Free Medication, Patient Assistance Programs & More

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*Complete the short registration form for Immediate, Free Access to the Complete Details of this Patient Assistance Program.


Register for FREE

Complete the short form below to INSTANTLY Receive Your FREE MEDICATION Information

*Important information regarding how you can take advantage of FREE MEDICATION PROGRAMS will be sent to this email address.

Program Name: 193

Program provides medication FREE to patients experiencing financial hardship who
have no third party insurance coverage for their medicines.

Medications covered:
Comtan (entacapone)
Diovan (valsartan)
Diovan HCT valsartan with hydrochlorothiazide)
Elidel (pimecrolimus)
Enablex (darifenacin)
Exelon (rivastigmine tartrate)
Eyescrub Pre-moistened Pads
Famvir (famciclovir)
Focalin (dexmethylphenidate HCl)
Focalin XR (dexmethylphenidate HCl)
GenTeal Gel
GenTeal Ophthalmic Drops
HypoTears PF Drops
HypoTears PF/LF Ointment
Lamisil Solution (terbinafine HCl)
Lescol (fluvastatin sodium)
Lescol XL Tablets (fluvastatin sodium)
Lotrel Capsules (amlodipine besylate/benazepril HCl)
Miacalcin (calcitonin salmon)
Ritalin LA (methylphenidate HCl)
Stalevo (carbidopa with levodopa and entacapone)
Starlix (nateglinide)
Tegretol Tablets 200 mg (carbamazepine USP)
Trileptal (oxcarbazepine)
Voltaren (diclofenac ophthalmic solution)
Zelnorm (tegaserod maleate)

* Do You Need Help with your Free Medication Application?
* Do you want to know if you qualify to receive your medications for FREE?

Click 'Continue' & Complete the Form to be contacted by a Professional, Patient Assistance Agent.