Patient Assistance Programs

ALREX® (loteprednol etabonate ophthalmic suspension) 0.2%

BEPREVE® (bepotastine besilate ophthalmic solution) 1.5%

BESIVANCE® (besifloxacin ophthalmic suspension) 0.6%

LACRISERT® (hydroxypropyl cellulose ophthalmic insert)

LOTEMAX® (loteprednol etabonate ophthalmic gel) 0.5%

MACUGEN® (pegaptanib sodium injection) intravitreal injection

PROLENSA® (bromfenac ophthalmic solution) 0.07%

RETISERT® (fluocinolone acetonide intravitreal implant) 0.59 mg for intravitreal use

TIMOPTIC® in OCUDOSE® (timolol maleate ophthalmic solution), 0.25% or 0.5%

VISUDYNE® (verteporfin for injection), for intravenous use

VYZULTA® (latanoprostene bunod ophthalmic solution) 0.024%

ZIRGAN® (ganciclovir ophthalmic gel) 0.15%

ZYLET® (loteprednol etabonate 0.5% and tobramycin 0.3% ophthalmic suspension)

APRISO® (mesalamine) extended-release capsules

CYCLOSET® (bromocriptine mesylate tablets), for oral use

MOVIPREP® (polyethylene glycol 3350, sodium sulfate, sodium chloride, potassium chloride, sodium ascorbate, and ascorbic acid for oral solution)

RELISTOR® (methylnaltrexone bromide) tablets, for oral use, 90-count

RELISTOR® (methylnaltrexone bromide) injection, for subcutaneous use (7 single-dose pre-filled syringes per carton), 8 mg/0.4 mL or 12 mg/0.6 mL

UCERIS® (budesonide) Extended Release Tablets, for oral use

UCERIS® (budesonide) rectal foam

XIFAXAN® (rifaximin) Tablets, for oral use, 550 mg

ACANYA® (clindamycin phosphate and benzoyl peroxide) Gel, 1.2%/2.5%, for topical use

CARAC® (fluorouracil cream) Cream, 0.5%

CLINDAGEL® (clindamycin phosphate gel) topical gel, 1%

ELIDEL® (pimecrolimus) Cream, 1% for topical use

JUBLIA® (efinaconazole) topical solution, 10%, 4 mL or 8 mL

LOCOID® (hydrocortisone butyrate) Lotion, 0.1%, for topical use

LUZU® (luliconazole) Cream, 1% for topical use

NORITATE® (metronidazole cream) Cream, 1% for topical use only

ONEXTON® (clindamycin phosphate and benzoyl peroxide) Gel, 1.2%/3.75% for topical use

OXSORALEN-ULTRA® Capsules (methoxsalen capsules, USP, 10 mg)

RENOVA® (tretinoin cream) 0.02% for topical use, pump

RETIN-A MICRO® (tretinoin) Gel microsphere, 0.06% or 0.08%, for topical use

SOLODYN® (minocycline HCI) extended release tablets for oral use, 55 mg, 80 mg or 105 mg

TARGRETIN® (bexarotene) capsules, for oral use

TARGRETIN® (bexarotene) Gel 1%

ZYCLARA® (lmiquimod) cream 3.75%, for topical use, 7.5 g pump or box of 28 packets

855-RX-SILIQ (855) 797-4547

SILIQ (brodalumab) injection, for subcutaneous use, 210 mg/1.5 mL solution

ANCOBON® (flucytosine) 500 mg Capsules

ANDROID® (C-III) (methylTESTOSTERone Capsules, USP) 10 mg

CUPRIMINE® (penicillamine) Capsules

DEMSER® (metyrosine) Capsules

LODOSYN® (carbidopa) tablets

MEPHYTON® (phytonadione) Vitamin K, tablets

SYPRINE® (trientine hydrochloride) capsules

TASMAR® (tolcapone) Tablets

ZELAPAR® (selegiline hydrochloride) Orally Disintegrating Tablets