Capsules
Norvir Tablets
Novantrone infusion
NovoFine 30G
Novolin 70/30 InnoLet
Novolin 70/30 Vials
Novolin N InnoLet
Novolin N Vials
Novolin R InnoLet
Novolin R Vials
NovoLog
NovoLog FlexPen
NovoLog Mix 70/30
NovoSeven RT injection
Noxafil
Nplate
Nucynta
Nulojix
Nutropin
Nutropin AQ
Nuvaring
Nuvigil
Oforta
Ogen
Ogen
Oleptro ER
Olux Complete Foam Pack
Olux Foam
Olux-E Foam
Omnaris
Oncaspar
Onglyza
Ontak
Opana
Opium Tincture 4oz
Optimental
Oracea Capsule
ORAP tablets
Oravig Tablets
Orencia
Orfadin
Ortho-Cyclen
Ortho-Tri-Cyclen
Ortho-Tri-Cyclen
Orthovisc
Orudis
Osmolite 1 Cal
Osmolite 1.2 Cal
Osmolite 1.5 Cal
OsmoPrep tablets
Ovidrel injection
Oxepa
Oxsoralen-Ultra
Oxycontin
Pancreaze Delayed-Release Capsules
Panhematin Injection
Panretin gel
Parafon Forte DSC
Parafon-Forte
ParaGard T 380A
Parnate 10mg tablets
Pataday Ophthalmic Solution
Patanol
PediaSure
PediaSure Enteral Formula
PediaSure Enteral Formula with Fiber
PediaSure with Fiber
Peganone Tablets
Pegasys
PEG-Intron
Penlac
Pennsaid Topical Solution
Pentasa
Pepcid
Pepcid
Perative
Pexeva tablets
Pfizerpen
Phenex-1 Powder
Phenex-2 Powder
Phenobarbital
PhosLo gelcaps
Phospholine Iodide
Pilopine HS
Pivot 1.5 cal Drink
Plaquenil
Plaquenil
Plaquenil 200 mg tabs
Plavix
Pneumovax 23
Polycose
Potaba tablets
Pradaxa Capsules
Pramosone cream
Pramosone lotion
Pramosone ointment
PrandiMet
Prandin 1mg/2mg
prazosin capsule
Precose
Pred Forte
Premarin
Premarin vaginal cream
Premphase
Prempro
Prezista
Prialt
Prilosec
Prilosec
Primaxin IM
Primaxin IV
Prinzide
Pristiq extended release tablets
Privigen 10%
ProAir Hfa inhaler
Procardia
Procardia XL
Prochlorperazine tablet
Procrit
Proctocort Cream
Prodigy No Coding Blood Glucose Strips
Prodigy Preferred Blood Glucose Monitor
Prodigy Twist Top Lancets 28G
ProfilNine
Proglycem oral suspension
Prograf
Prolia
Prolixin
Prolixin Decanoate
Promacta
Prometrium
Promote
Promote with Fiber
Pro-Phree Powder
Propimex-1 Powder
Propimex-2 Powder
Propylthiouracil tablet
Proscar
ProstaScint
Prostigmin Tablets
ProSure Shake
Protonix
Protopic
Proventil
Proventil HFA Inhaler
Proventil/Ventolin
Provera
Provigil
ProViMin Powder
Prozac
Prozac
Prozac
Prozac Weekly
Pulmicort Flexhaler
Pulmicort Respules
Pulmocare
Pulmozyme
Purinethol Tablets
Quadramet
Qualaquin capsules
Quinidine Gluconate
Quinine Sulfate
Quixin
Qvar
Rabavert
Radiesse Injection
Ranexa
Rapaflo
Rapamune
Razadyne
Razadyne ER
RCF Ross Carbohydrate Free
Rebetol
Rebif subcutaneous
Reclast
Recombinate rAHF
Recombivax Hb
Relenza
Relistor
Relpax
Remeron
Remicade
Renvela 800mg tablets
Renvela Powder 2.4g
Reopro
Requip XL
Rescriptor
Restasis
Retin A
Retrovir capsules
Retrovir syrup
Retrovir tablets
Revatio
Revlimid
Reyataz
R-Gene 10 Injection
Rhinocort Aqua
RiaSTAP
RibaPak
Rilutek
Risperdal
Risperdal Consta
Risperdal M-Tab
Risperdal Oral Solution
Ritalin LA
Rituxan
Rituxan RA
Robaxin
Rowasa Kit
Rozerem
Rythmol
Rythmol SR
Ryzolt
Saizen
Salagen Tablet
Samsca Tablets 15mg; 30mg
Sanctura XR
Sancuso
Sandimmune
Sandostatin LAR
Saphris
Savella
Sculptra
Seasonique
Sectral
Selzentry
Sensipar
Septra DS
Serevent Diskus Inhalation Powder
Seroquel
Seroquel XR
Serostim
Simcor
Simply Salie Nasal Mist Spray
Simponi
Sinequan
Singulair
Skelaxin
Soliris
Somavert
Soriatane Capsules
Spiriva HandiHaler
Sporanox Casules
Sporanox Oral Solution
Sprycel
Stalevo
Stelara
Stimate
Strattera
Stromectol
Suboxone Sublingual Film
Sumavel DosePro
Suplena with Carb Steady
Sustiva
Sutent
Symbicort
Symbyax
Symlin
Synagis
Synalar cream/ointment
Synarel Solution
Synthroid
Synthroid Tablets
Synvisc
Syprine tablets
Systane eye drops
Targretin gel or capsules
Tarka Tablets
Tasigna
Tasmar tablets
Taxotere
Tazorac Cream .05%
Tazorac Cream .1%
Tazorac Gel .05%
Tazorac Gel .1%
Tears Again Hydrate
Tears Naturale forte drops
Tears Naturale Free
Tears Naturale PM Eye ointment
Tegamet
Tegretol
Tegretol
Tegretol XR
Tekamlo
Tekturna
Tekturna HCT
Temodar
Tenex
Tenoretic
Tenoretic
Tenormin
Tenormin
Terazol 3
Terazol 7
Tessalon Perles
Testim 1% gel
Teveten
Teveten HCT
Tev-Tropin
Thalitone
Thalomid
Theo-Dur
Theophylline ER tablet
Theracys
Thyrogen injection
Thyrolar
Tiazac
TICE BCG
Tikosyn
Timoptic in Occudose
TNKase
Tobi
Tobradex ointment
Tobradex suspension
Tofranil tablets
Tofranil-PM tablets
Topamax Sprinkle Capsules
Topamax tablets
Toprol XL
Torisel
Toviaz
Tracleer tablets
Tradjenta
Trandate
Trandate
Tranxene
Travatan
Treanda
Trecator Tablets
Trelstar
Trental
Tretin-X cream
Tretin-x gel
Treximet
Tribenzor
Tricor
Trileptal
Trilipix
Tri-Luma Cream 30gm
Trisenox
Trizivir Tablets
Tropazone Cream 120g
Tropozone Lotion 140g
Trusopt
Truvada
TussiCaps
Twinrix
TwoCal HN
Twynsta tablets
Tygacil
Tykerb
Tyrex-1 Powder
Tyrex-2 Powder
Tysabri IV infusion
Tyzeka
Uloric
Ultracet
Ultram
Ultram
Ultram
Ultram ER
Unisol 4 saline solution
Uroxatral
Uvadex Sterile Solution
Vagifem
Valcyte
Valisone Cream/Ointment
Valturna
Vancocin
Vaniqa
Vaniqa Twin Pack
Vantas implant
Vantin
Vaprisol
Vaqta
Varivax
Vaseretic
Vectibix
Vectical Ointment
Velcade
Venofer
Ventavis
Ventolin
Ventolin HFA
Veramyst Nasal Spray
Verdeso Foam
VESIcare
Vexol
Vfend
Viagra
VIBATIV
Vibramycin
Victoza
Vidaza
Vigamox
Vimovo
Vimpat
Vimpat tablets
Viracept
Viracept Oral Powder
Viramune oral suspension
Viramune tablet
Viramune XR
Viread
Vistaril
Vistide
Vital HN
Vital JR.
Vivactil tablets
Vivaglobin Subcutaneous
Vivelle-Dot
Voltaren
Voltaren XR
Votrient Tablets
Vumon
Vytorin
Vyvanse
WelChol
Xalatan
Xanax
Xenazine Tablets
Xerese
XGEVA
Xifaxan
Xigris
Xolegel Gel
Xyntha
Xyzal tablets
Yervoy
Zanaflex
Zanaflex capsules
Zantac
Zarontin
Zegerid
Zelapar
Zemaira
Zemplar Capsules
Zemplar IV
Zenapax
Zenpep Delayed Release Capsules
Zestril
Zestril
Zetia
Zevalin
Ziagen oral solution
Ziagen tablets
Zinecard
Zithromax
Zithromax IV
Zolinza
Zoloft
Zometa
Zomig nasal spray
Zomig orally disintegrated tablets ZMT
Zomig tablets
Zonegran
Zortress
Zostavax
Zovirax
Zovirax
Zovirax 200; 400 mg
Zovirax cream
Zovirax Ointment
Zuplenz Oral Soluble Film
Zyclara
Zyflo CR
Zylet
Zyloprim
Zyloprim
Zyprexa
Zyprexa Zydis
Zytiga tablets
Zyvox