There are three basic sets of qualifying criteria:
1. Annual Income
Use this list to determine the income eligibility of
you and/or your family.
Persons in Family: Income
1 (single) $21 ,660
2 $29,140
3 $36,620
4 $44,100
5 $51,580
2. Prescription Drug Coverage
No Rx Coverage from insurance or government
assistance programs
(VA, State, etc.)
685 Delaware Ave., Marion, OH 3rd Floor
3. Legal US Resident
Residing legally within the United States - must
have a Social Security number
Actual Client Example
Medication Dosage Retail PAS, Inc
$148.00
$ 72.00
$132.00
$139.00
$491.00
$ 95.00
$ 00.00
$ 00.00
$ 00.00
$ 95.00
Advair
Lipitor
Plavix
Nexium
250/50mcg
10mg
75mg
20mg
Total Cost Per Month
In this case the client reduced their total monthly cost
by over 80%, saving them over $ 395 per month.
Enrollment Form on Back of Page
Patient Assistance Services, Inc.
Patient Assistance Services, Inc. ls .a nationwide, patient advocate
company, specializing in facilitating the pharmaceutical companies' Patient
Aid Programs. With literally l,OOOs of free drugs available to qualified
individuals, the only obstacle is the enormous amount of paperwork and
follow-up necessary to participate in these programs. PAS charges one
small monthly service fee to handle everything, regardless of the
number of medications you qualify to receive.
Over the years, PAS has enrolled thousands of clients nationwide on an
individual, community, medical system or government level basis tailoring
total solution programs that effectively solve those particular needs.
Qualifying conditions:
1. Annual Income
Use this list as a guide to determine the basic income eligibility of you and/
or your family.
Persons in Family: Income
1 (single) $21,660
2 $29.140
3 $36,620
4 $44.100
5 $51,580
Higher income limits may apply please call for details.
2. Prescription Drug Coverage
-No Rx Coverage from insurance or government assistance programs
(VA, State, etc.) There is help for those in the Part 0 "doughnut hole".
3. Legal USResident
-Resldinq legally within the United States - must have a Social Security
number
Cost of the program:
-$25 one-time non refundable enrollment fee
-$95 monthly service fee automatically withdrawn from your checking,
savings or credit card account
If you're spending more than $100 a month for prescription drugs ...please
contact us, we can save you a lot of money!
Phone: 877-463-1905 Fax: 740-223-7680
www.PAS-Incorp.com
Actual PAS members
Client 1
Medication Dosage Retail PAS
Advair 250/50 mcg $148.00 $00.00
Lipitor 10mg $ 72.00 $00.00
Plavix 75 mg $132.00 $00.00
Nexium 20mg $139.00 $00.00
Total Cost Per Month $491.00 $95.00
In this case the client reduced their total monthly cost by over 80%, saving them over
$ 395 per month. This is an annual savings of over $4,750 per year!
Client 2
Medication
Lipitor
Nexium
Singular
Total Cost Per Month
Dosage
10 mg
20mg
lOmg
Retail
$ 72.00
$ 132.00
$ 90.00
$ 294.00
PAS
$00.00
$00.00
$00.00
$95.00
In this case the client reduced their total monthly cost by over 68%, saving them over
$ 195 per month. This is an annual savings of over $2,385 per year!
Client 3
Medication Dosage Retail PAS
Actos 30mg $154.00 $00.00
Celebrex 200mg $ 84.00 $00.00
Zoloft 25 mg $ 86.00 $00.00
Total Cost Per Month $ 324.00 $95.00
In this case the client reduced their total monthly cost by over 70%, saving them over
$ 225 per month. This is an annual savings of over $2,745 per vear!
Client 4
Medication
Advair
Total Cost Per Month
Dosage
250/50 mcg
Retail
$ 148.00
$ 148.00
PAS
$00.00
$95.00
In this case the client reduced their total monthly cost by over 36%, saving them over
$ 50 per month. This is an annual savings of over $635 per year!
Medications available through the Pharmaceutical Companies
Patient Aid Programs
This is a list of most of the drugs that are available through Patient Aid Programs,
sorted alphabetically by brand name (the generic name is in parenthesis).
Abilify (aripiprazole)
Accolate (zafirlukast)
Accolate tablets 10 mg
Accolate tablets 20 mg
Accupril (quinapril)
Accupril tablets 10 mg
Accupril tablets 20 mg
Accupril tablets 40 mg
Accupril tablets 5 mg
Accuretic (quinapril with hydrochlorothiazide)
Accuretic tablets 12.5 mg/l0 mg
Accuretic tablets 12.5 mg/20 mg
Accuretic tablets 25 mg/20 mg
Aceon (perindopril)
Aciphex (rabeprazole)
Activella (estradiol with norethindrone)
Actonel (risedronate)
Actonel With Calcium (risedronate)
Actoplus met (pioglitazone hci/rnetforrnln hci)
Actos (pioglitazone)
Adrucil (fluorouracil)
Advair Diskus (fluticasone with salmeterol)
Advair Diskus inhalation powder 100 /50
Advair Diskus inhalation powder 250/50
Advair Diskus inhalation powder 500/50
Advicor ER (Iovastatin with niacin)
Aerobid (flunisolide)
Aerobid-M (flunisolide, menthol)
Aerochamber
Aerochamber with Mask
Agenerase (amprenavir)
Agenerase capsules 150 mg
Agenerase capsules 50 mg
Agenerase oral solution
Aggrenox (dipyridamole with aspirin)
Alamast (pemirolast)
Albenza (albendazole)
Albenza tablets 200mg
Aldactazide (spironolactone/hydrochlorthiazide)
Aldactazide tablets 25mg/25mg
Aldactone (spironolactone)
Aldactone tablets-film coated 100mg
Aldactone tablets-film coated 25mg
Aldactone tablets-film coated 50mg
Aldara (imiquimod)
Alinia (nitazoxanide)
Allegra (fexofenadine)
Allegra D (fexofenadine with pseudoephedrine)
Alphagan P (brimonidine)
Alphagan P solution 0.1% (15ml)
Alphagan P solution 0.15% (15ml)
Alrex (Ioteprednol)
Altabax ointment 1%
Altace (ramipril)
Amaryl (glimepiride)
Amerge (naratriptan)
Amerge tablets 1 mg
Amerge tablets 2.5 mg
Amitiza (lublprostone)
Anadrol-50 (oxymethalone)
Analpram (hydrocortisone acetate and pramoxine
hydrochloride)
Ancoban (flucytosine)
Androgel (testosterone)
Antivert (meclizine)
Antivert tablets 12.5 mg
Antivert tablets 50 mg
Apidra (insulin glulisine [rdna origin])
Aptivus (tipranavir)
Aralen (chloroquine)
Arava (leflunomide)
Aricept (donepezil hcl)
Arimidex (anastrozole)
Arixtra (fondaparinux)
Arixtra injection 10mg
Arixtra injection 5mg
Arixtra injection 7.5mg
Armour Thyroid (thyroid)
Arranon (nelarabine)
Arthrotec (diclofenac na/ntsoprostol)
Arthrotec tablets 50mcg
Arthrotec tablets 75mcg
Asacol SR (mesalamine)
Asmanex Twisthaler (mometasone furate)
Atacand (candesartan cilexetil)
Atacand HCT (candesartan cilexetil with
hydrochlorothiazide)
Atacand Hct tablets 16 mg/12.5 mg
Atacand Hct tablets 32 mg/12.5 mg
Atacand tablets 16 mg
Atacand tablets 32 mg
Atacand tablets 8mg
Atrovent Inhalation (ipratropium)
Avalide (ibesartan hydrochlorothiazide)
Avandamet (rosiglitazone maleate & metformin
hydrochloride)
I
sulfate)
Claripel (hydroquinone)
Cleocin (clindamycin phosphate)
Cleocin HCI (clindamycin hydrochloride)
Cleocin Hci capsules 150mg
Cleocin Hci capsules 300mg
Cleocin Hci capsules 75mg
Cleocin Pediatric (clindamycin palmitate
hydrochloride)
Cleocin T (clindamycin phosphate)
Cleocin T capsules 10mg/ml
Cleocin capsules 2%
Cleocin vaginal ovules
Climara (estradiol transdermal system)
Climara Pro (estradiol transdermal system)
Clinac BPa (benzoyl peroxide gel)
Clobevate (clobetasol propionate)
Cognex (tacrine)
Colestid (colestipol hydrochloride)
Colestid granules 5gm
Colestid tablets 19m
Combivent (albuterol with ipratropium)
Combivir (Iamivudine with zidovudine)
Combivir tablets 60mg
Comtan (entacapone)
Concerta XR (methylphenidate)
Copegus (ribavirin)
Coreg (carvedilol)
Coreg Cr tablets 10mg
Coreg Cr tablets 20mg
Coreg Cr tablets 40mg
Coreg Cr tablets 80mg
Coreg tablets 12.5 mg
Coreg tablets 25 mg
Coreg tablets 3.125 mg
Coreg tablets 6.25 mg
Corgard (nadolol)
Cortef (hydrocortisone)
Cortef tablets 10mg
Cortef tablets 20mg
Cortef tablets 5mg
Corzide (nadolol & bendroflumethiazide)
Cosopt (dorzolamide with timolol)
Cosopt ophthalmic solution 10ml
Cosopt ophthalmic solution 5ml
Coumadin (warfarin)
Covera HS (varaparnil hci)
Covera Hs tablets 180mg
Covera Hs tablets 240mg
Cozaar (Iosartan)
Cozaar tablets 100mg
Cozaar tablets 25 mg
Cozaar tablets 50 mg
Creon DR (pancrelipase)
Crestor (rosuvastatin calcium)
Crestor tablets 10 mg
Crestor tablets 20 mg
Crestor tablets 40 mg
Crestor tablets 5 mg
Cyclinex-l (medical food)
Cyclinex-2 (medical food)
Cymbalta (duloxetine hydrochloride)
Cytomel (Iiothyronine)
Cytotec (misoprostol)
Cytotec tablets 100mcg
Cytotec tablets 200 mcg
Dacarbazine (dacarbazine)
Dantrium (dantrolene)
Daraprim (pyrimethamine)
Daraprim tablets 25 mg
Daunorubicin (daunorubicin)
Daypro (oxaprozin)
Daypro capsules 600mg
DDAVP (desmopressin)
DDAVP Rhinal (desmopressin)
Declomycin (demeclocyline)
Depakene (valproic acid)
Depakote (valproic acid)
Depakote ER (valproic acid)
Depo - Estradiol (estradiol cypionate)
Depo - Estradiol injection 5mg/ml
Depo -Medrol (sterile methylprednisolone acetate)
Depo -rnedrol injection 20mg/ml
Depo -rnedrol injection 40mg/ml
Depo -medrol injection 80mg/ml
Depo- Provera (medroxyprogesterone acetate)
Depo-provera injection 150mg/ml
Detrol (tolterodine tartrate)
Detrol LA (tolterodine tartrate)
Detrol La capsules 2 mg
Detrol La capsules 4 mg
Detrol tablets 1 mg
Dexedrine Spansule (dextroamphetamine sulfate)
Dexedrine Spansule capsules 10mg
Dexedrine Spansule capsules 25mg
Dexedrine Spansule capsules 5mg
DHE45 (dihydroergotamine mesylate)
Diabinese (chlorpropamide)
Diabinese tablets 100mg
Diabinese tablets 250mg
Diastat (diazepam)
Didronel (etidronate)
Diflucan (fluconazole)
Diflucan tablets 100mg
Diflucan tablets 200mg
Dilantin (phenytoin)
Dilantin capsules 100mg
Dilantin capsules 30mg
Dilantin capsules 50mg
Dilantin suspension 125mg
Diovan (valsartan)
Diovan HCT (valsartan with hydrochlorothiazide)
Diprolene (betamethasone)
Ditropan (oxybutynin)
Avandamet tablets 2mg/l000mg
Avandamet tablets 2mg/SOOmg
Avandamet tablets 4mg/l000mg
Avandamet tablets 4mg/SOOmg
Avandaryl (rosiglitazone maleate and glimepiride)
Avandaryl tablets 4mg/lmg
Avandaryl tablets 4mg/2mg
Avandaryl tablets 4mg/4mg
Avandia (rosiglitazone)
Avandia tablets 2 mg
Avandia tablets 4 mg
Avandia tablets 8 mg
Avapro (irbesartan)
Avelox (moxifloxacin he!)
Avodart (dutasteride)
Avodart soft gelatin tablets O.Smg
Axert (almotriptan)
Azmacort (triamcinolone acetonide)
Azopt (brinzolamide)
Azulfidine (sulfasalazine, enteric coated)
Azulfidine tablets SOOmg
Bactroban (mupircon)
Bactroban cream
Bactroban ointment
Baraclude (entecavir)
Beconase AQ (beclomethasone dipropionate)
Beconase Aq nasal spray 0.042%
Benicar (olmesartan)
Benicar HCT (olmesartan)
BenzaClin (clindamycin with benzoyl peroxide)
Benzagel (benzoyl peroxide)
Benzamycin (benzoyl peroxide)
Betapace (sotalol hcl)
Betapace AF (sotalol hcl)
Betimol (timolol)
Betoptic S (betaxolol)
Bexxar (tositumomab)
Biafine (biafine)
Biaxin (clarithromycin)
Biaxin XL (clarithromycin)
Bicitra (sodium citrate and citric acid)
BiCNU (carmustine)
Bion Tears (dextran 70 with hydroxypropyl
methylcellulose)
Bleomycin Sulfate (bleomycin sulfate)
Boniva (ibandronate sodium)
Botox (botulinum toxin type a)
Brevoxyl 4 (benzoyl peroxide)
Brevoxyl 8 (benzoyl peroxide)
Byetta (exenatide)
Caduet (amlodipine besylate/atorvastatin calcium)
Caduet tablets 10mg/l0mg
Caduet tablets 10mg/20mg
Caduet tablets 10mg/40mg
Caduet tablets 10mg/80mg
Caduet tablets Smg/l0mg
Caduet tablets Smg/20mg
Caduet tablets Smg/40mg
Caduet tablets Smg/80mg
Calan (verapamil)
Calan SR (verapamil)
Calan Sr tablets 240mg
Calan tablets 120mg
Calan tablets 40mg
Calan tablets 80mg
Calcilo Xd (medical food)
Calijex (calcitriol injection)
Campral (acamprosate calcium)
Cantil (mepenzolate bromide)
Carac (florouracil cream 0.5%)
Cardizem LA (diltiazem)
Cardura (doxazosin)
Cardura tablets lmg
Cardura tablets 2mg
Cardura tablets 4mg
Cardura tablets 8mg
Carmol (urea cream (40%))
Carmol Scalp Treatment (sulfacetamide sodium
(10%))
Carteolol HCL (chi ophthalmic solution 1%)
Casodex (bicalutamide)
Catapres (clonidine)
Catapres-TTS Transdermal (clonidine)
Caverject (alprostadil injection- aqueous)
Caverject injection
CeeNU (Iomustine)
Ceftin oral suspension 12Smg/Sml
Ceftin oral suspension 2S0mg/ml
Ceftin tablets 12Smg
Ceftin tablets 2S0mg
Ceftin tablets 300mg
Ceftin tablets SOOmg
Ceftin tablets 600mg
Cefzil (cefprozil)
Celebrex (celcoxib)
Celebrex capsules 100 mg
Celebrex capsules 200 mg
Celebrex capsules 400 mg
Celexa (citalopram)
Cellcept (mycophenolate mofetil)
Celontin (methsuximide)
Celontin capsules
Cenestin (synthetic conjugated estrogens)
Chantix (varenicline)
Chantix tablet O.Smg
Chantix tablet lmg
Ciloxan (ciprofloxacin hcl ophthalmic solution)
Cipro (ciprofloxacin)
Cipro HC (ciprofloxacin with hydrocortisone)
Cipro XR (ciprofloxacin)
Ciprodex (ciprofloxacin with dexamethasone)
Cisplatin AQ (cisplatin aq)
Clarinex (desloratadine)
Clarinex-D (desloratadine Smg/pseudoephedrine
Ditropan XL (oxybutynin chloride)
Dostinex (cabergoline)
Dostinex tablets 0.5mg
Duetact (pioglitazone hci and glimedpiride)
Duragesic cn (fentanyl patch)
Dyazide (triamterene with hydrochlorothiazide)
Dyazide capsules 37.5mg/25mg
Dynacirc CR (isradipine)
Econopred Plus (corticosteriod)
Effexor (venlafaxine hcl)
Effexor XR (venlafaxine he!)
Elidel (pimecrolimus)
Elmiron (pentosan polysulfate sodium)
Elocon (mometasone furoate)
Emend (aprepitant)
EMSAM (selegiline transdermal system)
Emtriva (emtricitabine)
Enablex (darifenacin)
Enjuvia (synthetic conjugated estrogens, b)
Enlive! (nutritional supplement)
Ensure (nutritional supplement)
Ensure Fiber with FOS (nutritional supplement)
Ensure High Calcium (nutritional supplement)
Ensure High Protein (nutritional supplement)
Ensure Plus (nutritional supplement)
Epivir (Iamivudine)
Epivir oral solution
Epivir tablets 150 mg
Epivir tablets 300 mg
Epivir-HBV (lamivudine)
Epivir-hbv oral solution
Epivir-hbv tablets
Epzicom (abacavir sulfate & lamivudine)
Epzicom tablets
Erbitux (cetuximab)
Ertaczo (sertaconazole nitrate)
Estratest (esterified estrogens with
methyltestosterone)
Estratest H.5. (esterified estrogens with
methyltestosterone)
Estring (estradiol vaginal ring)
Estring vaginal ring 2mg
Estrogel (estradiol gel)
Ethyol (amifostine)
Etopophos (etoposide phosphate)
Etoposide (etoposide)
Evista (raloxifene)
Exelon (rivastigmine)
Exjade (deferasirox)
Exubera (insulin human [rdna origin])
Famvir (famicie!ovir)
Fareston (toremifene)
Faslodex (fulvestrant)
Felbatol (felbamate)
Feldene (piroxicam)
Feldene capsules 10 mg
Feldene capsules 20 mg
Femara (letrozole)
Ferrlecit (sodium ferric gluconate complex)
Flagyl 375 (metronidazole)
Flagyl 375 capsules 375mg
Flarex (fluorometholone)
Flexeril (cyclobenzaprine)
Flomax (tamsulosin)
Flonase (fluticasone propionate)
Flonase nasal spray 50mcg
Flovent HFA (f1uticasone propionate)
Flovent HFAaerosol spray 220 mcg
Flovent HFA inhaler 110 mcg
Flovent HFA inhaler 44 mcg
Floxin (ofloxacin)
Fludarabine (fludarabine)
Focalin (dexmethyiphenidate hcl)
Focalin XR (dexmethyiphenidate hcl)
Foradil (formoterol fumerate inhalation powder)
Fortaz (ceftazidime)
Fortaz injection 1 gm/vial
Fortaz injection 2 gm/vial
Fortaz injection 500 mg/vial
Fortaz injection 6 gm/vial
Fosrenol (lanthanum carbonate)
FreeStyle Flash Meter (glucose meter)
FreeStyle Meter (glucose meter)
Frova (frovatriptan succinate)
Gabitril (tiagabine)
Galzin (zinc salts)
Gengraf (cyclospori ne)
Geodon (ziprasidone hcl)
Geodon capsules 20 mg
Geodon capsules 40 mg
Geodon capsules 60 mg
Geodon capsules 80 mg
Gleevec (imatinib)
GlucaGen Hypokit (glucagon)
Glucagon Emergency Kit (glucagon)
Glucerna (nutritional supplement)
Glucerna Select (nutritional supplement)
Glucerna Shake (nutritional supplement)
Glucotrol (glipizide)
Glucotrol XL (glipizide extended release)
Glucotrol XI tablets 5 mg
Glucotrol tablets 10 mg
Glucotrol tablets 5 mg
Glutarex-l (medical food)
Glutarex-2 (medical food)
GlutoFac-MX (multivitamin)
GlutoFac-ZX (multivitamin/multimineral formula
including folic acid and z)
Glynase PresTab (qlyburtde, micronized)
Glynase Prestab tablets 1.5mg
Glynase Prestab tablets 3mg
Glynase Prestab tablets 6mg
Glyset (miglitol)
Glyset tablets 100mg
Glyset tablets 25mg
Glyset tablets 50mg
Grifulvin V (griseofulvin)
Haldol (haloperidol)
Hectorol (doxercalcifol)
Hepsera (adefovir dipivoxil)
Hi-Cal (nutritional supplement)
Hiprex (methenamine)
Hominex-l (medical food)
Hominex-2 (medical food)
Humalog (insulin lispro)
Humalog 75/25 (insulin lispro)
Humira (adalimumab)
Humulin (all types) (insulin,human)
Hyalgan (sodium hyaluronate)
Hycamtin (topotecam hydrochloride)
Hytone (hydrocortisone)
Hyzaar (Iosartan with hydrochlorothiazide)
Hyzaar tablets 12.5 mg
Hyzaar tablets 125 mg
Idarubicin (idarubicin)
Ifosfamide (ifosfamide)
Imdur (isosorbide mononitrate er)
Imitrex (sumatriptan succinate)
Imitrex injection
Imitrex nasal spray 20 rnq/unit
Imitrex nasal spray 5 mq/unit
Imitrex tablets 100 mg
Imitrex tablets 25 mg
Imitrex tablets 50 mg
Inderal LA (propranolol long acting)
Inderide (propranolol with hydrochlorothiazide)
Indocin (indomethacin)
Indocin oral solution
InFed (iron dextran)
Inspra (eplerenone)
Inspra tablets 25mg
Intal (cromolyn sodium)
Invega (paliperidone)
Invirase (saquinavir mesylate))
Iopidine (apraclonidine, 10 ml bottle)
Isopto Carbachol (carbahol)
Isopto Carpine (pilocarpine)
l-Valex-I (medical food)
I-Valex-2 (medical food)
Januvia (sitagliptin phosphate)
Januvia tablet 100mg
Januvia tablet 25mg
Januvia tablet 50mg
Jevity 1 Cal (nutritional supplement)
Jevity 1.2 Cal (nutritional supplement)
Jevity 1.5 Cal (nutritional supplement)
Juven (nutritional supplement)
Kay Ciel (potassium chloride powder)
Kayexalate (sodium polystyrene sulfonate)
K-Dur (postassium chloride)
Kenalog (triamcinolone acctonide)
Kenalog 10 (sterile triamcinolone acetonide
suspension)
Kenalog 40 (sterile triamcinolone acetonide
suspension)
Keppra (Ievetiracetam)
Kerlone (betaxolol)
Ketonex-1 (medical food)
Ketonex-2 (medical food)
Klaron (sodium sulfacetamide)
K-Tab (potassium chloride)
Kytril (granisetron)
Lamictal (Iamotrigine)
Lamictal tablets 100mg
Lamictal tablets 200mg
Lamictal tablets 25mg
Lamictal tablets-chewable 150mg
Lamictal tablets-chewable 25mg
Lamictal tablets-chewable 2mg
Lamictal tablets-chewable 5mg
Lanoxicaps (digoxin)
Lanoxicaps capsules 100 mcg
Lanoxicaps capsules 200 mcg
Lanoxicaps capsules 50 mcg
Lanoxin (digoxin)
Lanoxin Pediatic (digoxin)
Lanoxin Pediatic elixer 50mcg/50ml
Lanoxin tablets 0.125mg
Lanoxin tablets 0.25mg
Lantus U-100 (insulin glargine)
Lescol (fluvastatin)
Lescol XL (fluvastatin sodium)
Leucovorin (leucovorin)
Leukeran (chlorambucil)
Levaquin (levofloxacin)
Levemir (insulin detmir)
Levobunolol HCL (Ievolbunolol)
Levothroid (Ievothyroxine)
Levoxyl (Ievothyroxine)
Lexapro (escitalopram)
Lexiva (fosamprenavir)
Lexiva tablets 700mg
Licocin (lincomycin hydrochloride)
Licocin 300mg/ml
Lidoderm (lidocaine)
Lipitor (atorvastatin)
Lipitor tablets 10 mg
Lipitor tablets 20 mg
Lipitor tablets 40 mg
Lipitor tablets 80 mg
Lithobid (lithium carbonate)
Locoid (hydrocortisone butyrate)
Lodosyn (carbidopa)
Lodrane (antihistamines, decongestants)
Lodrane 12 hour (antihistamines, decongestants)
Lodrane 24 (antihistamines, decongestants)
Lodrane D (antihistamines, decongestants)
Lodrane XR (antihistamines, decongestants)
Lopid (gemfibrozil)
Lopid tablet 600mg
Lotemax (Ioteprednol)
Lotrisone (clotrimazole with betamethasone)
Lotronex (alosetron)
Lotronex tablets
Lumigan (bimatoprost)
Lumigan ophthalmic solution 0.03% (7.5ml)
Lupron (IeuproJide)
Luxiq (betamethasone valerate)
Lyrica (pregablin)
Lyrica capsules 100mg
Lyrica capsules 150mg
Lyrica capsules 200mg
Lyrica capsules 225mg
Lyrica capsules 25mg
Lyrica capsules 300mg
Lyrica capsules 50mg
Lyrica capsules 75mg
Lysodren (mitotane)
Macrobid (nitrofurantoin)
Macrodantin (nitrofurantoin)
Macugen (pegaptanib sodium)
Malarone (atovaquone and proguanil
hydrochloride)
Malarone Pedatric (atovaquone and proguanil
hydrochloride)
Malarone Pedatric tablets
Malarone Pediatric (atovaquone and proguani!
hydrochloride)
Malarone tablets 250 mg/l00 mg
Malarone tablets 62.5 mg/25mg
Marinol (dronabinol)
Mavik (trandolapril)
Maxair Autohaler (pirbuterol acetate)
Maxalt (rizatriptan benzoate)
Maxalt MLT (rizatriptan benzoate)
Maxalt Mlt tablets
Maxalt tablets 10 mg
Maxalt tablets 5mg
Maxitrol (dexamethasone with neomycin and
polymyxin b)
Medrol (methylprednisolone)
Medrol tablets 16mg
Medrol tablets 2mg
Medrol tablets 32mg
Medrol tablets 4mg
Medrol tablets 8mg
Mepron (atovaquone)
Mepron suspension
Mesna (mesna)
Mestinon (pyridostigmine)
Metipranolol (metipranolol hcl)
MetroGel (metronidazole)
MetroGel-Vaginal (metronidazole)
Miacalcin (calcitonin)
Micardis (telmisartan)
Micardis HCT (telmisartan with
hydrochlorothiazide)
Micronase (glyburide)
Micronase tablets 1.25 mg
Micronase tablets 2.5 mg
Micronase tablets 5 mg
Migranal (dihydroergotamine with caffeine)
MimyX (non-steriodal anti-inflammatory cream)
Minipress (prazosin)
Minipress capsules lmg
Minipress capsules 2mg
Minipress capsules 5mg
Minitran (nitroglycerin)
Minocin (minocycline)
Mirapex (pramipexole)
Mycelex (clotrimazole)
Mycobutin (rifabutin)
Myfortic (mycophenolic acid)
Myleran (busulfan)
Mylotarg (gemtuzumab ozogamicin for injection)
Mytelase (ambenonium)
Namenda (memantine)
Namenda Titration Pak (memantine)
Nardi! (phenelzine sulfate)
Nardil tablets 15mg
Nasacort AQ (triamcinolone acetonide)
Nasarel (flunisolide)
Nasonex (mometasone)
Navane (thiothixene)
Neoral (cyclosporine)
Nepro with Carb Steady (nutritional supplement)
Neumega (oprelvekin)
Neurontin (gabapentin)
Neurontin capsules 100 mg
Neurontin capsules 300 mg
Neurontin capsules 400 mg
Neurontin oral solution 250 rnq/rnl
Neurontin tablets 600 mg
Neurontin tablets 800 mg
Neutra-Phos (oral sodium and potassium
phosphate)
Neutra-Phos-K (oral potassium phosphate mixture)
Neutrexin (trimetrexate glucuronate)
Nexavar (sorafenib)
Nexium (esomeprazole magnesium)
Nexium capsules 20 mg
Nexium capsules 40 mg
Niaspan (niacin)
Nicotrol (nicotine)
Nicotrol NS (nicotine)
Nicotrol Ns nasal spray
Nicotrol inhaler
Nimotop (nimodipine)
Nitro-Dur (nitrogylcerin)
Nitrolingual (nitroglycerin lingual spray)
Noritate (metronidazole cream)
Norpace (disopyramide phosphate)
Norpace CR (disopyramide phosphate)
Norpace capsules 100mg
Norpace capsules 150mg
Norvasc (amlodipine)
Norvasc tablets 10 mg
Norvasc tablets 2.5 mg
Norvasc tablets 5 mg
Norvir (ritonavir)
Nouriva Repair (lipid cream)
NovoFine 30 (insulin)
Novolin (insulin, human)
Novolin InnoLet (recombinant human insulin)
Novolin N InnoLet (recombinant human insulin)
Novolin N PenFili (insulin)
Novolin N Vials (insulin, human)
Novolin PenFili (insulin)
Novolin R InnoLet (recombinant human insulin)
Novolin R PenFili (insulin)
Novolin R Vials (recombinant human insulin)
NovoLog (insulin aspart)
NovoLog FlexPen (insulin)
NovoLog Mix (insulin)
NovoLog Mix 70/30 FlexPen (insulin)
NutriFocus (nutritional supplement)
Ogen (estropipate)
Ogen tablet 0.625mg
Ogen tablet 1.25mg
Ogen tablet 2.5mg
Olux (clobetasol propionate)
Oncaspar (pegaspargase)
Optimental (nutritional supplement)
Orap (pimozide)
Osmolite (nutritional supplement)
Osmolite 1 cal (nutritional supplement)
Osmolite 1.2 cal (nutritional supplement)
Oxepa (nutritional supplement)
Oxsoralen (methoxsalen capsules)
Oxsoralen-Ultra (methoxsalen capsules)
Pancrease (pancrelipase)
Pancrease MT (pancrealipase)
Pancrease MT 20 (pancrealipase)
Pancrease MT16 (pancrealipase)
Pancrecarb MS-16 (amylase with lipase
pancrelipase protease)
Pancrecarb MS-4 (amylase with lipase pancrelipase
protease)
Pancrecarb MS-8 (amylase with lipase pancrelipase
protease)
Parcopa (carbidopa-Ievodopa)
Parnate (tranylcypromine)
Parnate tablets 10 mg
Paxil (paroxetine hydrochloride)
Paxil CR (paroxetine hydrochloride)
Paxil Cr tablets 12.5mg
Paxil Cr tablets 25mg
Paxil Cr tablets 37.5mg
Paxil tablets 10mg
Paxil tablets 20mg
Paxil tablets 30mg
Paxil tablets 40mg
PediaSure (nutritional supplement)
PediaSure Enteral Formula (nutritional
supplement)
PediaSure Enteral Formula w/Fiber (nutritional
supplement)
PediaSure w/Fiber (nutritional supplement)
Pegasys (peginterferon alfa-2a)
Penlac (ciclopirox)
Perative (nutritional supplement)
Pexeva (paroxetine mesylate)
Phenex-l (medical food)
Phenex-2 (medical food)
pHisoHex (hexachlorophene)
Phospholine Iodide (echothiophate iodide)
Pilopine HS (pilocarpine hcl)
Plaquenil (hydroxychloroquine)
Plavix (clopidogrel)
Plendil (felodipine er tablets)
Plendil tablets 10 mg
Plendil tablets 2.5 mg
Plendil tablets 5 mg
PolyCitra (tricitrates oral solution)
PolyCitra LC (tricitrates oral solution)
PolyCitra-K (potassium citrate and citric acid for
oral solution)
Polycose (nutritional supplement)
Ponstel (mefenamic acid)
potassium chloride ER (potassium)
Pramosone (pramoxine with hydrocortisone)
Prandin (repaglinide)
Precose (acarbose)
Premarin (conjugated estrogens)
Premphase (estrogens conjugated with
medroxyprogesterone acetate)
Prempro (estrogens, conjugated and
medroxyprogesterone)
Prevacid (Iansoprasole)
Prevacid SoluTab (Iansoprasole)
Prezista (darunavir)
Procardia (nifedipine)
Procardia XL (nifedipine extended release)
Procardia XI capsules 30 mg
Procardia XI capsules 60mg
Procardia XI capsules 90 mg
Procardia capsules 10 mg
Procardia capsules 20 mg
Proglycem (diazoxide)
Prometrium (progesterone)
Promote (nutritional supplement)
Promote with Fiber (nutritional supplement)
Pro-Phree (medical food)
Propimex-l (medical food)
Propimex-2 (medical food)
Prostigmin (neostigmine methysulfate)
Protonix (pantoprazole sodium)
Proventil HFA (albuterol hfa)
Proventil UD (albuterol)
Provera (medroxyprogesterone acetate)
Provera tablets 10mg
Provera tablets 2.5mg
Provera tablets 5mg
Provimin (medical food)
Prozac (fluoxetine)
Prozac Weekly (fluoxetine)
Psorcon (diflorasone)
Psorcon E (diflorasone)
Pulmicort Respules (budesonide)
Pulmicort Respules inhalation
suspension 0.25mg/2ml
Pulmicort Respules inhalation
suspension 0.5mg/2ml
Pulmocare (nutritional supplement)
Purinethol (mercaptorpurine)
Quixin (Ievofloxacin)
QVAR (beclomethasone dipropionate hfa)
Razadyne (galantamine hbr)
Razadyne ER (galantamine hbr)
RCF(Ross Carbohydrate Free) (medical food)
Regranex (becaplermin)
Relenza powder for inhalation
Relpax (eletriptan)
Relpax tablets 20 mg
Relpax tablets 40 mg
Renagel (sevelamer)
ReoPro (abciximab)
Requip (ropinirole)
Requip tablets 0.25 mg
Requip tablets 0.5 mg
Requip tablets 1 mg
Requip tablets 2 mg
Requip tablets 3 mg
Requip tablets 4 mg
Requip tablets 5 mg
Rescriptor (delavirdine)
Rescriptor tablets 200 mg
Restasis (cvclosporlne)
Restasis ophthalmic ointment 0.05 % (32 x 0.4 ml)
Retin-A (tretinoin)
Retin-A Micro (tretinoln)
Retrovir (zidovudine)
Retrovir capsules
Retrovi r syru p
Retrovir tablets
Reyataz (atazanavir)
Rhinocort Aqua (budesonide)
Rhinocort Aqua nasal spray 32 mcg
Risperdal (risperidone)
Risperdal Consta Long Acting (risperidone)
Risperdal M (risperidone)
Risperdal M-TAB (risperidone)
Ritalin LA (methyliphenidate)
Robinul (glycopyrrolate)
Robinul Forte (glycopyrrolate)
Roferon-A (interferon alfa-2a, recombinant)
Rosac (sodium sulfacetamide and sulfur)
Rosula (sodium sulfacetamide 10% and sulfur 5%)
Rosula Cleanser (sodium sulfacetamide and sulfur)
Rozerem (ramelteon)
Rythmol SR (propafenone)
Sandimmune (cyclosporine)
SBR LipoCream OTC (lipocream)
Serevent Diskus (salmeterol)
Serevent Diskus powder for inhalation 50 mcg
seroquel (quetiapine fumarate)
seroquel tablet 50mg
Seroquel tablets 100 mg
Seroquel tablets 200 mg
seroquel tablets 25 mg
Seroquel tablets 300 mg
Singulair (montelukast sodium)
Singulair tablets 10 mg
Singulair tablets-chewable 4 mg
Sinqulair tablets-chewable 5mg
Singular (montelukast sodium)
Skelaxin (metaxalone)
Skelid (tiludronate)
Smolite 1.5 (nutritional supplement)
soriatane (acitretin)
Spiriva (tlotroplurn)
Sporanox (itraconazole)
Sprycel (dasatinib)
stalevo (carbidopa with levodopa and entacapone)
Starlix (nateglinide)
Strattera (atomoxetine)
Stromectol (ivermectin)
Stromectol tablets
Sular (nisoldipine)
sulfacet-R (sulfacetamide and sulfur)
Sulfacet-R Tint Free (sulfacetamide and sulfur)
sulfoxyl (benzoyl peroxide 5% and sulfur 2%)
suplena with Carb Steady (nutritional supplement)
sustiva (efavirenz)
Symbyax (olonzapine and fluoxetine)
Symlin (pramlintide acetate)
Synarel (nafarelin acetate solution)
Synarel nasal spray 2mg/ml
Synthroid (Ievothyroxine)
Systane (lubricant eye drops)
Tabloid (thioguanine)
Tambocor (flecainide)
Tarceva (erlotinib)
Tarceva tablets 100mg
Tarceva tablets 150mg
Tarceva tablets 25mg
Tarka (trandolapril and verapamil)
Tasmar (tolcapone)
Tazorac (tazarotene)
Tazorac cream 0.05%
Tazorac cream 0.1%
Tazorac gel 0.05%
Tazorac gel 0.1%
Tears Naturale Forte (saline)
Tears Naturale Free Lubricant (saline)
Tears Naturale PM (saline)
Tegretol (carbamazepine)
Tegretol XR (carbamazepine)
Temodar (temozolomide)
Terazol 3 (terconazole)
Terazol 7 (terconazole)
Tessalon (benzonatate)
Teveten (eprosartan)
Teveten HCT (eprosartan)
Thalomid (thalidomide)
Theochron (theophylline)
Thyrolar 1 (Ievothyroxine and liothyronine)
Thyrolar 1/2 (levothyroxine and liothyronine)
Thyrolar 1/4 (Ievothyroxine and liothyronine)
Thyrolar 2 (Ievothyroxine and liothyronine)
Thyrolar 3 (levothyroxine and liothyronine)
Tiazac (diltiazem)
Tikosyn (dofetilide)
Tikosyn tablets 125mcg
Tikosyn tablets 250mcg
Tikosyn tablets 500mcg
Tilade (nedocromil sodium inhalation aerosol)
Timentin (ticarcillin disodium and clavulanate
potassium)
Timentin injection
Timolol Maleate (timolol)
Timoptic (tirnolol maleate)
Timoptic ophthalmic solution
Timoptic-XE (timolol maleate-hydrochlorothiazde)
Tlrnoptic-xe ophthalmic gel
TobraDex (tobramycin and dexamethasone)
Topamax (topiramate)
Toposar (etoposide)
Toprol XL (metoprolol succinate extended release
tablets)
Toprol XI tablets 100 mg
Toprol XI tablets 200 mg
Toprol XI tablets 50 mg
Travatan (travoprost)
Trecator (ethionamide)
Tretin-X (tretinoin)
Tricor (fenofibrate)
Triglide (fenofibrate)
Trileptal (oxcarbazepine)
TriLuma (gluocinolone acetonide, hydroquinone,
tretinoin)
Trizivir (abacavir with lamivudine and zidovudine)
Trizivir tablets 300mg/150mg/300mg
Trusopt (dorzolamide hydrochloride)
Trusopt ophthalmic solution
Truvada (emtricitabine and tenofovir disoproxil
fumarate)
TwoCal HN (nutritional supplement)
Tyrex-1 (medical food)
Tyrex-2 (medical food)
Tyzine (tetahydrozoline hydrochloride)
Ultracet (tramadol and acetaminophen)
Ultram (tramadol hcl)
Unisol 4 Saline (saline)
Urispas (flavoxate hcl)
UroXatral (alfuzosin)
Vagifem (estradiol vaginal tablets)
Valcyte (valganciclovir hcl)
Valtrex (valacyclovir hydrochloride)
Valtrex caplets
Vantin (cefpodoxime proxetil)
Vantin oral solution 100mg/5 ml
Vantin oral solution 50mg/5 ml
Vantin tablets 100mg
Vantin tablets 200mg
Vaseretic (enalapriljhctz)
Vasotec (enalapril maleate)
Ventolin HFA (albuterol inhalers)
Ventolin Hfa inhaler
Vesanoid (tretinoin)
Vesicare (solifenacin succinate)
Vesicare tablets 10mg
Vesicare tablets 5mg
Vexol (rimexolone)
Viagra (sildenafil citrate)
Viagra tablets 100 mg
Viagra tablets 25 mg
Viagra tablets 50 mg
Vibramycin (doxycycline hyclate)
Vibramycin capsules 50 mg
Vibramycin oral suspension 25 rnq/rnl
Vibramycin syrup 50 rnq/rnl
Vibra-Tabs (doxycycline hyclate)
Vibra-tabs tablets 100mg
Vigamox (moxifloxacin)
Vincasar PFS (vincristine sulfate)
Vincristine (vincristine sulfate)
Vinorelbine (vinorelbine tartrate)
Viracept (nelfinavir)
Viracept tablets 250 mg
Viracept tablets 625 mg
Viramune (nevirapine)
Viread (tenofovir)
Vistaril (hydroxyzine pamoate)
Vlstaril capsules 100 mg
Vistaril capsules 25 mg
Vistide (cidofovir)
Vital HN (nutritional supplement)
Vital Jr (nutritional supplement)
Voltaren (diclofenac)
Vumon (teniposide)
Vytone (hydrocortisone and iodoquinol)
Vytorin (ezetimibelsimvastatin)
WelChol (colesevelam hcl)
zovrrax capsules
Zovirax suspension
Zovirax tablets
Zyban SR (bupropion hydrochloride sustained
release)
