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This list should only be used as a reference and not a guarantee to the client that his or her particular drug is available through APAP. Occasionally, the pharmaceutical companies make changes to the drugs they make available through their Patient Assistance Programs. The pharmaceutical companies make the final decisions as to which drugs are available through these programs.
Pescription dvocacy
AmeriPlan is pleased to provide this list of name brand medications as part of the AmeriPlan Prescription Advocacy Program (APAP.) If the needed drug is generic, please look up the name brand equivalent.
Alinia (nitazoxanide)
Accolate tablets 10 mg
Allegra (fexofenadine)
Accolate tablets 20 mg
Allegra D (fexofenadine with pseudoephedrine)
Accupril tablets 10 mg
Alphagan P solution 0.1% (15ml)
Accupril tablets 20 mg
Alphagan P solution 0.15% (15ml)
Accupril tablets 40 mg
Accupril tablets 5 mg
Altabax ointment 1%
Accuretic (quinapril with hydrochlorothiazide) Accuretic tablets 12.5 mg/10 mg
Amaryl (glimepiride)
Accuretic tablets 12.5 mg/20 mg
Accuretic tablets 25 mg/20 mg
Amerge tablets 1 mg
Amerge tablets 2.5 mg
Aciphex (rabeprazole)
Actonel (risedronate)
Analpram (hydrocortisone acetate and pramoxine hydrochloride)
Actonel With Calcium (risedronate)
Actoplus met (pioglitazone hci/metformin hci)
Actos (pioglitazone)
Antivert tablets 12.5 mg
Advair Diskus (fluticasone with salmeterol) Antivert tablets 50 mg
Advair Diskus inhalation powder 100 /50
Advair Diskus inhalation powder 250/50
Advair Diskus inhalation powder 500/50
Advicor ER (lovastatin with niacin)
Arixtra injection 10mg
Arixtra injection 5mg
Agenerase capsules 150 mg
Arixtra injection 7.5mg
Agenerase capsules 50 mg
Agenerase oral solution
Arthrotec tablets 50mcg
Arthrotec tablets 75mcg
Albenza tablets 200mg
Asacol SR (mesalamine)
Aldactazide (spironolactone/hydrochlorthiazide) Aldactazide tablets 25mg/25mg
Atacand HCT (candesartan cilexetil with hydrochlorothiazide) Aldactone tablets-film coated 100mg
Atacand Hct tablets 16 mg/12.5 mg
Aldactone tablets-film coated 25mg
Atacand Hct tablets 32 mg/12.5 mg
Aldactone tablets-film coated 50mg
Atacand tablets 16 mg
* Medicare Recipients May Not Access This Drug Through APAP Drugs in BOLD/Red are also made available to Medicare Part D enrollees who are in their "Donut Hole” (see the "Donut
Hole Fact Sheet" in IBO Support for more details.) Part D enrollees must apply for APAP before September 1 of each
year to be eligible for the program for the remaining calendar year.
Atacand tablets 32 mg
Calan tablets 120mg
Atacand tablets 8mg
Calan tablets 40mg
Calan tablets 80mg
Avalide (ibesartan hydrochlorothiazide)
Calcilo Xd (medical food)
Avandamet (rosiglitazone maleate & metformin hydrochloride) Calijex (calcitriol injection)
Avandamet tablets 2mg/1000mg
Avandamet tablets 2mg/500mg
Cantil (mepenzolate bromide)
Avandamet tablets 4mg/1000mg
Avandamet tablets 4mg/500mg
Cardizem LA (diltiazem)
Avandaryl (rosiglitazone maleate and glimepiride) Avandaryl tablets 4mg/1mg
Cardura tablets 1mg
Avandaryl tablets 4mg/2mg
Cardura tablets 2mg
Avandaryl tablets 4mg/4mg
Cardura tablets 4mg
Cardura tablets 8mg
Avandia tablets 2 mg
Carmol (urea cream (40%))
Avandia tablets 4 mg
Carmol Scalp Treatment (sulfacetamide sodium (10%)
Avandia tablets 8 mg
Carteolol HCL (chi ophthalmic solution 1%)
Avapro (irbesartan)
Casodex (bicalutamide)
Avelox (moxifloxacin hcl)
Avodart soft gelatin tablets 0.5mg
Caverject (alprostadil injection- aqueous) Axert (almotriptan)
Caverject injection
Azmacort (triamcinolone acetonide)
CeeNU (lomustine)
Azopt (brinzolamide)
Ceftin oral suspension 125mg/5ml
Azulfidine (sulfasalazine, enteric coated) Ceftin oral suspension 250mg/ml
Azulfidine tablets 500mg
Ceftin tablets 125mg
Ceftin tablets 250mg
Bactroban cream
Ceftin tablets 300mg
Bactroban ointment
Ceftin tablets 500mg
Ceftin tablets 600mg
Beconase AQ (beclomethasone dipropionate) Cefzil (cefprozil)
Beconase Aqnasal spray 0.042%
Celebrex capsules 100 mg
Celebrex capsules 200 mg
BenzaClin (clindamycin with benzoyl peroxide) Celebrex capsules 400 mg
Cellcept (mycophenolate mofetil)
Celontin capsules
Cenestin (synthetic conjugated estrogens) Betoptic S (betaxolol)
Bexxar (tositumomab)
Chantix tablet 0.5mg
Biafine (biafine)
Chantix tablet 1mg
Biaxin (clarithromycin)
Ciloxan (ciprofloxacin hcl ophthalmic solution)
Biaxin XL (clarithromycin)
Cipro (ciprofloxacin)
Bicitra (sodium citrate and citric acid)
Cipro HC (ciprofloxacin with hydrocortisone)
BiCNU (carmustine)
Cipro XR (ciprofloxacin)
Bion Tears (dextran 70 with hydroxypropyl methylcellulose)
Ciprodex (ciprofloxacin with dexamethasone)
Boniva (ibandronate sodium)
Clarinex (desloratadine)
Clarinex-D (desloratadine 5mg/pseudoephedrine sulfate)
Caduet (amlodipine besylate/atorvastatin calcium) Cleocin Hci capsules 150mg
Caduet tablets 10mg/10mg
Cleocin Hci capsules 300mg
Caduet tablets 10mg/20mg
Cleocin Hci capsules 75mg
Caduet tablets 10mg/40mg
Cleocin Pediatric (clindamycin palmitate hydrochloride)
Caduet tablets 10mg/80mg
Caduet tablets 5mg/10mg
Cleocin T capsules 10mg/ml
Caduet tablets 5mg/20mg
Cleocin capsules 2%
Caduet tablets 5mg/40mg
Cleocin vaginal ovules
Caduet tablets 5mg/80mg
Climara Pro (estradiol transdermal system) Clinac BPO (benzoyl peroxide gel)
Calan Sr tablets 240mg
* Medicare Recipients May Not Access This Drug Through APAP Drugs in BOLD/Red are also made available to Medicare Part D enrollees who are in their "Donut Hole” (see the "Donut
Hole Fact Sheet" in IBO Support for more details.) Part D enrollees must apply for APAP before September 1 of each
year to be eligible for the program for the remaining calendar year.
This list should only be used as a reference and not a guarantee to the client that his or her particular drug is available through APAP.
Occasionally, the pharmaceutical companies make changes to the drugs they make available through their Patient Assistance Programs. The pharmaceutical companies make the final decisions as to which drugs are available through these programs.
Cognex (tacrine)
Depo -medrol injection 20mg/ml
Depo -medrol injection 40mg/ml
Colestid granules 5gm
Depo -medrol injection 80mg/ml
Colestid tablets 1gm
Depo- Provera (medroxyprogesterone acetate) Depo-provera injection 150mg/ml
Combivir tablets 60mg
Comtan (entacapone)
Detrol La capsules 2 mg
Concerta XR (methylphenidate)
Detrol La capsules 4 mg
Copegus (ribavirin)
Detrol tablets 1 mg
Dexedrine Spansule (dextroamphetamine sulfate) Coreg Cr tablets 10mg
Dexedrine Spansule capsules 10mg
Coreg Cr tablets 20mg
Dexedrine Spansule capsules 25mg
Coreg Cr tablets 40mg
Dexedrine Spansule capsules 5mg
Coreg Cr tablets 80mg
Coreg tablets 12.5 mg
Coreg tablets 25 mg
Diabinese tablets 100mg
Coreg tablets 3.125 mg
Diabinese tablets 250mg
Coreg tablets 6.25 mg
Didronel (etidronate)
Cortef tablets 10mg
Diflucan tablets 100mg
Cortef tablets 20mg
Diflucan tablets 200mg
Cortef tablets 5mg
Corzide (nadolol & bendroflumethiazide) Dilantin capsules 100mg
Dilantin capsules 30mg
Cosopt ophthalmic solution 10ml
Dilantin capsules 50mg
Cosopt ophthalmic solution 5ml
Dilantin suspension 125mg
Coumadin (warfarin)
Diovan (valsartan)
Diovan HCT (valsartan with hydrochlorothiazide)
Covera Hs tablets 180mg
Diprolene (betamethasone)
Covera Hs tablets 240mg
Ditropan (oxybutynin)
Ditropan XL (oxybutynin chloride)
Cozaar tablets 100mg
Cozaar tablets 25 mg
Dostinex tablets 0.5mg
Cozaar tablets 50 mg
Duetact (pioglitazone hci and glimedpiride)
Duragesic CII (fentanyl patch)
Dyazide (triamterene with hydrochlorothiazide) Crestor tablets 10 mg
Dyazide capsules 37.5mg/25mg
Crestor tablets 20 mg
Crestor tablets 40 mg
Econopred Plus (corticosteriod)
Crestor tablets 5 mg
Effexor (venlafaxine hcl)
Cyclinex-1 (medical food)
Effexor XR (venlafaxine hcl)
Cyclinex-2 (medical food)
Elidel (pimecrolimus)
Elmiron (pentosan polysulfate sodium)
Elocon (mometasone furoate)
Emend (aprepitant)
Cytotec tablets 100mcg
EMSAM (selegiline transdermal system)
Cytotec tablets 200 mcg
Emtriva (emtricitabine)
Enablex (darifenacin)
Dantrium (dantrolene)
Enjuvia (synthetic conjugated estrogens, b) Enlive! (nutritional supplement)
Daraprim tablets 25 mg
Ensure (nutritional supplement)
Ensure Fiber with FOS (nutritional supplement)
Ensure High Calcium (nutritional supplement)
Daypro capsules 600mg
Ensure High Protein (nutritional supplement)
DDAVP (desmopressin)
Ensure Plus (nutritional supplement)
DDAVP Rhinal (desmopressin)
Epivir oral solution
Depakene (valproic acid)
Epivir tablets 150 mg
Depakote (valproic acid)
Epivir tablets 300 mg
Depakote ER (valproic acid)
Epivir-hbv oral solution
Depo - Estradiol injection 5mg/ml
Epivir-hbv tablets
Depo -Medrol (sterile methylprednisolone acetate) Epzicom (abacavir sulfate & lamivudine) * Medicare Recipients May Not Access This Drug Through APAP Drugs in BOLD/Red are also made available to Medicare Part D enrollees who are in their "Donut Hole” (see the "Donut
Hole Fact Sheet" in IBO Support for more details.) Part D enrollees must apply for APAP before September 1 of each
year to be eligible for the program for the remaining calendar year.
This list should only be used as a reference and not a guarantee to the client that his or her particular drug is available through APAP.
Occasionally, the pharmaceutical companies make changes to the drugs they make available through their Patient Assistance Programs. The pharmaceutical companies make the final decisions as to which drugs are available through these programs.
Epzicom tablets
Geodon capsules 80 mg
Erbitux (cetuximab)
Ertaczo (sertaconazole nitrate)
*Estratest (esterified estrogens with methyltestosterone) *Estratest H.S. (esterified estrogens with methyltestosterone) Glucerna (nutritional supplement)
Glucerna Select (nutritional supplement)
Estring vaginal ring 2mg
Glucerna Shake (nutritional supplement)
Estrogel (estradiol gel)
Glucotrol XL (glipizide extended release) Etopophos (etoposide phosphate)
Glucotrol Xl tablets 5 mg
Glucotrol tablets 10 mg
Glucotrol tablets 5 mg
Exelon (rivastigmine)
Glutarex-1 (medical food)
Glutarex-2 (medical food)
Exubera (insulin human [rdna origin])
GlutoFac-MX (multivitamin)
Famvir (famiciclovir)
GlutoFac-ZX (multivitamin/mineral formula including folic acid and z)
Faslodex (fulvestrant)
Glynase Prestab tablets 1.5mg
Glynase Prestab tablets 3mg
Glynase Prestab tablets 6mg
Feldene capsules 10 mg
Feldene capsules 20 mg
Glyset tablets 100mg
Glyset tablets 25mg
*Ferrlecit (sodium ferric gluconate complex) Glyset tablets 50mg
Grifulvin V (griseofulvin)
Flagyl 375 capsules 375mg
Haldol (haloperidol)
Flarex (fluorometholone)
Hectorol (doxercalcifol)
Flexeril (cyclobenzaprine)
Hepsera (adefovir dipivoxil)
Hi-Cal (nutritional supplement)
Hiprex (methenamine)
Flonase nasal spray 50mcg
Hominex-1 (medical food)
Hominex-2 (medical food)
Flovent HFA aerosol spray 220 mcg
Flovent HFA inhaler 110 mcg
Flovent HFA inhaler 44 mcg
Floxin (ofloxacin)
Focalin (dexmethyiphenidate hcl)
Hycamtin (topotecam hydrochloride)
Focalin XR (dexmethyiphenidate hcl)
Foradil (formoterol fumerate inhalation powder)
Hyzaar (losartan with hydrochlorothiazide) Hyzaar tablets 12.5 mg
Fortaz injection 1 gm/vial
Hyzaar tablets 125 mg
Fortaz injection 2 gm/vial
Fortaz injection 500 mg/vial
Fortaz injection 6 gm/vial
Imdur (isosorbide mononitrate er)
Imitrex injection
Fosamax + D tablets 70mg
Imitrex nasal spray 20 mg/unit
Fosamax oral solution 70mg
Imitrex nasal spray 5 mg/unit
Fosamax tablets 10 mg
Imitrex tablets 100 mg
Fosamax tablets 35 mg
Imitrex tablets 25 mg
Fosamax tablets 40 mg
Imitrex tablets 50 mg
Fosamax tablets 5 mg
Inderal LA (propranolol long acting)
Fosamax tablets 70 mg
Inderide (propranolol with hydrochlorothiazide)
Fosrenol (lanthanum carbonate)
FreeStyle Flash Meter (glucose meter)
Indocin oral solution
FreeStyle Meter (glucose meter)
Inspra tablets 25mg
Gengraf (cyclosporine)
Invega (paliperidone)
Invirase (saquinavir mesylate))
Geodon capsules 20 mg
Iopidine (apraclonidine, 10 ml bottle)
Geodon capsules 40 mg
Isopto Carbachol (carbahol)
Geodon capsules 60 mg
Isopto Carpine (pilocarpine)
* Medicare Recipients May Not Access This Drug Through APAP Drugs in BOLD/Red are also made available to Medicare Part D enrollees who are in their "Donut Hole” (see the "Donut
Hole Fact Sheet" in IBO Support for more details.) Part D enrollees must apply for APAP before September 1 of each
year to be eligible for the program for the remaining calendar year.
This list should only be used as a reference and not a guarantee to the client that his or her particular drug is available through APAP.
Occasionally, the pharmaceutical companies make changes to the drugs they make available through their Patient Assistance Programs. The pharmaceutical companies make the final decisions as to which drugs are available through these programs.
I-Valex-1 (medical food)
*Lodrane D (antihistamines, decongestants) I-Valex-2 (medical food)
*Lodrane XR (antihistamines, decongestants) Januvia tablet 100mg
Lopid tablet 600mg
Januvia tablet 25mg
Januvia tablet 50mg
Lotrisone (clotrimazole with betamethasone)
Jevity 1 Cal (nutritional supplement)
Jevity 1.2 Cal (nutritional supplement)
Lotronex tablets
Jevity 1.5 Cal (nutritional supplement)
Juven (nutritional supplement)
Lumigan ophthalmic solution 0.03% (7.5ml)
Kayexalate (sodium polystyrene sulfonate)
K-Dur (postassium chloride)
Lyrica capsules 100mg
Kenalog 10 (sterile triamcinolone acetonide suspension)
Lyrica capsules 150mg
Kenalog 40 (sterile triamcinolone acetonide suspension)
Lyrica capsules 200mg
Lyrica capsules 225mg
Kerlone (betaxolol)
Lyrica capsules 25mg
Ketonex-1 (medical food)
Lyrica capsules 300mg
Ketonex-2 (medical food)
Lyrica capsules 50mg
Lyrica capsules 75mg
K-Tab (potassium chloride)
Lysodren (mitotane)
Kytril (granisetron)
Macrobid (nitrofurantoin)
Macrodantin (nitrofurantoin)
Lamictal tablets 100mg
Lamictal tablets 200mg
Malarone (atovaquone and proguanil hydrochloride) Lamictal tablets 25mg
Malarone Pedatric (atovaquone and proguanil hydrochloride) Lamictal tablets-chewable 150mg
Malarone Pedatric tablets
Lamictal tablets-chewable 25mg
Malarone Pediatric (atovaquone and proguanil hydrochloride) Lamictal tablets-chewable 2mg
Malarone tablets 250 mg/100 mg
Lamictal tablets-chewable 5mg
Malarone tablets 62.5 mg/25mg
Lanoxicaps capsules 100 mcg
Mavik (trandolapril)
Lanoxicaps capsules 200 mcg
Lanoxicaps capsules 50 mcg
Maxalt Mlt tablets
Lanoxin Pediatic elixer 50mcg/50ml
Maxalt tablets 10 mg
Lanoxin tablets 0.125mg
Maxalt tablets 5mg
Lanoxin tablets 0.25mg
Maxitrol (dexamethasone with neomycin and polymyxin b)
Lantus U-100 (insulin glargine)
Lescol (fluvastatin)
Medrol tablets 16mg
Lescol XL (fluvastatin sodium)
Medrol tablets 2mg
Medrol tablets 32mg
Leukeran (chlorambucil)
Medrol tablets 4mg
Levaquin (levofloxacin)
Medrol tablets 8mg
Levobunolol HCL (levolbunolol)
Mepron suspension
Metipranolol (metipranolol hcl)
Lexiva tablets 700mg
Miacalcin (calcitonin)
Licocin 300mg/ml
*Micardis HCT (telmisartan with hydrochlorothiazide) Lipitor tablets 10 mg
Micronase tablets 1.25 mg
Lipitor tablets 20 mg
Micronase tablets 2.5 mg
Lipitor tablets 40 mg
Micronase tablets 5 mg
Lipitor tablets 80 mg
*Migranal (dihydroergotamine with caffeine) Lithobid (lithium carbonate)
*MimyX (non-steriodal anti-inflammatory cream) Locoid (hydrocortisone butyrate)
Lodosyn (carbidopa)
Minipress capsules 1mg
Minipress capsules 2mg
*Lodrane 12 hour (antihistamines, decongestants) Minipress capsules 5mg
*Lodrane 24 (antihistamines, decongestants) * Medicare Recipients May Not Access This Drug Through APAP Drugs in BOLD/Red are also made available to Medicare Part D enrollees who are in their "Donut Hole” (see the "Donut
Hole Fact Sheet" in IBO Support for more details.) Part D enrollees must apply for APAP before September 1 of each
year to be eligible for the program for the remaining calendar year.
This list should only be used as a reference and not a guarantee to the client that his or her particular drug is available through APAP.
Occasionally, the pharmaceutical companies make changes to the drugs they make available through their Patient Assistance Programs. The pharmaceutical companies make the final decisions as to which drugs are available through these programs.
NutriFocus (nutritional supplement)
Mycelex (clotrimazole)
Ogen tablet 0.625mg
Ogen tablet 1.25mg
Myfortic (mycophenolic acid)
Ogen tablet 2.5mg
Mylotarg (gemtuzumab ozogamicin for injection)
Mytelase (ambenonium)
Optimental (nutritional supplement)
Osmolite (nutritional supplement)
Osmolite 1 cal (nutritional supplement)
Nardil tablets 15mg
Osmolite 1.2 cal (nutritional supplement)
Nasacort AQ (triamcinolone acetonide)
Oxepa (nutritional supplement)
Nasonex (mometasone)
Navane (thiothixene)
Pancrease (pancrelipase)
Neoral (cyclosporine)
Pancrease MT (pancrealipase)
Nepro with Carb Steady (nutritional supplement)
Pancrease MT 20 (pancrealipase)
Neumega (oprelvekin)
Pancrecarb MS-16 (amylase with lipase pancrelipase protease) Neurontin capsules 100 mg
Pancrecarb MS-4 (amylase with lipase pancrelipase protease) Neurontin capsules 300 mg
Pancrecarb MS-8 (amylase with lipase pancrelipase protease) Neurontin capsules 400 mg
Neurontin oral solution 250 mg/ml
Neurontin tablets 600 mg
Parnate tablets 10 mg
Neurontin tablets 800 mg
Neutra-Phos (oral sodium and potassium phosphate)
Neutra-Phos-K (oral potassium phosphate mixture)
Paxil Cr tablets 12.5mg
Paxil Cr tablets 25mg
Nexavar (sorafenib)
Paxil Cr tablets 37.5mg
Paxil tablets 10mg
Nexium capsules 20 mg
Paxil tablets 20mg
Nexium capsules 40 mg
Paxil tablets 30mg
Niaspan (niacin)
Paxil tablets 40mg
PediaSure (nutritional supplement)
PediaSure Enteral Formula (nutritional supplement)
Nicotrol Ns nasal spray
PediaSure Enteral Formula w/Fiber (nutritional supplement)
Nicotrol inhaler
PediaSure w/Fiber (nutritional supplement)
Nimotop (nimodipine)
Pegasys (peginterferon alfa-2a)
Nitro-Dur (nitrogylcerin)
Nitrolingual (nitroglycerin lingual spray)
Perative (nutritional supplement)
Pexeva (paroxetine mesylate)
Phenex-1 (medical food)
Phenex-2 (medical food)
Norpace capsules 100mg
pHisoHex (hexachlorophene)
Norpace capsules 150mg
Phospholine Iodide (echothiophate iodide)
Pilopine HS (pilocarpine hcl)
Norvasc tablets 10 mg
Plaquenil (hydroxychloroquine)
Norvasc tablets 2.5 mg
Plavix (clopidogrel)
Norvasc tablets 5 mg
Norvir (ritonavir)
Plendil tablets 10 mg
Nouriva Repair (lipid cream)
Plendil tablets 2.5 mg
Plendil tablets 5 mg
PolyCitra (tricitrates oral solution)
Novolin InnoLet (recombinant human insulin) PolyCitra LC (tricitrates oral solution)
Novolin N InnoLet (recombinant human insulin) PolyCitra-K (potassium citrate and citric acid for oral solution)
Polycose (nutritional supplement)
Ponstel (mefenamic acid)
potassium chloride ER (potassium)
Novolin R InnoLet (recombinant human insulin) Pramosone (pramoxine with hydrocortisone)
Novolin R Vials (recombinant human insulin) Premarin (conjugated estrogens)
Premphase (estrogens conjugated with medroxyprogesterone acetate)
Prempro (estrogens, conjugated and medroxyprogesterone) Prevacid (lansoprasole)
* Medicare Recipients May Not Access This Drug Through APAP Drugs in BOLD/Red are also made available to Medicare Part D enrollees who are in their "Donut Hole” (see the "Donut
Hole Fact Sheet" in IBO Support for more details.) Part D enrollees must apply for APAP before September 1 of each
year to be eligible for the program for the remaining calendar year.
This list should only be used as a reference and not a guarantee to the client that his or her particular drug is available through APAP.
Occasionally, the pharmaceutical companies make changes to the drugs they make available through their Patient Assistance Programs. The pharmaceutical companies make the final decisions as to which drugs are available through these programs.
Prevacid SoluTab (lansoprasole)
Rhinocort Aqua nasal spray 32 mcg
Risperdal (risperidone)
Risperdal Consta Long Acting (risperidone)
Procardia XL (nifedipine extended release) Risperdal M (risperidone)
Procardia Xl capsules 30 mg
Risperdal M-TAB (risperidone)
Procardia Xl capsules 60mg
Ritalin LA (methyliphenidate)
Procardia Xl capsules 90 mg
Robinul (glycopyrrolate)
Procardia capsules 10 mg
Robinul Forte (glycopyrrolate)
Procardia capsules 20 mg
Roferon-A (interferon alfa-2a, recombinant)
*Rosula (sodium sulfacetamide 10% and sulfur 5%) Promote (nutritional supplement)
*Rosula Cleanser (sodium sulfacetamide and sulfur) Promote with Fiber (nutritional supplement)
Rozerem (ramelteon)
Pro-Phree (medical food)
Propimex-1 (medical food)
Sandimmune (cyclosporine)
Propimex-2 (medical food)
SBR LipoCream OTC (lipocream)
Protonix (pantoprazole sodium)
Serevent Diskus powder for inhalation 50 mcg
Proventil HFA (albuterol hfa)
Proventil UD (albuterol)
Seroquel tablet 50mg
Seroquel tablets 100 mg
Provera tablets 10mg
Seroquel tablets 200 mg
Provera tablets 2.5mg
Seroquel tablets 25 mg
Provera tablets 5mg
Seroquel tablets 300 mg
Provimin (medical food)
Singulair tablets 10 mg
Singulair tablets-chewable 4 mg
Singulair tablets-chewable 5mg
Pulmicort Respules inhalation suspension 0.25mg/2ml
Skelid (tiludronate)
Pulmicort Respules inhalation suspension 0.5mg/2ml
Smolite 1.5 (nutritional supplement)
Pulmocare (nutritional supplement)
Sporanox (itraconazole)
Sprycel (dasatinib)
Razadyne (galantamine hbr)
Stalevo (carbidopa with levodopa and entacapone)
Razadyne ER (galantamine hbr)
Starlix (nateglinide)
RCF (Ross Carbohydrate Free) (medical food)
Regranex (becaplermin)
Relenza powder for inhalation
Stromectol tablets
Sular (nisoldipine)
Relpax tablets 20 mg
Relpax tablets 40 mg
Sulfacet-R Tint Free (sulfacetamide and sulfur) Renagel (sevelamer)
Sulfoxyl (benzoyl peroxide 5% and sulfur 2%) Suplena with Carb Steady (nutritional supplement)
Sustiva (efavirenz)
Requip tablets 0.25 mg
Requip tablets 0.5 mg
Requip tablets 1 mg
Requip tablets 2 mg
Synarel nasal spray 2mg/ml
Requip tablets 3 mg
Synthroid (levothyroxine)
Requip tablets 4 mg
Systane (lubricant eye drops)
Requip tablets 5 mg
Rescriptor tablets 200 mg
Restasis ophthalmic ointment 0.05 % (32 x 0.4 ml)
Retin-A (tretinoin)
Retin-A Micro (tretinoin)
Tarka (trandolapril and verapamil)
Retrovir capsules
Retrovir syrup
Tazorac cream 0.05%
Retrovir tablets
Tazorac cream 0.1%
Reyataz (atazanavir)
Tazorac gel 0.05%
Tazorac gel 0.1%
* Medicare Recipients May Not Access This Drug Through APAP Drugs in BOLD/Red are also made available to Medicare Part D enrollees who are in their "Donut Hole” (see the "Donut
Hole Fact Sheet" in IBO Support for more details.) Part D enrollees must apply for APAP before September 1 of each
year to be eligible for the program for the remaining calendar year.
This list should only be used as a reference and not a guarantee to the client that his or her particular drug is available through APAP.
Occasionally, the pharmaceutical companies make changes to the drugs they make available through their Patient Assistance Programs. The pharmaceutical companies make the final decisions as to which drugs are available through these programs.
Tears Naturale Forte (saline)
Vantin tablets 100mg
Tears Naturale Free Lubricant (saline)
Vantin tablets 200mg
Tears Naturale PM (saline)
Vaseretic (enalapril/hctz)
Tegretol (carbamazepine)
Vasotec (enalapril maleate)
Tegretol XR (carbamazepine)
Ventolin Hfa inhaler
Terazol 3 (terconazole)
Vesanoid (tretinoin)
Terazol 7 (terconazole)
Vesicare tablets 10mg
Teveten (eprosartan)
Vesicare tablets 5mg
Teveten HCT (eprosartan)
Vexol (rimexolone)
Viagra tablets 100 mg
Thyrolar 1 (levothyroxine and liothyronine) Viagra tablets 25 mg
Thyrolar 1/2 (levothyroxine and liothyronine) Viagra tablets 50 mg
Thyrolar 1/4 (levothyroxine and liothyronine) Thyrolar 2 (levothyroxine and liothyronine) Vibramycin capsules 50 mg
Thyrolar 3 (levothyroxine and liothyronine) Vibramycin oral suspension 25 mg/ml
Vibramycin syrup 50 mg/ml
Tikosyn tablets 125mcg
Vibra-tabs tablets 100mg
Tikosyn tablets 250mcg
Vigamox (moxifloxacin)
Tikosyn tablets 500mcg
Tilade (nedocromil sodium inhalation aerosol)
Timentin (ticarcillin disodium and clavulanate potassium)
Timentin injection
Timolol Maleate (timolol)
Viracept tablets 250 mg
Timoptic (timolol maleate)
Viracept tablets 625 mg
Timoptic ophthalmic solution
Timoptic-XE (timolol maleate-hydrochlorothiazde)
Viread (tenofovir)
Timoptic-xe ophthalmic gel
TobraDex (tobramycin and dexamethasone)
Vistaril capsules 100 mg
Topamax (topiramate)
Vistaril capsules 25 mg
Vistide (cidofovir)
Toprol XL (metoprolol succinate extended release tablets) Vital HN (nutritional supplement)
Toprol Xl tablets 100 mg
Vital Jr (nutritional supplement)
Toprol Xl tablets 200 mg
Voltaren (diclofenac)
Toprol Xl tablets 50 mg
Vumon (teniposide)
Travatan (travoprost)
Trecator (ethionamide)
Vytorin (ezetimibelsimvastatin)
Tricor (fenofibrate)
Triglide (fenofibrate)
Wellbutrin Sr tablets 300mg
TriLuma (gluocinolone acetonide, hydroquinone, tretinoin)
Trizivir (abacavir with lamivudine and zidovudine)
Wellbutrin Xl tablets 300mg
Trizivir tablets 300mg/150mg/300mg
Wellbutrin tablets
Trusopt (dorzolamide hydrochloride)
Trusopt ophthalmic solution
Xeloda (capecitabine)
Truvada (emtricitabine and tenofovir disoproxil fumarate)
TwoCal HN (nutritional supplement)
Tyrex-1 (medical food)
Zantac EFFERdose (ranitidine hydrochloride effervescent) Tyrex-2 (medical food)
Zantac Efferdose tablets 150 mg
Tyzine (tetahydrozoline hydrochloride)
Zantac injection premixed
Ultracet (tramadol and acetaminophen)
Zantac injection
Ultram (tramadol hcl)
Zantac syrup
Unisol 4 Saline (saline)
Zantac tablets 150 mg
Urispas (flavoxate hcl)
Zantac tablets 300 mg
UroXatral (alfuzosin)
Zarontin
Zarontin (ethosuximide)
Valcyte (valganciclovir hcl)
Zemplar (paricalcitol)
Zenapax (mucophenolate)
Valtrex caplets
Zephiran (benzalkonium chloride)
Zerit (stavudine)
Vantin oral solution 100mg/5 ml
Zetia (ezetimibe)
Vantin oral solution 50mg/5 ml
Ziagen (avacavir sulfate)
* Medicare Recipients May Not Access This Drug Through APAP Drugs in BOLD/Red are also made available to Medicare Part D enrollees who are in their "Donut Hole” (see the "Donut
Hole Fact Sheet" in IBO Support for more details.) Part D enrollees must apply for APAP before September 1 of each
year to be eligible for the program for the remaining calendar year.
This list should only be used as a reference and not a guarantee to the client that his or her particular drug is available through APAP.
Occasionally, the pharmaceutical companies make changes to the drugs they make available through their Patient Assistance Programs. The pharmaceutical companies make the final decisions as to which drugs are available through these programs.
Ziagen oral solution
Zomig (zolmitriptan)
Ziagen tablets
Zomig nasal spray 5mg
Zinacef (cefuroxime for injection)
Zomig tablets 2.5mg
Zinacef injection
Zomig-Zmt (zolmitriptan)
Zithromax (azithromycin)
Zomig-zmt tablets 0.5mg
Zithromax tablets 250 mg
Zomig-zmt tablets 2.5mg
Zithromax tablets 600 mg
Zonegran (zonisamide)
Zoderm (benzoyl peroxide)
Zovirax (acyclovir)
Zofran (ondansetron hydrochloride)
Zovirax capsules
Zofran ODT (ondansetron hydrochloride)
Zovirax suspension
Zofran tablets 4 mg
Zovirax tablets
Zofran tablets-orally disintergrating 4 mg
Zyban SR (bupropion hydrochloride sustained release)
Zofran tablets-orally disintergrating 8 mg
Zyban Sr tablets
Zoladex (goserelin acetate implant)
Zolinza (vorinostat)
Zoloft (sertraline)
Zyrtec (cetirizine hcl/pseudooephedrine hcl)
Zyrtec tablets 10mg
* Medicare Recipients May Not Access This Drug Through APAP Drugs in BOLD/Red are also made available to Medicare Part D enrollees who are in their "Donut Hole” (see the "Donut
Hole Fact Sheet" in IBO Support for more details.) Part D enrollees must apply for APAP before September 1 of each
year to be eligible for the program for the remaining calendar year.
This list should only be used as a reference and not a guarantee to the client that his or her particular drug is available through APAP.
Occasionally, the pharmaceutical companies make changes to the drugs they make available through their Patient Assistance Programs. The pharmaceutical companies make the final decisions as to which drugs are available through these programs.

Source: https://www.ameriplanusa.com/ibo/pdf/apap/EZMedsMedList10-31-07.pdf