Medication www. .FET yourezmeds.com This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Allegra D (fexofenadine with pseudoephedrine)
Alrex (loteprednol) NO ONE MEDICARE ELIGIBLE
Accuretic (quinapril with hydrochlorothiazide)
Anadrol-50 (oxymethalone) NO ONE MEDICARE ELIGIBLE
Aceon (perindopril) NO ONE MEDICARE ELIGIBLE
Analpram (hydrocortisone acetate and pramoxine
Activella (estradiol with norethindrone)
Ancoban (flucytosine) NO ONE MEDICARE ELIGIBLE
Androgel (testosterone) NO ONE MEDICARE ELIGIBLE
Actoplus met (pioglitazone hci/metformin hci)
Adrucil (fluorouracil) NO ONE MEDICARE ELIGIBLE
Apidra (insulin glulisine [rdna origin])
Advair Diskus (fluticasone with salmeterol)
Aptivus (tipranavir) NO ONE MEDICARE ELIGIBLE
Aggrenox (dipyridamole with aspirin) NO ONE MEDICARE
Atacand HCT (candesartan cilexetil with hydrochlorothiazide)
This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Atrovent Inhalation (ipratropium) NO ONE MEDICARE ELIGIBLE
Avandamet (rosiglitazone maleate & metformin hydrochloride)
Avandaryl (rosiglitazone maleate and glimepiride)
Azulfidine (sulfasalazine, enteric coated)
Carmol Scalp Treatment (sulfacetamide sodium (10%)
Carteolol HCL (chi ophthalmic solution 1%)
Catapres (clonidine) NO ONE MEDICARE ELIGIBLE
Beconase AQ (beclomethasone dipropionate)
Catapres-TTS Transdermal (clonidine) NO ONE MEDICARE
Caverject (alprostadil injection- aqueous)
BenzaClin (clindamycin with benzoyl peroxide)
Bicitra (sodium citrate and citric acid)
(dextran 70 with hydroxypropyl methylcellulose)
Bleomycin Sulfate (bleomycin sulfate) NO ONE MEDICARE
Botox (botulinum toxin type a) NO ONE MEDICARE ELIGIBLE
Cenestin (synthetic conjugated estrogens)
Brevoxyl 4 (benzoyl peroxide) NO ONE MEDICARE ELIGIBLE
Brevoxyl 8 (benzoyl peroxide) NO ONE MEDICARE ELIGIBLE
Caduet (amlodipine besylate/atorvastatin calcium)
Ciloxan (ciprofloxacin hcl ophthalmic solution)
This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Cipro HC (ciprofloxacin with hydrocortisone)
Ciprodex (ciprofloxacin with dexamethasone)
Creon DR (pancrelipase) NO ONE MEDICARE ELIGIBLE
Cisplatin AQ (cisplatin aq) NO ONE MEDICARE ELIGIBLE
(desloratadine 5mg/pseudoephedrine sulfate)
Claripel (hydroquinone) NO ONE MEDICARE ELIGIBLE
Cymbalta (duloxetine hydrochloride) NO ONE MEDICARE
Cleocin Pediatric (clindamycin palmitate hydrochloride)
Dacarbazine (dacarbazine) NO ONE MEDICARE ELIGIBLE
Climara Pro (estradiol transdermal system)
Clobevate (clobetasol propionate) NO ONE MEDICARE ELIGIBLE
Daunorubicin (daunorubicin) NO ONE MEDICARE ELIGIBLE
Combivent (albuterol with ipratropium) NO ONE MEDICARE
Declomycin (demeclocyline) NO ONE MEDICARE ELIGIBLE
Depo -Medrol (sterile methylprednisolone acetate)
Depo- Provera (medroxyprogesterone acetate)
Dexedrine Spansule (dextroamphetamine sulfate)
Corzide (nadolol & bendroflumethiazide)
DHE 45 (dihydroergotamine mesylate) NO ONE MEDICARE
Diastat (diazepam) NO ONE MEDICARE ELIGIBLE
This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Fareston (toremifene) NO ONE MEDICARE ELIGIBLE
Diovan HCT (valsartan with hydrochlorothiazide)
Ferrlecit (sodium ferric gluconate complex) NO ONE MEDICARE
Duetact (pioglitazone hci and glimedpiride)
Dyazide (triamterene with hydrochlorothiazide)
Dynacirc CR (isradipine) NO ONE MEDICARE ELIGIBLE
Flomax (tamsulosin) NO ONE MEDICARE ELIGIBLE
Fludarabine (fludarabine) NO ONE MEDICARE ELIGIBLE
Enjuvia (synthetic conjugated estrogens, b)
Foradil (formoterol fumerate inhalation powder)
Ensure Fiber with FOS (nutritional supplement)
Ensure High Calcium (nutritional supplement)
Ensure High Protein (nutritional supplement)
Epzicom (abacavir sulfate & lamivudine)
Estratest (esterified estrogens with methyltestosterone) NO ONE
Gabitril (tiagabine) NO ONE MEDICARE ELIGIBLE
Estratest H.S. (esterified estrogens with methyltestosterone)
Galzin (zinc salts) NO ONE MEDICARE ELIGIBLE
Ethyol (amifostine) NO ONE MEDICARE ELIGIBLE
Etoposide (etoposide) NO ONE MEDICARE ELIGIBLE
Evista (raloxifene) NO ONE MEDICARE ELIGIBLE
This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Glucagon Emergency Kit (glucagon) NO ONE MEDICARE ELIGIBLE
Glucerna Select (nutritional supplement)
Glucotrol XL (glipizide extended release)
GlutoFac-ZX (multivitamin/multimineral formula
Kayexalate (sodium polystyrene sulfonate)
Kenalog 10 (sterile triamcinolone acetonide suspension)
Kenalog 40 (sterile triamcinolone acetonide suspension)
Humalog (insulin lispro) NO ONE MEDICARE ELIGIBLE
Humalog 75/25 (insulin lispro) NO ONE MEDICARE ELIGIBLE
Humira (adalimumab) NO ONE MEDICARE ELIGIBLE
Humulin (all types) (insulin,human) NO ONE MEDICARE ELIGIBLE
Hyalgan (sodium hyaluronate) NO ONE MEDICARE ELIGIBLE
Hyzaar (losartan with hydrochlorothiazide)
Idarubicin (idarubicin) NO ONE MEDICARE ELIGIBLE
Ifosfamide (ifosfamide) NO ONE MEDICARE ELIGIBLE
Leucovorin (leucovorin) NO ONE MEDICARE ELIGIBLE
Inderide (propranolol with hydrochlorothiazide)
InFed (iron dextran) NO ONE MEDICARE ELIGIBLE
This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Maxitrol (dexamethasone with neomycin and polymyxin b)
Lodrane (antihistamines, decongestants) NO ONE MEDICARE
Mestinon (pyridostigmine) NO ONE MEDICARE ELIGIBLE
Lodrane 12 hour (antihistamines, decongestants) NO ONE
Lodrane 24 (antihistamines, decongestants) NO ONE MEDICARE
Micardis (telmisartan) NO ONE MEDICARE ELIGIBLE
Lodrane D (antihistamines, decongestants) NO ONE MEDICARE
Micardis HCT (telmisartan with hydrochlorothiazide) NO ONE
Lodrane XR (antihistamines, decongestants) NO ONE MEDICARE
Lotemax (loteprednol) NO ONE MEDICARE ELIGIBLE
Migranal (dihydroergotamine with caffeine) NO ONE MEDICARE
Lotrisone (clotrimazole with betamethasone)
MimyX (non-steriodal anti-inflammatory cream) NO ONE
Lumigan ophthalmic solution 0.03% (7.5ml)
Luxiq (betamethasone valerate) NO ONE MEDICARE ELIGIBLE
Mirapex (pramipexole) NO ONE MEDICARE ELIGIBLE
Myleran (busulfan) NO ONE MEDICARE ELIGIBLE
Mylotarg (gemtuzumab ozogamicin for injection)
Malarone (atovaquone and proguanil hydrochloride)
Malarone Pedatric (atovaquone and proguanil hydrochloride)
Malarone Pediatric (atovaquone and proguanil hydrochloride)
Nepro with Carb Steady (nutritional supplement)
Marinol (dronabinol) NO ONE MEDICARE ELIGIBLE
This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Oxsoralen (methoxsalen capsules) NO ONE MEDICARE ELIGIBLE
Oxsoralen-Ultra (methoxsalen capsules) NO ONE MEDICARE
Neutra-Phos (oral sodium and potassium phosphate)
Neutra-Phos-K (oral potassium phosphate mixture)
Neutrexin (trimetrexate glucuronate) NO ONE MEDICARE
Pancrecarb MS-16 (amylase with lipase pancrelipase protease)
Pancrecarb MS-4 (amylase with lipase pancrelipase protease)
Pancrecarb MS-8 (amylase with lipase pancrelipase protease)
Nitrolingual (nitroglycerin lingual spray)
PediaSure Enteral Formula (nutritional supplement)
PediaSure Enteral Formula w/Fiber (nutritional supplement)
PediaSure w/Fiber (nutritional supplement)
Novolin InnoLet (recombinant human insulin)
Novolin N InnoLet (recombinant human insulin)
Phospholine Iodide (echothiophate iodide)
Novolin R InnoLet (recombinant human insulin)
Novolin R Vials (recombinant human insulin)
PolyCitra LC (tricitrates oral solution)
PolyCitra-K (potassium citrate and citric acid for oral solution)
Pramosone (pramoxine with hydrocortisone)
Olux (clobetasol propionate) NO ONE MEDICARE ELIGIBLE
Orap (pimozide) NO ONE MEDICARE ELIGIBLE
Prempro (estrogens, conjugated and medroxyprogesterone)
Osmolite 1.2 cal (nutritional supplement)
This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Procardia XL (nifedipine extended release)
Proglycem (diazoxide) NO ONE MEDICARE ELIGIBLE
Prometrium (progesterone) NO ONE MEDICARE ELIGIBLE
Promote with Fiber (nutritional supplement)
Risperdal Consta Long Acting (risperidone)
Prostigmin (neostigmine methysulfate) NO ONE MEDICARE
Roferon-A (interferon alfa-2a, recombinant)
Rosac (sodium sulfacetamide and sulfur) NO ONE MEDICARE
Rosula (sodium sulfacetamide 10% and sulfur 5%) NO ONE
Rosula Cleanser (sodium sulfacetamide and sulfur) NO ONE
Prozac (fluoxetine) NO ONE MEDICARE ELIGIBLE
Rythmol SR (propafenone) NO ONE MEDICARE ELIGIBLE
Prozac Weekly (fluoxetine) NO ONE MEDICARE ELIGIBLE
Serevent Diskus powder for inhalation 50 mcg
Pulmicort Respules inhalation suspension 0.25mg/2ml
Pulmicort Respules inhalation suspension 0.5mg/2ml
Purinethol (mercaptorpurine) NO ONE MEDICARE ELIGIBLE
RCF (Ross Carbohydrate Free) (medical food)
Soriatane (acitretin) NO ONE MEDICARE ELIGIBLE
ReoPro (abciximab) NO ONE MEDICARE ELIGIBLE
Spiriva (tiotropium) NO ONE MEDICARE ELIGIBLE
Stalevo (carbidopa with levodopa and entacapone)
Strattera (atomoxetine) NO ONE MEDICARE ELIGIBLE
Sulfacet-R Tint Free (sulfacetamide and sulfur)
Sulfoxyl (benzoyl peroxide 5% and sulfur 2%) NO ONE MEDICARE
Restasis ophthalmic ointment 0.05 % (32 x 0.4 ml)
This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Suplena with Carb Steady (nutritional supplement)
Symbyax (olonzapine and fluoxetine) NO ONE MEDICARE
923 TriLuma (gluocinolone acetonide, hydroquinone, tretinoin)
Trizivir (abacavir with lamivudine and zidovudine)
Truvada (emtricitabine and tenofovir disoproxil fumarate)
Tasmar (tolcapone) NO ONE MEDICARE ELIGIBLE
Thalomid (thalidomide) NO ONE MEDICARE ELIGIBLE
Thyrolar 1 (levothyroxine and liothyronine)
Thyrolar 1/2 (levothyroxine and liothyronine)
Thyrolar 1/4 (levothyroxine and liothyronine)
Thyrolar 2 (levothyroxine and liothyronine)
Thyrolar 3 (levothyroxine and liothyronine)
Tilade (nedocromil sodium inhalation aerosol)
Timentin (ticarcillin disodium and clavulanate potassium)
Timoptic-XE (timolol maleate-hydrochlorothiazde)
Vincasar PFS (vincristine sulfate) NO ONE MEDICARE ELIGIBLE
Vincristine (vincristine sulfate) NO ONE MEDICARE ELIGIBLE
Toposar (etoposide) NO ONE MEDICARE ELIGIBLE
Vinorelbine (vinorelbine tartrate) NO ONE MEDICARE ELIGIBLE
Toprol XL (metoprolol succinate extended release tablets)
This list updated September 1, 2007. Drugs are added and deleted sporadically, so use this list as a reference only. This list has all the drugs and dosages that are available through patient assistance programs, sorted alphabetically by brand name. The generic name is in parentheses. Drugs in bold are also available to Part D enrollees, in the donut hole.
Viramune (nevirapine) NO ONE MEDICARE ELIGIBLE
1020 Zofran ODT (ondansetron hydrochloride)
1022 Zofran tablets-orally disintergrating 4 mg
1023 Zofran tablets-orally disintergrating 8 mg
1024 Zoladex (goserelin acetate implant)
Zanosar (streptozocin) NO ONE MEDICARE ELIGIBLE
Zantac EFFERdose (ranitidine hydrochloride effervescent)
1040 Zyban SR (bupropion hydrochloride sustained release)
1043 Zyprexa (olanzapine) NO ONE MEDICARE ELIGIBLE
1044 Zyrtec (cetirizine hcl/pseudooephedrine hcl)
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