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Rx Assistance
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2005-11-01.Together_Rx_Access.Together_Rx_Access.546.pdf
Covers a large number of medications. For coverage see website (click on link or copy and paste into your browser)
http://www.needymeds.org/company_list.taf?_function=name&program_id=11272005-11-01_Together_Rx_Access_Together_Rx_Access_546.pdf 100.099 KB (Last Modified on October 24, 2017) -
2007-05-14.GlaxoSmithKline.Bridges_to_Access.496.pdf
Covers a large number of medications. For coverage see website (click on link or copy and paste into your browser)
http://www.needymeds.org/company_list.taf?_function=name&program_id=84 -
abbott - diabetes care.pdf
FreeStyle Glucose Test Strips (glucose test strips)
FreeStyle Lite (glucose test strips)
FreeStyle Lite (glucose meter)
website:(click on link or copy and paste into your browser)
http://www.needymeds.org/company_list.taf?_function=name&program_id=1047
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abbott.pdf
see website for coverage (copy and paste into your browser)
http://www.needymeds.org/company_list.taf?_function=name&program_id=1 -
astraz0206.pdf
See website for coverage
(copy and paste into your browser)
http://www.needymeds.org/company_list.taf?_function=name&program_id=206 -
Bristol-Myers.pdf
Avalide Tablets 150mg/12.5mg, 300mg/12.5mg, 300mg/25mg (irbesartan/hydrochlorothiazide)
Avapro Tablets 75mg, 150mg, 300mg (irbesartan)
Onglyza Tablet 2.5mg, 5mg (saxagliptin)
Plavix Tablets 75mg (clopidogrel)
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Forest.pdf
see website for coverage (copy and paste into your browser)
http://www.needymeds.org/company_list.taf?_function=name&program_id=75 -
GSK Bridges to Access.pdf
see website for coverage
http://www.needymeds.org/company_list.taf?_function=name&program_id=84 -
gskacc1109.pdf
see website for coverage (copy and paste into your browser)
http://www.needymeds.org/company_list.taf?_function=name&program_id=1109 -
johnson and johnson.pdf
Concerta Extended Release Tablets 18mg, 27mg, 36mg, 54mg (methylphenidate)
http://www.needymeds.org/company_list.taf?_function=name&program_id=996 -
lilycares.pdf
Strattera Capsules 10mg, 18mg, 25mg, 40mg, 60mg, 80mg, 100mg (atomoxetine)
see website
http://www.needymeds.org/drug_list.taf?_function=name&name=Strattera -
merck pt assist app 0106.pdf
Covers large amount of medications
see website for coverage (copy and paste into your browser)
http://www.needymeds.org/company_list.taf?_function=name&program_id=106 -
Norvartis.pdf
Example: Ritalin
see website for coverage
http://www.needymeds.org/company_list.taf?_function=name&program_id=118 -
pifzer connect to care.pdf
see website for coverage
this form also available in spanish
http://www.needymeds.org/company_list.taf?_function=name&program_id=133 -
Rx Outreach.pdf
Example: clonidine
See website for coverage
http://www.needymeds.org/company_list.taf?_function=name&program_id=367 -
Valeant.pdf
Example: Diastat AcuDial
See website for complete coverage
http://www.needymeds.org/company_list.taf?_function=name&program_id=1168 -
xubex.pdf
Example: albuterol
see website for medications covered http://www.needymeds.org/company_list.taf?_function=name&program_id=990