
Prescription Assistance Programs
Many people lack health insurance coverage and cannot afford the prescription medications and healthcare services that they need. More than 27 million people make less than 200% of the Federal Poverty Level Guidelines and they do not have prescription coverage. The American pharmaceutical companies established the patient assistance programs to assist the low income uninsured individual to access the prescription medications that they need. Prescription Assistance Network of Stark County, Inc. will assist patients in enrolling in the pharmaceutical company programs. Each company has their own criteria for qualification and length of time that medications will be provided. The pharmaceutical company patient assistance programs offer access to prescription medications that treat a broad range of medical conditions.
The Prescription Assistance Network uses the Medbank RX Bridge Program to enroll patients into the pharmaceutical company programs. If a patient moves or changes providers within the network their information is readily available to the new provider so that refills, additional medications and changes may be processed easily.
The American pharmaceutical companies offer many free or low cost prescription medication programs for low income individuals and families that meet their eligibility guidelines. These programs are often times referred to as PAPs, MAPs or PPAP. You may review the formulary below to see if the medications that are prescribed to you are on a program or go to https://www.pparx.org or call 1-888-4PPA-Now (1-888-477-2669) to review the programs that are available and the eligibility criteria.
Prescription medication is available in either a brand name or a generic name. Most PAPs are for brand name drugs, but if the doctor does not specify DAW (dispense as written) the patient can take either the brand name form or the generic name form of the drug. Therefore a PAP can assist an individual that is taking either the brand or generic form of the drug. To review programs please see the attached link to medications and you may hook onto the first letter of the name of the drug that you are prescribed or you may scroll down through the entire list.
The Prescription Assistance Network will help individuals to research programs, assess eligibility and enroll in the prescription assistance programs. Please see the links of agencies and sites that provide this service.
A B
C D E F
G H I J K
L M N O
P Q R S
T U V W
X Y Z
| Brand Name | Generic/Formulary Name | Company |
| 8-Mop | Methoxsalen | Valeant Pharma |
| Abecelet | amphotericin b lipid complex | Ezon |
| Abilify | Aripiprazole | Bristol-Myers |
| Accolate | Zafirlukast | AstraZeneca |
| Accupril | Quinapril HCl | Pfizer |
| Accuretic | Quinapril , HCTZ | Pfizer |
| Aceon | Perindopril erbumine | Solvay |
| Aciphex | Rabeprazole sodium | Janssen |
| Acthar Gel | Adrenocorticotropic hormone | NORD |
| Actimmune | corticotropin (acth) | Intermunne |
| Activase | Alteplase, recombinant | Genentech |
| Activella | Estradiol, norethindrone acetate | Novo-Nordisk WH |
| Actonel | Risedronate sodium | Proctor&Gamble |
| Actos | Pioglitazone HCl | Takeda |
| Actoplus Met | Pioglitazone HCl/ Metformin HCI | Takeda |
| Advair Diskus | Fluticasone propionate, salmeterol inhalation | GlaxoSmithKline |
| Advicor | Niacin, Lovastatin | KOS |
| Aerobid | Flunisolide | Forest |
| Aerobid-M | Flunisolide | Forest |
| Aerochamber | --- | Forest |
| Aerochamber w/ Mask | --- | Forest |
| Agenerase Capsules | Amprenavir | GlaxoSmithKline |
| Agenerase Oral Solution | Amprenavir | GlaxoSmithKline |
| Aggrenox | Dipyridamole , aspirin | Boehringer Ingleheim |
| Agrylin | Anagrelide HCl | Shire |
| Aldara | Imiquimod | 3M |
| Aldactone | Spironolactone | Pfizer |
| Aldactazide | Spironolactone HCL | Pfizer |
| Alduarzyme | Laronidase | Genzyme |
| Allegra | Fexofenadine HCl | Sanofi-Aventis |
| Allegra D | Fexofenadine HCl | Sanofi-Aventis |
| Aloxi | Palonosetron | MGI |
| Alphagan P | Brimonidine tartrate | Allergan |
| Alrex | Loteprendol | Bausch & Lomb |
| Altace | Ramipril | King Pharmaceuticals |
| Amaryl | Glimepiride | Sanofi-Aventis |
| Amerge | Naratriptan hydrocholoride | GlaxoSmithKline |
| Amicar Injection | Aminocaproic HCl | Xanodyne |
| Amicar Syrup | Aminocaproic HCl | Xanodyne |
| Amicar Tablets | Aminocaproic HCl | Xanodyne |
| Amitiza | Lubiprostone | Takeda |
| Amoxil | Amoxicillin | GlaxoSmithKline |
| Anadrol | Oxymetholone | Solvay |
| Anafranil | Clomipramine HCL | Mallinckrodt Pharmaceuticals |
| Anamantle HC | Lidocaine & Hydrocortisone | Bradley Pharmaceuticals |
| Ancobon Caps | Flucytosine | Valeant Pharma |
| AndroGel/ Pump | Testerone | Solvay |
| Antivert | Meclizine HC | Pfizer |
| Anusol-HC | Anucort-HC | Xubex Pharmaceuticals |
| Anzemet tab/ inj | Dolasetron mesylate | Sanofi-Aventis PACT+ |
| Apidra injection | insuline glulisine [rdna origin] | Sanofi-Aventis |
| Aptivus | Tipranavir | Boehringer Ingleheim |
| Aralen | Chloroquine HCl | Sanofi-Aventis |
| Aranesp | Darbepoetin alfa | Amgen |
| Arava | Leflunomide | Sanofi-Aventis |
| Aricept | Donepezil HCl | Pfizer |
| Arimidex | Anastrozole | AstraZeneca |
| Armour Thyroid | Levothyroxine sodium | Forest |
| Arthrotec | Diclofenac-misoprostol | Pfizer |
| Asacol | Mesalamine | Proctor&Gamble |
| Atacand | Candesartan cilexeril | AstraZeneca |
| Atacand HCT | Candesartan cilexetil-hydrocholorthiazide | AstraZeneca |
| Atrovent MDI | Ipratropium bromide | Boehringer Ingleheim |
| Augmentin | Amoxicillin, potassium clavulanate | GlaxoSmithKline |
| Augmentin ES | Amoxicillin | GlaxoSmithKline |
| Avalide | Irbesartan-HCTZ | Bristol-Myers |
| Avandamet | Rosiglitazone maleate & metformin hydrochloride | GlaxoSmithKline |
| Avandaryl | Rosiglitazone maleate | GlaxoSmithKline |
| Avandia | Rosiglitazone maleate | GlaxoSmithKline |
| Avapro | Irbesartan | Bristol-Myers |
| Avastin | Bavacizumab | Genentech |
| Avelox | Monifloxacin HCl | Schering-Plough |
| Avodart | Dutasteride | GlaxoSmithKline |
| Avonex | Interferon beta-la | Biogen |
| Axert | Almotriptan | Johnson & Johnson |
| Azasan | Azathioprine | Salix Pharmaceuticals |
| Azmacort Inhaler | Triamcinolone Acetonide | Kos |
| Azopt | Brinzolamide ophthalmic suspension | Alcon Labs |
| Azulfidine | Sulfasalazine (Enteric Coated) | Pfizer |
| Bactroban Cream | Mupirocin | GlaxoSmithKline |
| Bactroban Ointment | GlaxoSmithKline | |
| Beconase AQ | Beclomethasone dipropionate | GlaxoSmithKline |
| Benicar | Olmesartan | Sankyo |
| Benoquin Cream | Valeant Pharma | |
| BenzaClin Topical Gel | Clindamycin phos-benzoyl peroxide | Dermik |
| Benzagel Gel | Benzoyl peroxide | Dermik |
| Benzagel Wash | Benzoyl peroxide | Dermik |
| Benzamycin Gel | Erythromycin , benzoyl peroxide | Dermik |
| Betagan | Levobunolol HCl | Allergan |
| Betapace | Sotalol HCl | Berlex |
| Betapace AF | Sotalol HCl | Berlex |
| Betaseron | Interferon beta-1b | Berlex |
| Betoptic S | Betaxolol HCl | Alcon Labs |
| Biaxin | Clarithromycin | Abbott |
| Biaxin XL | Clarithromycin | Abbott |
| Bicitra | Sodium citrate , citric acid oral solution, USP | Johnson & Johnson |
| BICNU | Carmustine | Bristol Oncology |
| Bidil | Isosorbide Dinitrate | NitroMed |
| Bion Tears | Dextra | Alcon Labs |
| Blenoxane | Bleomycin sulfate | Bristol Oncology |
| Botox | Botullinium toxin | NORD |
| Buphenyl | Sodium phenylbutyrate | NORD |
| BuSpar dividose | Buspirone HCl, USP | Bristol-Myers |
| Byetta | Exenatide | Amylin Pharmaceuticals |
| Caduet | Amlodipine besylate/ Atorvastatin calcium | Pfizer |
| Calcijex | Abbott | |
| Campath | Alemtuzumale | Berlex |
| Canasa Suppository | Mesalamine | Axcan Pharma |
| Cantil | Mepenzolate bromide | Sanofi-Aventis |
| Carac cream | Fluorouracil cream | Dermik |
| Carafate Oral Suspension/ Tablet | Sucralfate | Axcan Pharma |
| Carbatrol | Carbamazepine | Shire |
| Cardura | Doxazosin mesylate | Pfizer |
| Carmol Cream | Bradley Pharmaceuticals | |
| Carmol Gel | Bradley Pharmaceuticals | |
| Carmol Lotion | Bradley Pharmaceuticals | |
| Carnitor | Levocarnitine | NORD |
| Carteolol HCl | Carteolol | Alcon Labs |
| Casodex | Bicalutamide | AstraZeneca |
| Catapres TTS | Clonidine HCl | Boehringer Ingleheim |
| Ceclor | Cefaclor | Eli Lilly |
| CeeNU | Lomustine | Bristol Oncology |
| Ceftin Oral Solution | GlaxoSmithKline | |
| Ceftin Tablets | Cefuroxime axetil | GlaxoSmithKline |
| Cefzil | Cefprozil | Bristol-Myers |
| Celebrex | Celecoxib | Pfizer |
| Celexa | Citalopram hydrobromide | Forest |
| Cellcept | Mycophenolate mofetil | Roche |
| Celluvisc | Carboxymethocellulose sodium | Allergan |
| Cenestin | Duramed | |
| Ceredase | Genzyme | |
| Cerezyme | Genzyme | |
| Chantix | Varenicline | Pfizer |
| Ciloxan Ointment | Ciprofloxacin HCl | Alcon Labs |
| Ciloxan Solution | Ciprofloxacin HCl | Alcon Labs |
| Cipro | Ciprofloxacin HCl | Schering-Plough |
| Cipro IV | Ciprofloxacin HCl | Schering-Plough |
| Cipro Oral | Ciprofloxacin HCl | Schering-Plough |
| Claforan | Cefotaxime sodium | Aventis |
| Clarinex | Deslorataine | Schering-Plough |
| Clarinex-D | Deslorataine/ Pseudoephedrine Sulfate | Schering-Plough |
| Climara | Estradiol transdermal system | Berlex |
| Climara Pro | Berlex | |
| Clozapine | Ivax | |
| Clozapine | Mylan | |
| Clozaril | Clozapine | Novartis |
| Cognex | Tacrine HCl | First Horizon |
| Combivent MDI | Ipratropium bromide/Albuterol sulfate | Boehringer Ingleheim |
| Combivir | Lamivudine/Zidovudine | GlaxoSmithKline |
| Comtan | Entacapone | Novartis |
| Concerta | Johnson & Johnson | |
| Copaxone | Glatiramer acetate | NORD |
| Cordarone | Amiodarone HCl | Wyeth |
| Coreg | Carvedilol | GlaxoSmithKline |
| Cosmegen | Merck | |
| Cosopt | Dorzolamide-Timolol | Merck |
| Coumadin | Warfarin sodium | Bristol-Myers |
| Cozaar | Losartan potassium | Merck |
| Creon | Pancrelipase | Solvay |
| Crestor | Rosuvastatin | AstraZeneca |
| Crixivan | Indinavir sulfate | Merck |
| Cuprimine | Merck | |
| Cystadane | Betaine anhydrous | NORD |
| Cytotec | Misoprostol | Pfizer |
| Cytovene | Ganciclovir capsules | Roche |
| Cytovene-IV | Ganciclovir sodium for injection | Roche |
| Cytoxan/Lyophilized (Vial and tabs) | Cyclophosphamide | Bristol Oncology |
| Dantrium | Dantrolene sodium | Proctor&Gamble |
| Daunoxome | Daunorubicin | Gilead Sciences |
| DDAVP | Desmopressin acetate | Sanofi-Aventis |
| DDAVP Injection | Desmopressin acetate | Sanofi-Aventis |
| DDAVP Rhinal | Desmopressin acetate | Sanofi-Aventis |
| Deconamine | Bradley Pharmaceuticals | |
| Deconamine SR | Bradley Pharmaceuticals | |
| Demser | Metyrosine | Merck |
| Depakote | Valproic acid | Abbott |
| Depakote ER | Valproic acid | Abbott |
| Desferal | Deferoxamine mesylate, USP | Novartis |
| Detrol | Tolterodine tartrate | Pfizer |
| Detrol LA | Tolterodine tartrate | Pfizer |
| Dexedrine | Dextroamphetamine sulfate | GlaxoSmithKline |
| Dexferrum | American Regent | |
| DHE 45 Tablets |
Dihydroergotamine Mesylate |
Xcel |
| Diabinese | Chlorpropamide | Pfizer |
| Diastat | Diazepam rectal gel | Xcel |
| Didronel | Etidronate disodium | Proctor&Gamble |
| Diflucan | Fluconazole | Pfizer |
| Dilantin | Phenytoin | Pfizer |
| Diovan | Valsartan HCl | Novartis |
| Diovan HCT | Valsartan HCTZ | Novartis |
| Diprolene AF Cream | Betamethasone | Schering-Plough |
| Diprolene Gel | Betamethasone | Schering-Plough |
| Diprolene Lotion | Betamethasone | Schering-Plough |
| Diprolene Ointment | Betamethasone | Schering-Plough |
| Ditropan | Oxybutynin chloride | Johnson & Johnson |
| Ditropan XL | Oxybutynin chloride | Johnson & Johnson |
| Diuril | Merck | |
| Dolobid | Diflunisal | Merck |
| Dostinex | Pfizer | |
| Dovonex | Calcipotreine | Bristol-Myers |
| Doxil | Doxorubicin HCl | Ortho-BioTech |
| Drisdol | Ergocalciferol | Sanofi-Aventis |
| DTIC Dome | Dacarbazine | Bayer |
| Duetact | Pioglitazone HCI and Glimedpiride | Takeda |
| Duragesic | Fentanyl transdermal system | Johnson & Johnson |
| Dyazide | Triamterene , HCTZ | GlaxoSmithKline |
| Dynacirc/CR | Isradipine | Reliant |
| Econopred Plus | Prednisolone | Alcon Labs |
| Effexor | Venalafaxine HCl | Wyeth |
| Effexor XR | Venlafaxine HCl | Wyeth |
| Efudex | Valeant Pharma | |
| Eldopaque | Valeant Pharma | |
| Eldoquin Forte | Valeant Pharma | |
| Elidel | Pimecrolimus | Novartis |
| Elitek | Rasburicase | Sanofi-Aventis PACT+ |
| Elmiron | Pentosan polysulfate sodium | Johnson & Johnson |
| Elocon | Mometasone furoate | Schering-Plough |
| Eloxatin | Oxaliplatin injection | Sanofi-Aventis PACT+ |
| Elspar | Asparaginase | Merck |
| Emend | Merck | |
| Emla Cream | Lidocaine , priolcaine | AstraZeneca |
| Enbrel | Etanercept | Amgen & Wyeth |
| Entocort EC | Budesonide | AstraZeneca |
| Epivir | Lamivudine | GlaxoSmithKline |
| Epivir HBV | Lamivudine | GlaxoSmithKline |
| Epogen | Epoetin alfa | Amgen |
| Erythromycin | Abbott | |
| Estratest | Esterfied estrogen, methyltestosterone | Solvay |
| Estratest H.S. | Esterfied estrogen, methyltestosterone | Solvay |
| Ethmozine | Morcizine HCl | Shire |
| Ethyol | Amifostine | Medimmune |
| Evista | Raloxifene | Eli Lilly |
| Exelon | Rivastigmine tartrate | Novartis |
| Fabrazyme | Genzyme | |
| Famvir | Famiciclovir | Novartis |
| Fareston | Toremifene citrate | GTX |
| Faslodex | Fulvestrant | AstraZeneca |
| Felbatol | Felbamate | MedPointe |
| Feldene | Piroxicam | Pfizer |
| Femara | Novartis | |
| Flarex | Fluorometholone | Alcon Labs |
| Flexeril | Johnson & Johnson | |
| Flomax | Tamsulosin HCl | Boehringer Ingleheim |
| Flonase | Fluticasone propionate | GlaxoSmithKline |
| Flovent | Fluticasone propionate | GlaxoSmithKline |
| Flovent Rotadisk | Fluticasone propionate | GlaxoSmithKline |
| Floxin | Ofloxacin | Johnson & Johnson |
| Fludara | Fludarabine phosphate | Berlex |
| Focalin | Dexmethylphenidate hydrochloride | Novartis |
| Folgard | Upsher-Smith | |
| Fortaz | Ceftazidime | GlaxoSmithKline |
| Fortovase | Saquinavir | Roche |
| Fosamax | Alendronate sodium | Merck |
| Foscavir | Foscarnet sodium | AstraZeneca |
| Fototar Cream | Valeant Pharma | |
| Fragmin | Pfizer | |
| Gabitril | Cephalon | |
| Galzin | Gate | |
| Gastrocrom Oral Concentrate | Cromolyn sodium | CellTech |
| Gemzar | Gemcitabine HCl | Eli Lilly |
| GenGraf | Cyclosporine | Abbott |
| Genteal | Novartis | |
| Geodon | Ziprasidone | Pfizer |
| Gleevec | Novartis | |
| Glucagon | --- | Eli Lilly |
| Glucophage | Metformin HCl | Bristol-Myers |
| Glucophage XR | Metformin HCl extended release | Bristol-Myers |
| Glucotrol | Glipizide | Pfizer |
| Glucotrol XL | Glipizide (time release) | Pfizer |
| Glucovance | Glyburide , metformin HCl tablets | Bristol-Myers |
| Glutofac-MX | Bradley Pharmaceuticals | |
| Glutofac-ZX | Bradley Pharmaceuticals | |
| Glyquin Cream | Valeant Pharma | |
| Glyquin XM | Valeant Pharma | |
| Grifulvin V Suspension | Griseofulvin oral suspension | Johnson & Johnson |
| Haldol Dec | Halperidol | Johnson & Johnson |
| Hectorol | Doxercalciferol | Bone Care International |
| Hepsera | Adefovir | Gilead Sciences |
| Herceptin | Trastuzumab | Genentech |
| Hexalen | Altretamine | MGI |
| Hiprex | Methenamine hippurate | Aventis |
| Humalog | Insulin lispro injection | Eli Lilly |
| Humatrope | Somatropin | Eli Lilly |
| Humulin | Combined insulins | Eli Lilly |
| Humulin 50/50 | Human insulin | Eli Lilly |
| Humulin 70/30 | Human insulin | Eli Lilly |
| Humulin L,N,N/NPH,R,U, | Human insulin | Eli Lilly |
| Hycamtin | Topotecan HCl | GlaxoSmithKline |
| Hydrea | Hydroxyurea | Bristol Oncology |
| Hypotears | Novartis | |
| Hytone Cream | Hydrocortisone | Dermik |
| Hytone Lotion | Hydrocortisone | Dermik |
| Hytrin | Terazosin HCl | Abbott |
| Hyzaar | Losartan potassium , HCTZ | Merck |
| Iberet-Folic 500 | Multivitamin | Abbott |
| Ifex/Mesna | Ifosamide | Bristol Oncology |
| Iletin II | Eli Lilly | |
| Imdur | Isosorbide mononitrate | Schering-Plough |
| Imitrex | Sumatriptansuccinate | GlaxoSmithKline |
| Imogam | NORD | |
| Imovax | NORD | |
| Inderal LA | Propranolol HCl | Wyeth |
| Inderide | Propranolol HCl , HCTZ | Wyeth |
| Indocin Oral Suspension | Indomethacin | Merck |
| Infed | Iron dextran parenteral | Watson |
| Infergen | Intermunne | |
| Inspra | Elerenone | Pfizer |
| Integrillin | Millenium | |
| Intron-A | Interferon alfa-2b recombinant | Schering-Plough |
| Iopidine | Apraclonidine | Alcon Labs |
| Iressa | AstraZeneca | |
| Isoptin SR | Verapamil | Abbott |
| Isopto carbachol | Carbachol | Alcon Labs |
| ITB | --- | NORD |
| Januvia | Sitagliptin Phosphate | Merck |
| Kaletra | Lopinavir/ritonavir | Abbott |
| Kay Ciel Powder Packets | Potassium chloride | Forest |
| Kayexalate powder | sodium polystyrene sulfonate | Sanofi-Aventis |
| K-dur | Potassium salts | Schering-Plough |
| Keflex | Cephalexin | Eli Lilly |
| Kenalog | Triamcinolone acetonide | Bristol-Myers |
| Kenalog aerosol topical spray | Triamcinolone acetonide | Bristol-Myers |
| Kenalog-10 | Sterile triamcinolone acetonide suspension, USP | Bristol-Myers |
| Kenalog-40 | Sterile triamcinolone acetonide suspension, USP | Bristol-Myers |
| Kenalog-In-Orabase | Triamcinolone acetonide dental paste, USP | Bristol-Myers |
| Keppra | Levetiracetam | UCB |
| Keppra Oral Solution | UCB | |
| Kerlone | Betaxolol HCl | Sanofi-Aventis |
| Kineret | Amgen | |
| Klaron Lotion | Sodium sulfacetamide | Dermik |
| K-Lor | Potassium chloride | Abbott |
| Klor-Con | Upsher-Smith | |
| Klotrix | Potassium chloride | Bristol-Myers |
| K-Lyte DS | Potassium chloride supplement, 50 mEq | Bristol-Myers |
| K-Lyte Tabs | Potassium chloride supplement | Bristol-Myers |
| K-Tab | Potassium Chloride | Abbott |
| Kytril | Granisetron | Roche |
| Lac-Hydrin | Ammonium lactate cream | Bristol-Myers |
| Lacrisert | Hydroxypropyl cellulose | Merck |
| Lamictal | Lamotrigine | GlaxoSmithKline |
| Lamisil | Terbinafine HCl | Novartis |
| Lanoxicaps | Digoxin | GlaxoSmithKline |
| Lanoxin | Digoxin | GlaxoSmithKline |
| Lantus | Insuline glargine | Sanofi-Aventis |
| Lescol | Fluvastatin sodium | Novartis |
| Lescol XL | Fluvastatin sodium | Novartis |
| Leukeran | Chlorambucil | GlaxoSmithKline |
| Leustatin | Cladribine | Ortho-BioTech |
| Levapro | Forest | |
| Levaquin | Levofloxacin | Johnson & Johnson |
| Levemir | Insulin Detemir | Novo-Nordisk |
| Levemir FlexPen | Insulin Detemir | Novo-Nordisk |
| Levobunolol HCL | Levobunolol | Alcon Labs |
| Levothroid | Levothyroxine sodium | Forest |
| Lexapro | --- | Forest |
| Lexiva | GlaxoSmithKline | |
| LidaMantle | Bradley Pharmaceuticals | |
| LidaMantle | Bradley Pharmaceuticals | |
| Lidoderm | Lidocaine patch 5% | Endo |
| Lipitor | Atorvastatin | Pfizer |
| Livostin | Novartis | |
| Lodine Caps | Etodolac | Wyeth |
| Lodine Tabs | Edotolac | Wyeth |
| Lodine XL | Etodolac | Wyeth |
| Lodosyn | Carbidopa | Bristol-Myers |
| Lotemax | Loteprendol | Bausch & Lomb |
| Lotrel | Amlodipine/Benazepril HCl | Novartis |
| Lotrisone Cream | Betamethasone, clotrimazole | Schering-Plough |
| Lotrisone Lotion | Betamethasone, clotrimazole | Schering-Plough |
| Lovenox | Enoxaprin sodium | Aventis |
| Lumigan | Bimatoprost | Allergan |
| Lupron-Depot | Leuprolide acetate | TAP |
| Luxiq | Betamethasone valerate | Connetics |
| Lyrica | Pregabalin | Pfizer |
| Lysodren | Mitotane | Bristol Oncology |
| Macrobid | Nitrofurantoin | Proctor&Gamble |
| Macrodantin | Nitrofurantoin | Proctor&Gamble |
| Malarone | Atovaquone , proguanil | GlaxoSmithKline |
| Marinol | Dronabinol |