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.


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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: 253

Program assists low-income patients without private or public prescription drug
insurance coverage and who cannot afford their medication(s).

Medications covered:
Asmanex Twisthaler 220 mcg (mometasone furoate inhalation powder)
Avelox tablets 400 mg (moxifloxacin)
Biltricide 600 mg (praziquantel)
Cipro tablets 250 mg (ciprofloxacin HCl)
Cipro tablets 500 mg (ciprofloxacin HCl)
Cipro tablets 750 mg (ciprofloxacin HCl)
Cipro XR 500 mg (ciprofloxacin HCl)
Cipro XR 1000 mg (ciprofloxacin HCl)
Cipro Suspension 250 mg (ciprofloxacin)
Cipro Suspension 500 mg (ciprofloxacin)
Clarinex syrup (desloratadine)
Clarinex tablets (desloratadine)
Clarinex RediTabs 2.5 mg (desloratadine)
Clarinex RediTabs 5 mg (desloratadine)
Clarinex-D 24-hour (desloratadine 5 mg/pseudoephedrine sulfate, USP 240 mg)
Diprolene AF cream 50 g tube (augmented betamethasone diproprionate)
Diprolene AF cream 15 g tube (augmented betamethasone diproprionate)
Diprolene lotion 30 mL (augmented betamethasone diproprionate)
Diprolene lotion 60 mL (augmented betamethasone diproprionate)
Diprolene ointment 15 g tube (augmented betamethasone diproprionate)
Diprolene ointment 50 g tube (augmented betamethasone diproprionate)
Elocon cream 15 g tube (mometasone furoate)
Elocon cream 45 g tube (mometasone furoate)
Elocon lotion 30 mL bottle (mometasone furoate)
Elocon lotion 60 mL bottle (mometasone furoate)
Elocon ointment 15 g tube (mometasone furoate)
Elocon ointment 45 g tube (mometasone furoate)
Foradil Aerolizer 12 mcg (formoterol fumarate inhalation powder)
Imdur tablets 30 mg (isosorbide mononitrate)
Imdur tablets 60 mg (isosorbide mononitrate)
Imdur tablets 120 mg (isosorbide mononitrate)
K-Dur tablets 10 mEq (potassium chloride)
K-Dur tablets 20 mEq (potassium chloride)
Lotrisone cream 15 g (clotrimazole/betamethasone diproprionate)
Lotrisone cream 45 g (clotrimazole/betamethasone diproprionate)
Lotrisone lotion 30 mL (clotrimazole/betamethasone diproprionate)
Nasonex (mometasone furoate monohydrate)
Nitro-Dur patch 0.1 mg/hr (nitroglycerin)
Nitro-Dur patch 0.2 mg/hr (nitroglycerin)
Nitro-Dur patch 0.3 mg/hr (nitroglycerin)
Nitro-Dur patch 0.4 mg/hr (nitroglycerin)
Nitro-Dur patch 0.6 mg/hr (nitroglycerin)
Nitro-Dur patch 0.8 mg/hr (nitroglycerin)
Proventil inhaler (albuterol sulfate)
Proventil HFA inhaler (albuterol sulfate)
Proventil UD, 24 x 3 mL solution (albuterol sulfate)

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