Drug Information
Drug	Actiq
Generic Equivalent	tentanyl citrate
Topic	Pain
Program Contact Info / Application Submission
Program	Unavailable
Company	Discontinued
Program Details
Details	This program has been discontinued
Program Requirements
Information	This program has been discontinued
Other Requirements	This program has been discontinued
Application Process
App Process	This program has been discontinued
Eligibility
Eligibility	This program has been discontinued
Other Medications
Other  Medications  available in  this program	Biaxin Filmtab Tablet - Antibiotic (Generic: clarithromycin tablets, USP) Erythromycin - Antibiotic (Generic: ) Iberet-Folic 500 - Multivitamin with Iron Supplement (Generic: iron with vitamins) K-Lor - potasium Supplement (Generic: potassium replacement products) K-Tab - Potassium Supplement (Generic: ) Mavik Tablet - ACE Inhibitor BloodPressure (Generic: trandolapril tablets) Omnicef - Antibiotic (Generic: cefdinir) Enbrel - Tumor Necrosis Factor Blocker Rheumatoid Arthritis (Generic: etanercept) Adenoscan IV 30ml - Antiarrhythmic Cardio (Generic: ) Plendil - Calcium Channel Blocker BloodPressure (Generic: felodipine) Urso 250mg - Organs (Generic: Ursodiol Tablets) Dovonex - Skin (Generic: calcipotriene cream) Glucophage - Diabetic (Generic: metformin HCL tablet) Pravachol - Cholesterol (Generic: Pravastatin tablet 40mg) Simemet - Parkinson's (Generic: carbidopa; levodopa) Dexedrine tablet - ADHD Neuro/ Mental Health (Generic: ) Lotronex tablet - Gastroenterology (Generic: alosetron hcl) Zantac 150 EFFERdose tablet - Acid Reflux Ulcer (Generic: ranitidine) Actiq - Pain (Generic: tentanyl citrate) Hytone Cream - corticosteroid Skin (Generic: hydrocortisone) Sufacet-R - Skin (Generic: sulfacetamide sodium; sulfur) Vytone Cream - Skin (Generic: hydrocortisone; iodoquinol) Kay Ciel - potasium Supplement (Generic: potassium chloride powder) MetroLotion .75% 2oz - Antibacterial Dermatology (Generic: ) Rosanil Cleasner 6oz - rosacea Skin (Generic: sodium sulfacetamide + sulfur) Solage Topical Solution 30ml - pigment Skin (Generic: mequinol + tretnoin) Galzin - Wilson's (Generic: zinc salts) Orap - antipsychotic Neuro/ Mental Health (Generic: pimozide) Ditropan - Urinary (Generic: oxybutynin chloride) Nizoral - Antifungals (Generic: ketoconazole) Keppra - anticonvulsant Neuro/ Mental Health (Generic: levetiracetam) Cytogam - CMV Immune (Generic: cytomegalovirus immune globulin intravenous human) Fosamax - Osteoporosis (Generic: alendronate sodium) Famvir - Shingles Antiviral (Generic: famciclovir) Focalin - ADHD Neuro/ Mental Health (Generic: dexmethylphenidate hcl) Tegretol - anticonvulsant Neuro/ Mental Health (Generic: carbamazepine USP) Trileptal - anticonvulsant Neuro/ Mental Health (Generic: oxcarbazepine) Voltaren - NSAID (Generic: diclofenac sodium) Novolin 70/30 PenFill 3ml cartridges (5x3ml) - Diabetic (Generic: ) Novolin N PenFill 3ml cartridges (5x3ml) - Diabetic (Generic: ) Novolin R PenFill 3ml cartridges (5x3ml) - Diabetic (Generic: ) NovoLog 70/30 PenFill 3ml cartridges (5x3ml) - Diabetic (Generic: ) NovoLog PenFill 3ml cartridges (5x3ml) - Diabetic (Generic: ) Demulen - BirthControl (Generic: monophasic oral contraceptives) Depo Medrol - BirthControl (Generic: methylprednisolone acetate) Dostinex - Hormone (Generic: cabergoline) Nicotrol NS - smoking cessation Neuro Mental Health (Generic: nicotine nasal spray) Procardia - calcium channel blocker BloodPressure (Generic: nifedipine) Zyrtec - Antihistamine (Generic: cetirizine HCI) Roferon-A - Antiviral (Generic: interferon alfa-2a) albuterol inhalation solution - Pulmo (Generic: ) metoprolol tablet - beta-blocker BloodPressure (Generic: ) timolol maleate opthalmic solution .5%,.25% - Glaucoma Eye (Generic: ) Allegra - Antihistamine (Generic: fexofenadine HCl) Adderall XR - ADHD Neuro/ Mental Health (Generic: amphetamine) Ethmozine - antiarrhythmic Cardio (Generic: moricizine) Marinol - Nausea (Generic: dronabinol) Proventil UD Solution - broncodilator Pulmo (Generic: albuterol UD solution) buspropion HCL tablet - (Generic: ) Ferrlecit - iron Supplements (Generic: Sodium ferric gluconate complex injection) Inderal LA 60mg - beta-blocker BloodPressure (Generic: propranolol long acting) Minocin - Antibiotic (Generic: minocycline) betamethasone dipropionate cream - Skin (Generic: ) betamethasone valerate cream - Skin (Generic: ) betamethasone valerate ointment - Skin (Generic: ) fluocinonide cream - Skin (Generic: ) hemorrhoidal HC suppository 25 MG - Skin (Generic: ) hydrocortisone cream 2.5%, 30 GM - Skin (Generic: ) Indocin Suspension - NSAID (Generic: indomethacin) meclizine tablet - nausea Gastroenterology (Generic: ) nystatin cream - Skin (Generic: ) nystatin/tr cream - Skin (Generic: ) Phenergan - Gastroenterology (Generic: promethazine) triamcinolone cream - Skin (Generic: ) MetroGel - Antibiotic (Generic: metronidazole gel) diclofenac pot. Tablets - NSAID Musculoskelatal (Generic: ) diclofenac pot. tablet - NSAID Musculoskeletal (Generic: ) ipratropium inhalation solution - Pulmo (Generic: ) quinine sulfate - (Generic: ) hyoscyamine-sl tablets - (Generic: ) clozapine - anti-psychotic Neuro Mental Health (Generic: ) Bentyl - Gastroenterology (Generic: ) Fenofibrate - Cholesterol (Generic: ) Suboxone - (Generic: ) Zocor - (Generic: ) Primaquine Phosphate - (Generic: ) Procardia 10mg - calcium channel blocker BloodPressure (Generic: ) celcoxib - (Generic: ) butalbital APAP caffeine tablet - Headache (Generic: ) Exubera inhalation powder - Diabetic (Generic: ) Pulmicort Turbuhaler - Pulmo (Generic: ) Inderal LA 80mg - beta-blocker BloodPressure (Generic: ) Inderal LA 120mg - beta-blocker BloodPressure (Generic: ) Inderal LA 160mg - beta-blocker BloodPressure (Generic: ) Rifadin - (Generic: ) Duac Topical Gel 45g - Skin (Generic: ) Rosac Wash - Skin (Generic: ) Rosac Cream with Sunscreen - Skin (Generic: ) Purinethol Tablet 50mg - (Generic: ) Purinethol Tablet 50mg - (Generic: ) Avonex Injection 30mcg - (Generic: ) Avonex Powder for Injection 30mcg - (Generic: ) Zanaflex - (Generic: ) Videx - (Generic: ) Fosamax Plus D Tablets 70mg - Osteoporosis (Generic: ) Lamisil - (Generic: ) Amlodipine Besylate - (Generic: ) Avonex Injection 30mcg - Multiple Sclerosis (Generic: ) Avonex Powder for Injection 30mcg - (Generic: ) Lupron Depot Injection 15mg - (Generic: ) Entocort 3mg - Crohns Synthetic Corticosteroid (Generic: ) Tretin -X Gel 0.025% - (Generic: ) Differin Gel.3% - Acne Skin (Generic: ) Mysoline Tablets 50mg - (Generic: ) Hyoscyamine ER capsule 0.375mg - Stomach (Generic: ) Hyoscyamine ER tablet 0.375mg - Stomach (Generic: ) Hyoscyamine SL tablet 0.125mg - Stomach (Generic: ) Hyoscyamine tablet 0.125mg - Stomach (Generic: ) NovoFine 50G (180 Needles/box) - (Generic: ) NovoFine 31G (100needles/box) - (Generic: ) NovoFine 30G needle tips for FlexPens - (Generic: ) Azulfidine EN-Tabs Delayed Release - (Generic: )