Applications for these programs require the Acrobat Reader version 4.0

Merck Patient Assistance Program
Free medications for those who can't afford them
Details and Download Application Online
or call 1-800-727-5400

Roche Laboratories Patient Assistance Program
Free drugs for people who can't afford them available through your doctor
Details
call 1-877-75ROCHE (877-757-6243)

Together Rx Access 
Sponsored by several drug companies, this card offers discounts on over 275 prescription drugs for low income Americans who do not qualify for Medicare and have no other prescription drug coverage.
Details and Download Application
or call 1-800-444-4106

Lilly Answers Card
$12 flat fee for 30 drug supply for Medicare-enrolled people with low incomes.
Details and Download Application
1-877-RX-LILLY (1-877-795-4559)

Pfizer pFriends
Save more than 1/3 off the retail prices of Pfizer medication
Details and Download Application Online
or call 1-866-776-3700

GlaxoSmithKline Orange Card
For low-income seniors and disabled on Medicare without prescription insurance coverage
Details and Download Application
or call 1-888-ORANGE-6 (1-888-672-6436)

Novartis Patient Assistance Program
Provides assistance to patients with no prescription drug coverage
Details and Download Application
or call 1-800-277-2254