Program Contact Info / Application Submission
Program	Unavailable Long Term
Company	Discontinued
Program Requirements
Other Requirements	This program has been discontinued
Other Medications
Other  Medications  available in  this program	Omnicef - Antibiotic (Generic: cefdinir) Timolol Maleate Sol. - Glaucoma Eye (Generic: ) Enbrel - Tumor Necrosis Factor Blocker Rheumatoid Arthritis (Generic: etanercept) Adenocard injection - Antiarrhythmic Cardio (Generic: adenosine) Adenoscan IV 30ml - Antiarrhythmic Cardio (Generic: ) Nolvadex - Cancer (Generic: tamoxifen citrate) Plendil - Calcium Channel Blocker BloodPressure (Generic: felodipine) Urso 250mg - Organs (Generic: Ursodiol Tablets) Flomax 0.4mg - Urinary (Generic: tamsulosin hydrochloride) Dovonex - Skin (Generic: calcipotriene cream) Simemet - Parkinson's (Generic: ) Agenerase Oral Solution - HIV Antiviral (Generic: ) Dexedrine tablet - ADHD Neuro/ Mental Health (Generic: ) Lanoxicaps 50mcg - Antiarrhythmic Cardio (Generic: digoxin) Lotronex tablet - Gastroenterology (Generic: alosetron hcl) Zantac 150 EFFERdose tablet - Histamine 2 Antagonist 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) Thyrolar 3.1mcg - 12.5mcg - Thyroid (Generic: liotrix tablets, USP) MetroLotion .75% 2oz - Antibacterial Skin (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) Protropin - Human Growth Hormone Hormone (Generic: somatrem for injection) Ditropan - Urinary (Generic: oxybutynin chloride) Nizoral - Antifungal Antifungal (Generic: ketoconazole) Humulin L - Diabetic (Generic: ) Iletin II - Diabetic (Generic: insulin zinc pork) Cytogam - CMV Immune (Generic: cytomegalovirus immune globulin intravenous human) Fosamax - Osteoporosis (Generic: alendronate sodium) Moduretic - hypertension + diuretic Blood Pressure (Generic: Amiloride - HCTZ 5-50mg) Syprine - Wilson's (Generic: trientine HCL) Timoptic - Glaucoma Eye (Generic: timolol maleate) Timoptic ocudose - Glaucoma Eye (Generic: ) Timoptic-XE - Glaucoma Eye (Generic: ) Famvir - Shingles Antiviral (Generic: famciclovir) Sandostatin - Cancer (Generic: octreotide acetate) Starlix 60mg - Diabetic (Generic: nateglinide) Tegretol - anticonvulsant Neuro/ Mental Health (Generic: Carbamazepine Tablet 200mg) Voltaren - NSAID Anti-Inflammatory (Generic: diclofenac sodium) Zaditor - antihistamine Eye (Generic: ketotifen fumarate) Femara 2.5mg - Cancer (Generic: letrozole) Novolin 70/30 InnoLet - Diabetic (Generic: ) Novolin 70/30 PenFill 3ml cartridges (5x3ml) - Diabetic (Generic: ) Novolin N InnoLet - Diabetic (Generic: insulin (rDNA)) Novolin N PenFill 3ml cartridges (5x3ml) - Diabetic (Generic: ) Novolin R InnoLet - 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: ) Antivert 12.5mg - Nausea Antihisitamine (Generic: meclizine HCI) Demulen - BirthControl (Generic: monophasic oral contraceptives) Depo Medrol - BirthControl (Generic: methylprednisolone acetate) Dostinex - Hormone (Generic: cabergoline) Micronase - sulfonylurea Diabetic (Generic: Glyburide Tablet 1.25mg) Navane 1mg - antipsychotic Neuro/Mental Health (Generic: thiothixene) Nicotrol NS - smoking cessation Neuro Mental Health (Generic: nicotine nasal spray) Procardia - calcium channel blocker BloodPressure (Generic: nifedipine) Viracept 250mg - HIV/AIDS Antiviral (Generic: nelfinavir mesylate) Zyrtec - Antihistamine (Generic: cetirizine HCI) Roferon-A - Antiviral (Generic: interferon alfa-2a) albuterol inhalation solution - Pulmo (Generic: ) metoprolol tablet - beta-blocker BloodPressure (Generic: ) Allegra D 60mg - Antihistamine (Generic: fexofenadine HCL/pseudoephedrine 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) Effexor - antidepressant Neuro/ Mental Health (Generic: venlafaxine) 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) Nasarel - Anti-Asthmatic /Anti-Inflammatory Nasal Spray (Generic: ) diclofenac pot. tablet - NSAID Musculoskeletal (Generic: ) ipratropium inhalation solution - Pulmo (Generic: ) levothyroxine Injection - Thyroid (Generic: ) sulfasalazine tablet 25mg - Rheumatoid Arthritis (Generic: ) thyroid tablet 15mg - Thyroid Thyroid (Generic: ) baclofen tabs - Muscle Relaxants Musculoskeletal (Generic: ) quinine sulfate - (Generic: ) hyoscyamine-sl tablets - (Generic: ) Levemir - insulin Diabetic (Generic: insulin detemir) clozapine - anti-psychotic Neuro Mental Health (Generic: ) Bentyl - IBS Gastroenterology (Generic: Dicyclomine Tablet 20mg) Altace - ACE inhibitor (Generic: Ramipril 1.25mg) Fenofibrate - Cholesterol (Generic: ) Suboxone - (Generic: ) Zocor - Statin Cholesterol (Generic: Simvastatin Tablet 5mg) Primaquine Phosphate - (Generic: ) Lovenox - (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: ) Zanaflex - Muscle Relaxer Musculoskeletal (Generic: Tizanidine HCL Tablet 2mg) Videx - (Generic: ) Fosamax Plus D Tablets 70mg - Osteoporosis (Generic: ) Amlodipine Besylate - (Generic: ) Dexedrine Capsules 10mg - ADHD/Narcolepsy Neuro/Mental Health (Generic: ) Avonex Injection 30mcg - Multiple Sclerosis (Generic: ) Avonex Powder for Injection 30mcg - (Generic: ) Entocort 3mg - Crohns Synthetic Corticosteroid (Generic: ) Tretin -X Gel 0.025% - (Generic: ) Differin Gel.3% - Acne Skin (Generic: ) Leuprolide Injection 142.8ml - (Generic: ) Leuprolide Injection 14/2.8ml - (Generic: ) Leucovorin Injection 100mg - (Generic: ) Leucovorin Injection 350mg - (Generic: ) Leucovorin Injection 500mg - (Generic: ) Adrucil Injection 2.5gm - (Generic: ) Adrucil Injection 500gm - (Generic: ) Adrucil Injection 500MG - (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: ) Allegra 60mg - (Generic: Fexofenadine HCL tablet 60mg) Allegra 180mg - (Generic: Fexofenadine HCL tablet 180mg) Dantrium Capsules 25mg - (Generic: ) Dantrium Capsules 50mg - (Generic: ) Dantrium Capsules100mg - (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: ) Ixempra IV 45mg - (Generic: ) Starlix 120mg - (Generic: nateglinide) Thyrolar 6.25mcg - 25mcg - (Generic: liotrix tablets, USP) Thyrolar 12.5mcg - 50mcg - (Generic: liotrix tablets, USP) Thyrolar 25mcg - 100mcg - (Generic: liotrix tablets, USP) Thyrolar 37.5mcg - 150mcg - (Generic: liotrix tablets, USP) Atropine Ophthalmic Solution 1% - (Generic: ) Dipivefrin Ophthalmic Solution 0.1% - (Generic: ) Foltab Tablet 800mg - (Generic: ) Avalide 300-25mg - (Generic: irbesartan-hydrochlorothiazide) Aricept ODT 5mg - Alzheimers (Generic: donepezil) Aricept ODT 10mg - Alzheimers (Generic: donepezil) Antivert 25mg - (Generic: ) Antivert 50mg - (Generic: ) Procardia 20mg - (Generic: ) Viracept 625mg - (Generic: ) Viracept Oral Powder 144mg bottles - (Generic: ) Diovan 180mg - (Generic: ) Marinol Capsules 2.5mg - Nausea (Generic: dronabinol) Marinol Capsules 5mg - (Generic: ) Marinol Capsules 10mg - (Generic: )