

            
     PRESCRIPTION MEDICATION ASSISTANCE PROGRAMS   

THIS INFORMATION WAS PREPARED 
                                                                
BY                       
THE UNITED STATES SENATE STAFF          
SPECIAL COMMITTEE ON AGING             
                                                                


SUBMITTED BY :                  
MARK E. RAMAGE , PARALEGAL            
NORTH AMERICAN PARALEGAL             
ROUTE ONE , BOX 34              
SCOTLAND , ARKANSAS 72141-9503        
501-592-3505                   
   









TABLE OF CONTENTS


      COMPANY                           PHONE NUMBER                      PAGE
ABBOTT LAB./ROSS LAB.                   Ph. (800)922-3252
ADRIA LABORATORIES , INC.               Ph. (614)764-8100 2
ALLERGAN PRESCRIPTION PHARMACEUTICA     Ph. (800)347-4500 Ext.6219 2
AMGEN , INC.                            Ph. (800)272-9376 2
BOEHRINGER INGLEHELM PHARM. , Inc.      Ph. (203)798-4131 2
BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003 3
BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003 3
BURROUGHS-WELLCOME COMPANY              Ph. (919)248-4418 3
CIBA-GEIGY PHARMACEUTICALS              Ph. (908)277-5849 3
DU PONT MERCK PHARMACEUTICALS           Ph. (   )   - 4
ELI LILLY & COMPANY                     Ph. (317)276-2950 4
G.D. SEARLE & CO.                       Ph. (800)542-2526 4
GENENTECH , INC.                        Ph. (800)879-4747 4
GLAXO , INC.                            Ph. (800)452-9077 5
HOECHST-ROUSSEL PHARMACEUTICALS INC     Ph. (800)776-5463 5
HOFFMAN-LaROCHE , INC.                  Ph. (800)526-6367 5
ICI/STUART PHARMACEUTICALS GROUP        Ph. (302)886-2231 5
IMMUNEX CORPORATION                     Ph. (800)321-4669 6
JANSSEN PHARMACEUTICA INC.              Ph. (800)253-3682 6
JANSSEN PHARMACEUTICALS                 Ph. (908)524-9409 6
KNOLL PHARMACEUTICALS                   Ph. (800)526-0710 6
LEDERLE LABORATORIES                    Ph. (800)526-7870 7
MARION MERRELL DOW , INC.               Ph. (816)966-4250 7
McNEIL PHARMACEUTICAL                   Ph. (215)540-7803 7
MERCK SHARP AND DOHME                   Ph. (215)540-8627 7
ORTHO PHARMACEUTICALS                   Ph. (908)218-6466 8
PARKE-DAVIS                             Ph. (201)540-2000 9
SANDOZ PHARMACEUTICALS                  Ph. (201)503-8341 9
SANOFI WINTHROP PHARMACEUTICALS         Ph. (212)907-2000 9
SIGMA-TAU PHARMACEUTICALS               Ph. (800)999-6673 10
SMITHKLINE BEECHAM                      Ph. (215)751-5760 10
SYNTEX LABORATORIES , INC.              Ph. (800)444-4200 11
WYETH-AYERST LABORATORIES               Ph. (800)568-9938 11











      PRESCRIPTION MEDICATION ASSISTANCE PROGRAMS 


      ABBOTT LAB./ROSS LAB.                   Ph. (800)922-325             
                                              Ph. (   )   -                
      Survanta Lifline , Med. Tech. Hotl.     Fax (202)637-6690            
      555 13th. Street NW  Suite 7E                          
      Washington DC  20004-1109                                        

      The pharmaceuticals products which are covered is SURVANT . The quantity
is one at a time .
                                                                         
      ADRIA LABORATORIES , INC.               Ph. (614)764-8100            
                                              Ph. (   )   -                
      Adria Laboratories                      Fax (614)764-8102            
      Patient Assistance Prgm.                                             
      P.O. Box 16529                                                       
      Columbus OH  43215-6529 USA                                          
     
      The pharmaceuticals products which are covered are ADRIAMYCIN PFS,
ADRUCIL, FOLEX, IDAMYCIN, NEOSAR, TARABINE, and VINCASAR . The quantity is two
months supply .                                        
                                
      ALLERGAN PRESCRIPTION PHARMACEUTICA     Ph. (800)347-4500 Ext.6219      
      Ms. Judy McGee                          Ph. (   )   -                
      Allergan Pharm. , Inc.                  Fax (   )   -                
                                                                         
      All Allergan prescription products are covered , which include NAPHCON
A, PROPINE , FML, HMS, and PILOGAN . Up to a six month supply , eligibility
criteria are at the doctors discretion .
                                                                         
      AMGEN , INC.                            Ph. (800)272-9376            
                                              Ph. (202)637-6688            
      Amgen Safety Net Programs               Fax (   )   -                
                                                                         
      The pharmaceuticals products which are covered are EPOGEN and NEUPOGEN.
Call for more specific information .               
                                                                         
      BOEHRINGER INGLEHELM PHARM. , Inc.      Ph. (203)798-4131            
      Mr. Sam Quy                             Ph. (   )   -                
                                              Fax (   )   -                

      The pharmaceuticals products which are covered are PERSANTINE, ATROVENT,
ALUPENT and CATAPRES. One or two month supply and the patient must be on a
fixed income .
                                                                        


      BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003            
                                              Ph. (   )   -                
      Cardovascular Access Program            Fax (703)760-0049            
      P.O.Box 9445                                                         
      McLean VA  22102-9998                                                
                                                                         
      The pharmaceuticals products which are covered are CAPOTEN, CAPOZIDE,
CORGARD, KLOTRIX, K-LYTE, MONOPRIL, NATURETIN, PRAVOCHOL, PRONESTYL-SR,
QUESTRAN LIGHT, RAUZIDE, SALURON, SALUTENSIN, VASODILAN, and BETAPEN-VK.
      Patient must work through an enrolled doctor , not be covered by any
third party drug coverage , and financially eligible , as determined by a
"means" and "liquid assets" test . Three months supply are provided .
                                                                         

      BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003            
                                              Ph. (   )   -                
      Cancer Patient Access Program           Fax (703)760-0049            
      P.O. Box 9445                                                        
      McLean VA  22102-9998                                                
                                                                         
      The pharmaceuticals products which are covered are BICNU, CEENU,
LYSODREN, MUTAMYCIN, MYCOSTATIN PASTILLES, PARAPLATIN, PLATINOL-AQ, VePESID,
BLENOXANCE, CYTOXAN, LYOPHILIZED, CYTOXAN, IFEX, MESNEX, and MEGACE.
      Three months supply. Doctor's assessment of patient's financial need and
confirmation by local sales representative .
                                                                         
      BRISTOL-MYERS SQUIBB                    Ph. (800)736-0003            
                                              Ph. (   )   -                
      Indigent Patient Program                Fax (703)760-0049            
      Bristol-Myers Squibb                                                 
      P.O. Box 9445                                                        
      McLean VA  22102-9998 USA                                            

      The pharmaceuticals products which are covered are DURICEF, CEFZIL,
BuSPAR, DESYREL, ESTRANCE, OVCON-35, OVCON-50, NATALINS, NATALINS RX,
VAGISTAT-1, MYCOSTATIN . Three months supply. Doctors request and
prescription.   
                                                                     
      BURROUGHS-WELLCOME COMPANY              Ph. (919)248-4418           
      Mr.Jonas B. Daugherty                   Ph. (800)722-9294            
      Professional Information Services       Fax (919)248-0421            
      Burroughs-Wellcome Co.                                               
      3030 Cornwallis Road                                                 
      Research Triangle Park NC  27709                                      
                                           
      All of Burroughs-Wellcome products are covered . The products are
available on a thirty day supply , with a maximum of ninety days .
                                   

      CIBA-GEIGY PHARMACEUTICALS              Ph. (908)277-5849            
      Ms. Jackie Laguardia                    Ph. (   )   -                
      Senior Information Assistant            Fax (   )   -                
      Ciba-Geigy Corporation                                               
      556 Morris Avenue                                                    
      Summit NJ  07901                                                     
     
      Any patient who is unable to afford any of their products can receive a
free supply . Up to a three month supply at any time . This includes
LOPRESSOR, LIORESAL, LITHOBID, VOLTAREN, BRETHINE, TOFRANIL, and APRESOLINE .
      No controlled substances are available under this program .
                                                                          
      DU PONT MERCK PHARMACEUTICALS           Ph. (   )   -                
                                              Ph. (   )   -                
      Du Pont Merck Pharmaceuticals           Fax (   )   -                
      Barley Mill Plaza                                                    
      P.O. Box 80027                                                       
      Wilington DE  19880-0027                                             
     
      All Du Pont Merck retail oral solid pharmaceutical products are
available . This includes COUMADIN, SINEMET, SINEMET CR, and SYMMETREL . No
controlled substances are available under this program . Thirty day supply ,
and the patient must be medical indigent and does not qualify for either
Federal or State pharmaceutical assistance .
                                                                        
      ELI LILLY & COMPANY                     Ph. (317)276-2950            
                                              Ph. (   )   -                
      Indigent Patient Program ,Admin.        Fax (317)276-9288            
      Lilly Corporate Center                                               
      Drop Code 1844                                                       
      Indianapolis IN  46285                                               
     
      They provide insulin products through this program , REGULAR INSULIN,
LENTE INSULIN, and HUMULIN INSULIN . They will also provide CECLOR, KEFLEX,
PROZAC, DYMELOR, and AXID. The amount provided is dependent on the product ,
the diagnosis , and the doctor's instructions.
                                                                         
      G.D. SEARLE & CO.                       Ph. (800)542-2526            
      Mr. Michael Isaacson                    Ph. (708)470-3831            
      V.P. ,"Patient in Need" Foundation      Fax (708)470-6633            
      Searle Company                                                       
      5200 Old Orchard Road                                                
      Skokie IL  60077                                                     
     
      The pharmaceuticals products which are covered are ALDACTAZIDE,
ALDACTONE, CALAN, CALAN SR, CYTOTEC, KERLONE, NITRODISC, NORPACE, NORPACE CR.
Supply is based on the doctor's assessment of the need of the patient .
                                                                         

      GENENTECH , INC.                        Ph. (800)879-4747            
                                              Ph. (   )   -                
      GENENTECH REIMBURSEMENT INFO. PRGM.     Fax (   )   -                
      Mailstop # 99                                                        
      460 Point San Bruno Blvd. South     
      San Francisco CA  94080                                           
     
      The pharmaceuticals products which are covered are PROTROPIN (HUMAN
GROWTH HORMONE) ACTIVASE (TPA, TISSUE PLASMINOGEN ACTIVATOR) and ACTIMMUNE .
                                                                         
      GLAXO , INC.                            Ph. (800)452-9077            
      MS. LAURA L. NEWBERRY                   Ph. (   )   -                
      Supervisor Trade Communications         Fax (919)248-7932            
      Glaxo Inc.                                                           
      P.O. Box 13438                                                       
      Research Triangle Park NC  27709                                      
     
      All Glaxo pharmaceutical products are covered . Three months supply .
 Doctor must waive all fees for the patient .
                                                                         
      HOECHST-ROUSSEL PHARMACEUTICALS INC     Ph. (800)776-5463            
      Ms. Jannalee Smithey                    Ph. (   )   -                
      Technology Assessment Group             Fax (   )   -                
      Hoechst-Roussel                                                      
      Route 202-206 North                                                  
      Somerville NJ  08876                                                 
     
      PROKINE is the main product provided by this company , however it has
indicated that it will provide others to indigent patients upon receipt of a
prescription and a letter from the doctor certifying that the patient is
medically indigent .
                                                                         
      HOFFMAN-LaROCHE , INC.                  Ph. (800)526-6367            
      Ms. Inge Shanahan                       Ph. (   )   -                
      Medical Communications Associate        Fax (201)235-5624            
      Roche Laboratories                                                   
      340 Kingsland Street                                                 
      Nutley NJ  07110                                                     
     
      All Roche pharmaceutical products are covered which include LIMBRITOL,
DALMANE, BACTRIM, BACTRIM DS, KLONOPIN, EFUDEX (FLUOROURACIL INJECTABLE),
GANTRISIN, GANTANOL, INTERFERON 2A RECOMBINANT, ROCEPHIN INJECTABLE, and
ROCALTROL. Three months supply .  The doctor's signature and DEA number is
required for all applications whether or not the request is for a controlled
prescription drug.
                                                                        



      ICI/STUART PHARMACEUTICALS GROUP        Ph. (302)886-2231            
      Ms. Yvonne A. Graham                    Ph. (   )   -                
      Manager, Professional Services          Fax (   )   -                
      ICI Pharmaceuticals Group                                            
      P.O. Box 15197                                                       
      Wilmington DE  19850-5197                                            
    
      NOLVADEX, ZESTORETIC, BUCLADIN-S, KINESED, SORBITRATE, TENORMIN,
TENORETIC, and ZESTRIL. One to three month supply .
                                                                         
      IMMUNEX CORPORATION                     Ph. (800)321-4669            
      Mr. Michael Kleinberg                   Ph. (206)587-0430            
      Director of Professional Services       Fax (206)343-8926            
      Immunex Corporation                                                  
     
      LEUKINE 250 mcg. and LEUKINE 500 mcg.
      The patient must be a private outpatient who the doctor must attest that
the patient requires the drug that they are not eligible for third party
reimbursement .                            
                                            
      JANSSEN PHARMACEUTICA INC.              Ph. (800)253-3682            
                                              Ph. (   )   -                
      Professional Services Department        Fax (   )   -                
      P.O. Box 200                                                         
      Office A32000                                                        
      Titusville NJ  08560-0200                                            
     
      HISMANAL, NIZORAL, DURAGESIC, SPORANOX CAPSULES, ALFENTA, SUFENTA,
SUBLIMAZE. The amount provided varies by product and patient condition. The
doctor determines if the patient is medically indigent and is not eligible for
health insurance . Then they request free medications by written and/or
telephone request, which is followed up with a signed and dated prescription
and a letter stating the financial status and need of the patient .
                                                                         
      JANSSEN PHARMACEUTICALS                 Ph. (908)524-9409            
      Ms. Ellen McDonald                      Ph. (   )   -                
      Assistant Product Manager               Fax (908)524-9118            
      Janssen Pharmaceuticals                                              
      40 Kingsbridge Road                                                  
      Piscataway NJ  08854                                                 
     
      ERGAMISOL (LEVAMISOLE HCL) Two months supply . Patient must have less
than $ 25,000. total annual household income . They can have Medicare or
private insurance , but cannot have prescription coverage .
                                                                        




      KNOLL PHARMACEUTICALS                   Ph. (800)526-0710            
                                              Ph. (   )   -                
      Knoll Pharmaceuticals                   Fax (   )   -                
      Indigent Patient Program                                             
      30 N. Jefferson Road                                                 
      Whippany NJ  07981                                                   
     
      ISOPTIN, RYTHMOL, SANTYL, ZOSRIX.
                                                                         
      LEDERLE LABORATORIES                    Ph. (800)526-7870            
      Mr. Jerry Johnson                       Ph. (   )   -                
      Pharm. D., Dir. Industry Affiars        Fax (201)831-4484            
      American Cyanamid , Inc.                                             
      One Cyanamid Plaza                                                   
      Wayne NJ  07470                                                      
     
      DIAMOX, ARTANE, MINOCIN, LEUCOVORIN, CALCIUM LOXAPINE, VERELAN,
RHEUMATREX, MAXZIDE, and MYAMBUTOL . Doctor has to make the request on behalf
of the patient , and the patient has to be medically indigent and not eligible
for third party insurance coverage or Medicaid reimbursement.
                                                                         
      MARION MERRELL DOW , INC.               Ph. (816)966-4250            
      Mr. Bill Lawrence                       Ph. (   )   -                
      Supervisor of Product Contributions     Fax (   )   -                
      P.O. Box 8480                                                        
      Kansas City MO  64114                                                
                                                                         
      All Marion Merrell Dow pharmaceutical products are covered which include
CARDIZEM, CARDIZEM CD, CARDIZEM SR, CARAFATE, PAVABID, SELDANE, SELDANE D,
NICORETTE, RIFADIN, QUINAMM, and LORELCO . Three months supply .
      The doctor determines if the patient is medically indigent and is not
eligible for health insurance .
                                                                         
      McNEIL PHARMACEUTICAL                   Ph. (215)540-7803            
      Ms. Laura Litzenberger                  Ph. (   )   -                
      Sr. Info. Spec. , Scientific Affair     Fax (   )   -                
      McNeil Pharmaceutical                                                
      Spring House PA  19477                                               
                                                                         
      PANCREASE, PARAFON FORTE DSC, HALDOL, VASCOR, TOLECTIN . The amount
supplied varies by both the product requested and the patient needs. The
doctor determines if the patient is medically indigent and is not eligible for
health insurance and they can make request for free medication by either phone
or written requests , for phone requests , they must be followed up with a
signed and dated prescription , along with a letter stating the financial
status and need of the patient .                                    
                                                                         


      MERCK SHARP AND DOHME                   Ph. (215)540-8627            
                                              Ph. (   )   -                
      Professional Information Department     Fax (   )   -                
      Merck Human Health Div.                                              
      West Point PA  19486                                                 
     
      All Merck pharmaceutical products are covered which include MEVACOR,
PLENDIL, PEPCID, PRILOSEC, PRINIVIL, TIMOPTIC, TIMOLOL, CLINORIL, FLEXERIL,
PERIACTIN, NOROXIN, COGENTIN, INDOCIN, ALDOMET, DOLOBID, VASORETIC, and
VASOTEC . Three months supply . The doctor must provide a letter stating the
financial status and need of the patient and is not eligible for health
insurance .
      
      MILES PHARMACEUTICALS                   Ph. (203)937-2000            
                                              Ph. (   )   -                
      ATTN:INDIGENT PATIENT PROGRAM           Fax (   )   -                
      400 Morgan Avenue                                                    
      West Haven CT  06516                                                 
     
      All Miles prescription products are covered which includes CIPRO,
NIMOTOP and TRIDESILON CREAM . Three months supply . The doctor must provide a
letter stating the financial status and need of the patient and is not
eligible for health insurance .
     
      NORWICH-EATON PHARMACEUTICALS           Ph. (607)335-2079            
      R.M. BRANDT                             Ph. (   )   -                
      MANAGER, COVERAGE & REIMBURSEMENT       Fax (607)335-2020            
                                                                        
      All Norwich-Eaton pharmaceutical products are covered . Three months
supply . The doctor must provide a letter stating the financial status and
need of the patient and is not eligible for health insurance .

      ORTHO BIOTECHNOLOGY                     Ph. (800)447-3437            
      Ms. Carol Webb                          Ph. (800)441-1366            
      Exe. Dir., Hematopoietic Products       Fax (   )   -                
      1800 Robert Fulton Drive                                             
      Reston VA  22091         
     
      PROCIT (EPOETIN-ALFA) . Determined by doctor and is normally supplied in
4-8 weeks supply .                                           
                                                                         
      ORTHO PHARMACEUTICALS                   Ph. (908)218-6466            
      Mr. Jerald Holleman                     Ph. (   )   -                
      Johnson & Johnson                       Fax (   )   -                
      P.O. Box 300                                                         
      Route 202 South                                                      
      Raritan NJ  08869-0602                                               
                                         
      FLOXIN, ACI-JEL, ORTHO DIENESTROL CREAM, MONISTAT VAGINAL SUPPOSITORIES,
PROTOSTAT TABLETS, SULTRIN TRIPLE SULFA CREAM, SULTRIN TRIPLE SULFA VAGINAL
TABLETS, TERAZOL 3 SUPPOSITORIES , TERRAZOL 7 CREAM, SPECTAZOLE CREAM, PERSA-
GEL, PERSA-GEL W, ERYCETTE. The amount provided varies by product and the
patients condition . The doctor determines if the patient is medically
indigent and is not eligible for health insurance and they can make request
for free medication by either phone or written requests , for phone requests ,
they must be followed up with a signed and dated prescription , along with a
letter stating the financial status and need of the patient .
                                    
      PARKE-DAVIS                             Ph. (201)540-2000            
                                              Ph. (   )   -                
      201 Tabor Road                          Fax (   )   -                
      Morris Plains NJ  07950                                              
       
      All pharmaceutical products are covered which include DILANTIN, LOPID,
MANNDELAMINE, ACCUPRIL, PYRIDIUM, NITROSTAT SUBLINGUAL, TABRON, PONSTEL,
PROCAN, ANUSOL HC, and ZARONTIN. There are no formal limits.
                                                                       
      PFIZER INC.                             Ph. (800)869-9979            
                                              Ph. (   )   -                
      Diflucan Patient Assist. Program        Fax (   )   -                
     
      DIFLUCAN (FLUCONAZOLE) Up to 3 month's supply.
                                                                         
      PFIZER PHARMACEUTICALS, INC.            Ph. (212)573-3954            
      Mr. Richard Vastola                     Ph. (   )   -                
      Manager, Professional & Cons. Prgms     Fax (   )   -                
      Pfizer , Inc.                                                        
      235 East 42nd Street                                                 
      New York NY  10017                                                   
     
      ANTIVERT, MARAX, DIABINESE, CARDURA, MINIZIDE, NAVANE, SINEQUAN,
ZITHROMAX, FELDENE, PROCARDIA, PROCARDIA XL, VIBRAMYCIN, VISTARIL, ZOLOFT,
MINIPRESS, MINIZIDE, and GLUCOTROL . Up to three months supplied , as
prescribed by the doctor . Patient must be indigent and not covered by third
party insurance or Medicaid .
                                                                         
      SANDOZ PHARMACEUTICALS                  Ph. (201)503-8341            
      Dr. Gilbert Honigfeld                   Ph. (   )   -                
      Director of Scientific Affairs          Fax (201)503-7185            
      Sandoz Pharmaceuticals                                               
      59 Route 10                                                          
      East Hanover NJ  07936-1951                                          
     
                                                                         
     
     
     
     
      SANOFI WINTHROP PHARMACEUTICALS         Ph. (212)907-2000            
                                              Ph. (   )   -                
      Product Information Department          Fax (   )   -                
      Sanofi Winthrop                                                      
      90 Park Avenue                                                       
      New York NY  10016                                            
            
      All pharmaceutical products are covered . One months supply . 
                                                                       
      SCHERING-PLOUGH                         Ph. (908)298-4000            
                                              Ph. (800)822-7000            
      Drug Inform. Ser. Indigent Program      Fax (   )   -                
      Schering-Plough                                                      
      2000 Galloping Road                                                  
      Kenilworth NJ  07033                                                 
     
      TRINALIN, LOTRIMIN, LOTRISONE,  DIPROSONE, DIPROLENE, FULVICIN,
PROVENTIL, VANCENASE, NORMODYNE, and OPTIMINE , are all provided on a three
month initial supply , which are renewable in three months periods .
                                                                         
      SIGMA-TAU PHARMACEUTICALS               Ph. (800)999-6673            
      Mr. Michele McCourt                     Ph. (203)746-6518            
      Canitor Drug Assistance Program         Fax (203)746-6481            
      Nat. Org. for Rare Dis.                                              
      P.O. Box 8923                                                        
      New Fairfield CT  06812-1783                                         
     
      CARNITOR (LEVOCARNITINE) Three months supply up to one year .
                                                                         
      SMITHKLINE BEECHAM                      Ph. (215)751-5760            
      Ms. Jan Stilley                         Ph. (   )   -                
      Smithkline Beecham                      Fax (   )   -                
      1 Franklin Plaza FP1320                                              
      Philadelphia PA  10101                                               
                                                                         
      All pharmaceutical products are covered which include TAGAMET,
AUGMENTIN, RELAFEN, DYAZIDE, RIDAURA, BACTROBAN,  and COMPAZINE . Three months
supply . Doctor must determine that patient is medically indigent .
      
      SMITHKLINE BEECHAM                      Ph. (800)866-6273            
      Ms. Helen Kennedy                       Ph. (202)508-6512            
      Program Specialist                      Fax (202)637-6690            
      Eminase & Triostat Prgm.                                             
      555 13th St.,NW Ste.700E                                             
      Washington DC  20004                                                 
     
      EMINASE (ANTISREPLASE) AND TRIOSTAT (LIOTHYRONINE SODIUM INJECTION) All
eminase and triostat vials used by the hospital to treat the patient will be
replaced by the company free of charge , if the patient is medically indigent
and does not have third party private insurance or public insurance coverage
and their annual income is $ 18,000 or less for a single person or less than $
25,000 for a married patient with one dependent .
                                                                          
      SYNTEX LABORATORIES , INC.              Ph. (800)444-4200            
                                              Ph. (800)822-8255            
                                              Fax (   )   -                
     
      Must call  for specific information on indigent patient program.
      
      UPJOHN COMPANY                          Ph. (616)323-6004            
      Mr. Wendell Pierce                      Ph. (   )   -                
      National Professional Ser. Manager      Fax (616)323-6332            
      Upjohn Company                                                       
      7000 Portage Road                                                    
      Kalamazoo MI  49001                                                  

      All pharmaceutical products are covered which  include ANSAID, MOTRIN,
PROVERA, E-MYCIN, HALCION, XANAX, MEDROL, CLEOCIN, LINCOCIN, LONITEN,
MICRONASE, ORINASE, and TOLINASE . Three months supply , however , the doctor
can request medications for longer periods of time  . The doctor makes the
determination of the patients needs , and if the patient has insurance
coverage or if other social programs can help to provide the necessary
medications .
      
      
      WYETH-AYERST LABORATORIES               Ph. (800)568-9938            
      Mr. Roger Eurbin                        Ph. (   )   -                
      Assoc. Dir. ,Professional Services      Fax (   )   -                
      Wyeth-Ayerst                                                         
      P.O. Box 8299                                                        
      Philadelphia PA  19101                                               
     
      SECTRAL, CYCLOSPASMOL, PREMARIN, ISORDIL, PHENERGAN, DIMETAPP, ORUDIS,
WYTENSIN, and CORARONE .
                                                                         
      MEDICATION INDEX

A
                                                            
accupril                                                                     9
aci-jel                                                                      8
actimmune                                                                    5
adriamycin pfs                                                               2
adriamycin                                                                   2
adrucil                                                                      2
aldactazide                                                                  4
aldactone                                                                    4
aldomet                                                                      8
alfenta                                                                      6
alupent                                                                      2
ansaid                                                                      11
antivert                                                                     9
anusol hc                                                                    9
apresoline                                                                   4
artane                                                                       7
atrovent                                                                     2
augmentin                                                                   10
axid                                                                         4

B
bactrim ds                                                                   5
bactrim                                                                      5
bactroban                                                                   10
betapen-vk                                                                   3
betapen                                                                      3
bicnu                                                                        3
blenoxance                                                                   3
brethine                                                                     4
bucladin-s                                                                   6
buspar                                                                       3

C
calan sr                                                                     4
calan                                                                        4
calcium loxapine                                                             7
capoten                                                                      3
capozide                                                                     3
carafate                                                                     7
cardizem cd                                                                  7
cardizem sr                                                                  7
cardizem                                                                     7
cardura                                                                      9
carnitor (levocarnitine)                                                    10
catapres                                                                     2
ceclor                                                                       4
ceenu                                                                        3
cefzil                                                                       3
cipro                                                                        8
cleocin                                                                     11
clinoril                                                                     8
cogentin                                                                     8
compazine                                                                   10
corarone                                                                    11
corgard                                                                      3
coumadin                                                                     4
cyclospasmol                                                                11
cytotec                                                                      4
cytoxan                                                                      3

D
dalmane                                                                      5
desyrel                                                                      3
diabinese                                                                    9
diamox                                                                       7
diflucan (fluconazole)                                                       9
dilantin                                                                     9
dimetapp                                                                    11
diprolene                                                                   10
diprosone                                                                   10
dolobid                                                                      8
duragesic                                                                    6
duricef                                                                      3
dyazide                                                                     10
dymelor                                                                      4

E
e-mycin                                                                     11
efudex (fluorouracil injectable)                                             5
eminase (antisreplase)                                                      10
epogen                                                                       2
ergamisol (levamisole hcl)                                                   6
erycette                                                                     9
estrance                                                                     3

F
feldene                                                                      9
flexeril                                                                     8
floxin                                                                       8
fml                                                                          2
folex                                                                        2
fulvicin                                                                    10

G
gantanol                                                                     5
gantrisin                                                                    5
glucotrol                                                                    9

H
halcion                                                                     11
haldol                                                                       7
hismanal                                                                     6
hms                                                                          2
humulin insulin                                                              4

I
idamycin                                                                     2
ifex                                                                         3
indocin                                                                      8
insulin                                                                      4
interferon 2a recombinant                                                    5
isoptin                                                                      7
isordil                                                                     11

K
k-lyte                                                                       3
keflex                                                                       4
kerlone                                                                      4
kinesed                                                                      6
klonopin                                                                     5
klotrix                                                                      3


L
lente insulin                                                                4
leucovorin                                                                   7
leukine 250 mcg.                                                             6
leukine 500 mcg.                                                             6
limbritol                                                                    5
lincocin                                                                    11
lioresal                                                                     4
lithobid                                                                     4
loniten                                                                     11
lopid                                                                        9
lopressor                                                                    4
lorelco                                                                      7
lotrimin                                                                    10
lotrisone                                                                   10
lyophilized                                                                  3
lysodren                                                                     3

M
manndelamine                                                                 9
marax                                                                        9
maxzide                                                                      7
medrol                                                                      11
megace                                                                       3
mesnex                                                                       3
mevacor                                                                      8
micronase                                                                   11
minipress                                                                    9
minizide                                                                     9
minocin                                                                      7
monistat vaginal suppositories                                               8
monopril                                                                     3
motrin                                                                      11
mutamycin                                                                    3
myambutol                                                                    7
mycostatin pastilles                                                         3
mycostatin                                                                   3

N
naphcon                                                                      2
natalins rx                                                                  3
natalins                                                                     3
naturetin                                                                    3
navane                                                                       9
neosar                                                                       2
neupogen                                                                     2
nicorette                                                                    7
nimotop                                                                      8
nitrodisc                                                                    4
nitrostat sublingual                                                         9
nitrostat                                                                    9
nizoral                                                                      6
nolvadex                                                                     6
normodyne                                                                   10
noroxin                                                                      8
norpace cr                                                                   4
norpace                                                                      4

O
optimine                                                                    10
orinase                                                                     11
ortho dienestrol cream                                                       8
orudis                                                                      11
ovcon-35                                                                     3
ovcon-50                                                                     3
ovcon                                                                        3

P
pancrease                                                                    7
parafon forte dsc                                                            7
paraplatin                                                                   3
pavabid                                                                      7
pepcid                                                                       8
periactin                                                                    8
persa-gel w                                                                  9
persa-gel                                                                    9
persantine                                                                   2
phenergan                                                                   11
pilogan                                                                      2
platinol-aq                                                                  3
platinol                                                                     3
plendil                                                                      8
ponstel                                                                      9
pravochol                                                                    3
premarin                                                                    11
prilosec                                                                     8
prinivil                                                                     8
procan                                                                       9
procardia xl                                                                 9
procardia                                                                    9
procit (epoetin-alfa)                                                        8
prokine                                                                      5
pronestyl-sr                                                                 3
pronestyl                                                                    3
propine                                                                      2
protostat tablets                                                            9
protropin (human growth hormone)                                             5
proventil                                                                   10
provera                                                                     11
prozac                                                                       4
pyridium                                                                     9

Q
questran light                                                               3
questran                                                                     3
quinamm                                                                      7

R
rauzide                                                                      3
regular insulin                                                              4
relafen                                                                     10
rheumatrex                                                                   7
ridaura                                                                     10
rifadin                                                                      7
rocaltrol                                                                    5
rocephin injectable                                                          5
rythmol                                                                      7

S
saluron                                                                      3
salutensin                                                                   3
santyl                                                                       7
sectral                                                                     11
seldane d                                                                    7
seldane                                                                      7
sinemet cr                                                                   4
sinemet                                                                      4
sinequan                                                                     9
sorbitrate                                                                   6
spectazole cream                                                             9
sporanox capsules                                                            6
sublimaze                                                                    6
sufenta                                                                      6
sultrin triple sulfa cream                                                   9
survanta                                                                     2
survant                                                                      2
symmetrel                                                                    4

T
tabron                                                                       9
tagamet                                                                     10
tarabine                                                                     2
tenoretic                                                                    6
tenormin                                                                     6
terazol 3 suppositories                                                      9
terrazol 7 cream                                                             9
timolol                                                                      8
timoptic                                                                     8
tofranil                                                                     4
tolectin                                                                     7
tolinase                                                                    11
tridesilon cream                                                             8
trinalin                                                                    10


V
vagistat-1                                                                   3
vagistat                                                                     3
vancenase                                                                   10
vascor                                                                       7
vasodilan                                                                    3
vasoretic                                                                    8
vasotec                                                                      8
vepesid                                                                      3
verelan                                                                      7
vibramycin                                                                   9
vincasar                                                                     2
vistaril                                                                     9
voltaren                                                                     4

W
wytensin                                                                    11

X
xanax                                                                       11

Z
zarontin                                                                     9
zestoretic                                                                   6
zestril                                                                      6
zithromax                                                                    9
zoloft                                                                       9
zosrix                                                                       7

                                         3
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