Xubex Patient Assistance Program (PAP) is a program which helps patients who can't afford their high cost medications. It helps qualifying patients who do not have prescription drug coverage to get free or low-cost medicines through the public or private programs that's suited for them.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to PPA.

Product(s) Covered by Program

  • A

    • Acebutolol
    • Acyclovir
    • Afluzosin HCL
    • Albuterol
    • Albuterol Nebulizer Inhalation Solution
    • Albuterol/Ipratropium
    • Alprazolam
    • Amiloride/HCTZ
    • Aminophylline
    • Amiodarone
    • Amitriptyline
    • Amlodipine Besylate
    • Anastrozole
    • Anucort-HC Suppositories
    • Anusol-HC
    • Atenolol
    • Atenolol/Chlorthalidone
    • Atropine Ophthalmic Solution
    • Azathioprine
  • B

    • Baclofen
    • Belladonna Alkaloids/Phenobarbital Tablet
    • Benztropine Mesylate
    • Betamethasone Valerate
    • Bicalutamide
    • Bisoprolol/HCTZ
    • Bumetanide
    • Buspirone HCL
  • C

    • Calcium Acetate
    • Calphron
    • CARBATROL®
    • Carisoprodol
    • Carvedilol
    • Cetirizine
    • Chlordiazepoxide
    • Chlorpropamide
    • Chlorthalidone
    • Chlorzoxazone
    • Cilostazol
    • Cimetidine
    • Clomipramine
    • Clonidine
    • Clorazepate Dipotassium
    • Clotrimazole/Betamethasone
    • Colchicine Tablet
    • Cromolyn
    • Cyclobenzaprine
  • D

    • Dexamethasone
    • Diazepam
    • Diclofenac Potassium
    • Diclofenac Sodium
    • Dicyclomine
    • Digoxin Tablet
    • Diltiazem
    • Diltiazem CD
    • Diltiazem XR
    • Diphenoxylate/Atropine
    • Dipivefrin
    • Donepezil HCL
    • Doxazosin
    • Doxepin
    • Doxycycline
    • Dutoprol
  • E

    • Enalapril Maleate
    • Estradiol
    • Estropipate
    • Etodolac
  • F

    • Famotidine
    • Fluconazole
    • Fluocinolone Acetonide Cream
    • Fluocinonide Cream
    • Fluoxetine
    • Fluphenazine
    • Fluphenazine Decanoate Injection
    • Flurazepam
    • Flurbiprofen
    • Fluticasone Nasal Spray
    • Folic Acid
    • Foltab-800 Tabs
    • Fosinopril
    • Furosemide
  • G

    • Gemfibrozil
    • Glimepiride
    • Glyburide/Metformin
    • Glynase®PresTab®
    • Guaifenesin
    • Guanfacine
  • H

    • Halcion®
    • Hydralazine
    • Hydrocortisone
    • hydrocychloroquine Sulfate
    • Hydroxyzine Pamoate
  • I

    • Ibuprofen
    • Indomethacin
    • Ipratropium Bromide
    • Isoniazid
    • Isosorbide Dinitrate
  • J

    • Jantoven
  • K

    • Ketoconazole
    • Ketoprofen
  • L

    • Labetalol
    • Lamotrigine
    • Leflunomide
    • Levobunolol Ophthalmic Solution
    • Levoxyl®
    • Lithium Carbonate
    • Loratadine
    • Lorazepam
    • Lovastatin
  • M

    • Meclizine
    • Medroxyprogesterone Acetate
    • Meloxicam
    • Methocarbamol
    • Methyldopa
    • Methylprednisolone
    • Metoclopramide
    • Metoprolol Tartrate
    • Mirtazapine
    • Mycophenolate Mofetil
  • N

    • Nadolol
    • Naproxen Sodium
    • Niacor®
    • Nicardipine
    • Nortriptyline
  • O

    • Omeprazole
    • Oxybutynin Chloride
  • P

    • Paroxetine
    • Phenobarbital
    • Pilocarpine Oph Solution
    • Piroxicam
    • Pravastatin
    • Prednisone
    • Prochlorperazine
    • Propafenone
    • Propranolol
  • Q

    • Quinapril
  • R

    • Ramipril
    • Ranitidine
    • Risperidone
    • Ropinirole
  • S

    • Salsalate
    • Selegiline HCl
    • Sertraline
    • Simvastatin
    • Sotalol
    • Sotalol AF
    • Spironolactone
    • Sulcrafate
    • Sulfamethoxazole/Trimethoprim
    • Sulfasalazine
    • Sulfazine EC
    • Sulindac
    • Sumatriptan Succinate
  • T

    • Temazepam
    • Terazosin
    • Terbinafine
    • Theophylline Anhydrous
    • Thiothixene
    • Thyroid
    • Ticlopidine
    • Timolol Maleate ophthalmic Solution
    • Tizanidine
    • Topicort LP
    • Torsemide
    • Tramadol
    • Trandolapril
    • Trazodone
    • Triamterene/HCTZ
    • Trianex®
    • Triazolam
    • Trihexyphenidyl
  • V

    • Venlafaxine
    • Verapamil
  • Z

    • Zaleplon
    • Zonisamide