This is a discount card program.
Pharmaceutical Company Together Rx Access
Program Name Together Rx Access
Program Address PO Box 9426
Wilmington, DE 19809-9944
Phone Number

800-444-4106
Fax Number
Medications on Program Abilify Tablets 5mg, 10mg, 15mg, 20mg, 30mg (aripiprazole)
Accupril Tablets 5mg, 10mg, 20mg, 40mg (quinapril)
Accuretic Tablets 12.5mg/10mg, 12.5mg/20mg, 25mg/20mg (hydrochlorothiazide/quinapril)
ACTOplus met Tablets 15mg/500mg, 15mg/850mg (metformin/pioglitazone)
ACTOS Tablets 15mg, 45mg (pioglitazone)
Advair Diskus Inhalation Powder 100/50 500/50 (fluticasone/salmeterol)
Advair HFA Inhalation Aerosol  (fluticasone/salmeterol)
Advicor ER Tablets 20mg/500mg, 20mg/1000mg (lovastatin with niacin)
Alamast Ophthalmic Solution 0.1% (pemirolast ophthalmic)
Albenza Tablets 200mg (albendazole)
Aldactazide Tablets 25mg, 50mg (hydrochlorthiazide/spironolactone)
Aldactone Tablets-Film Coated 25mg, 50mg, 100mg (spironolactone)
Alkeran Tablets  (melphalan)
Altace Capsule 1.25mg (ramipril)
Amerge Tablets 1mg, 2.5mg (naratriptan)
Amoxil Capsules 500mg (amoxicillin)
Amoxil Oral Solution 250mg/5ml, 400mg/5ml (amoxicillin)
Amoxil Powder for Oral Suspension 50mg/ml, 125mg/5ml (amoxicillin)
Amoxil Tablets 500mg, 875mg (amoxicillin)
Amoxil Tablets-Chewable 200mg, 250mg (amoxicillin)
Ansaid Tablets 100mg (flurbiprofen)
Antivert Tablets 12.5mg, 50mg (meclizine)
Arava Tablets 10mg, 20mg (leflunomide)
Arixtra Injection 5mg, 7.5mg, 10mg (fondaparinux)
Arthrotec Tablets 50mg/200mcg, 75mg/200mcg (diclofenac na/misoprostol)
Atgam Sterile Solution Ampoules  (lymphocyte immune globulin/anti-thymocyte)
Augmentin Oral Solution  (amoxicillin/clavulanate)
Augmentin Powder for Oral Suspension 125mg/5ml, 200mg/5ml, 250mg/5ml, 400mg/5ml (amoxicillin/clavulanate)
Augmentin Tablets 250mg, 500mg (amoxicillin/clavulanate)
Augmentin Tablets-Chewable 200mg, 250mg, 400mg (amoxicillin/clavulanate)
Augmentin ES-600 Powder for Oral Suspension 600mg/5ml (amoxicillin/clavulanate)
Augmentin XR Tablets  (amoxicillin/clavulanate)
Avalide Tablets 150mg/12.5mg, 300mg/12.5mg, 300mg/25mg (irbesartan/hydrochlorothiazide)
Avandamet Tablets 2mg/1000mg, 4mg/1000mg (metaformin/rosiglitazone)
Avandaryl Tablets 4mg/1mg, 4mg/2mg, 4mg/4mg (rosiglitazon/glimepiride)
Avandia Tablets 2mg, 8mg (rosiglitazone)
Avapro Tablets 75mg, 150mg, 300mg (irbesartan)
Avinza Capsules 60mg, 90mg, 120mg (morphine)
Avodart Soft Gelatin Tablet 0.5mg (dutasteride)
Axert Tablets 6.25mg, 12.5mg (almotriptan)
Axid Capsules 150mg, 300mg (nizatidine)
Azmacort Inhaler  (triamcinolone inhaled)
Azulfidine Tablets 500mg (sulfasalazine)
Bacitracin Sterile Powder  (bacitracin)
Bactroban Cream  (mupirocin topical)
Bactroban Ointment  (mupirocin topical)
Baraclude Oral Solution 0.05mg/ml (entecavir)
Baraclude Tablets 0.5mg, 1mg (entecavir)
Beconase Nasal Spray 0.042% (beclomethasone nasal)
Betimol Ophthalmic Solution 0.25%, 0.5% (timolol ophthalmic)
Biafine Topical Emulsion 45gram, 90gram (biafine)
Biaxin XL Filmtab 500mg (clarithromycin)
Biaxin XL Pac Tablets 500mg (clarithromycin)
Bicitra Tablets  (citric acid/sodium citrate)
Caduet Tablets 5mg/10mg, 5mg/20mg, 5mg/40mg, 5mg/80mg, 10mg/10mg, 10mg/20mg, 10mg/40mg, 10mg/80mg (amlodipine/atorvastatin)
Calan Tablets 40mg, 80mg, 120mg (verapamil)
Calan SR Tablets 240mg (verapamil)
Cardizem LA Tablets 120mg, 180mg, 240mg, 300mg, 360mg, 420mg (diltiazem)
Cardura Tablets 1mg, 2mg, 4mg, 8mg (doxazosin)
Casodex Tablets 50mg (bicalutamide)
Caverject Injection  (alprostadil injection- aqueous)
Ceftin Tablets 125mg, 250mg, 300mg, 500mg (cefuroxime axetil)
Celebrex Capsules 100mg, 200mg, 400mg (celecoxib)
Celontin Capsules  (methsuximide)
Centany Ointment  (mupirocin topical)
Cerebyx Injection 100mg/2ml, 500mg/10ml (fosphenytoin)
Chantix Tablets 0.5mg, 1mg (varenicline)
Cleocin Capsules 2%, 75mg, 150mg (clindamycin)
Cleocin Vaginal Ovules  (clindamycin)
Cleocin Pediatric Oral Suspension 75mg/5ml (clindamycin)
Cleocin T Capsules 10mg/ml (clindamycin)
Clozaril Tablets 15mg, 100mg (clozapine)
Coartem   (artmether and lumefantrine)
Colestid Granules 5gm (colestipol)
Colestid Tablets 1gm (colestipol)
CombiPatch transdermal system  (estradiol/norethindrone acetate)
Combivir Tablets 60mg (lamivudine/zidovudine)
Comtan Tablets 200mg (entacapone)
Concerta Tablets 18mg, 27mg, 36mg, 54mg (methylphenidate)
Coreg Tablets 3.125mg, 6.25mg, 12.5mg, 25mg (carvedilol)
Coreg CR Tablets 10mg, 20mg, 40mg, 80mg (carvedilol)
Cortef Tablets 5mg, 10mg, 20mg (hydrocortisone)
Corvert   (ibutilide fumarate)
Coumadin Tablets 1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg, 10mg (warfarin)
Covera HS Tablets 180mg, 240mg (varapamil)
Cyklokapron Ampoules  (tranexamic acid)
Cytomel Tablets 5mcg, 25mcg, 50mcg (liothyronine)
Cytotec Tablets 100mcg, 200mcg (misoprostol)
Daraprim Tablets 25mg (pyrimethamine)
Daypro Capsules 600mg (oxaprozin)
Demulen ethynodiol Tablets  (ethinyl estradiol/ethynodiol)
Depakote Sprinkle Capsules 125mg (divalproex sodium)
Depakote Tablets 125mg, 250mg (divalproex sodium)
Depakote ER Tablets 250mg, 500mg (divalproex sodium)
Depo-Estradiol Injection 5mg (estradiol cypionate)
Depo-Medrol Injection 20mcg, 40mg, 80mg (methylprednisolone acetate)
Depo-Provera Injection 150mg/ml (medroxyprogesterone acetate)
Detrol Tablets 1mg (tolterodine)
Detrol LA Capsules 2mg, 4mg (tolterodine)
Dexedrine Spansule Capsules 5mg, 10mg, 25mg (dextroamphetamine)
Diabinese Tablets 100mg, 250mg (chlorpropamide)
Didrex Tablets  (benzphetamine)
Diflucan Tablets 100mg, 200mg (fluconazole)
Dilantin Capsules 30mg, 50mg, 100mg (phenytoin)
Dilantin Suspension 125mg (phenytoin)
Diovan Tablets 12.5mg/160mg, 40mg, 80mg, 160mg, 320mg (valsartan)
Diovan HCT Tablets 12.5mg/160mg, 80mg (valsartan)
Ditropan Syrup  (oxybutynin)
Ditropan Tablets 5mg, 10mg, 15mg (oxybutynin)
Dostinex Tablets 0.5mg (cabergoline)
Duetact Tablets 30/2mg, 30/4mg (pioglitazone/glimedpiride)
Duragesic Patch  (fentanyl patch)
Dyazide Capsules 3.75mg/25mg (hydrochlorothiazide/triamterene)
Dynacirc CR   (isradipine)
Elidel Cream 1% (pimecrolimus topical)
Elmiron Capsules  (pentosan polysulfate sodium)
Embeda CII   (morphine sulfate and naltrexone hydrochloride)
Enablex Tablets 7.5mg, 15mg (darifenacin)
Epivir Oral Solution  (lamivudine)
Epivir Tablets 150mg, 300mg (lamivudine)
Epivir-HBV Oral Solution  (lamivudine)
Epzicom Tablets  (abacavir/lamivudine)
Eraxis   (anidulafungin)
Ertaczo Cream  (sertaconazole topical)
Estraderm Patch  (estradiol transdermal system)
Estring Vaginal Ring 2mg (estradiol vaginal ring)
Exelon Capsules 1.5mg, 3mg, 4.5mg, 6mg (rivastigmine)
Exforge Tablets 5/160mg, 5/320mg, 10/160mg, 10/320mg (amlodipine/valsartan)
Feldene Capsules 10mg, 20mg (piroxicam)
Feldene Capsules 20mg (piroxicam)
Femara Tablets 2.5mg (letrozole)
Flagyl Capsules 375mg (metronidazole)
Flector Patch  (diclofenac epolamine 1.3%)
Flexeril Tablets 5mg, 10mg (cyclobenzaprine)
Flonase Nasal Spray 500mcg (fluticasone nasal spray)
Flovent Aerosol Spray 44mcg, 110mcg, 220mcg (fluticasone)
Focalin Tablets 2.5mg, 5mg, 10mg (dexmethyiphenidate)
Focalin XR Tablets 5mg, 10mg, 20mg (dexmethyiphenidate)
FreeStyle Flash Meter Blood Glucose Monitoring System  (glucose meter)
FreeStyle Glucose Test Strips Glucose Test Strips  (glucose test strips)
FreeStyle Meter Blood Glucose Monitoring System  (glucose meter)
Geocillin Tablets  (carbenicillin)
Geodon Capsules 20mg, 40mg, 60mg, 80mg (ziprasidone)
Glucotrol Tablets 5mg, 10mg (glipizide)
Glucotrol XL Tablets 2.5mg, 5mg, 10mg (glipizide)
Glynase PresTab Tablets 1.5mg, 3mg, 6mg (glyburide)
Glyset Tablets 25mg, 50mg, 100mg (miglitol)
Grifulvin V Suspension  (griseofulvin)
Grifulvin V Tablets  (griseofulvin)
Halcion Tablets 0.25mg (triazolam)
Haldol Dec   (haloperidol decanoate)
Hemabate Sterile Solution Ampoules  (carboprost tromethamine)
Imitrex Injection  (sumatriptan)
Imitrex Nasal Spray 5mg/unit, 20mg/unit, 25mg/unit (sumatriptan nasal)
Imitrex Tablets 50mg, 100mg (sumatriptan)
InnoPran XL capsules 80mg, 120mg (propranolol)
Inspra Tablets 25mg (eplerenone)
Intelence   (etravirine)
Invega Extended-Release Tablets 3mg, 6mg, 9mg (paliperidone)
Kapidex Capsules  (dexlansoprazole)
Ketek Tablets 400mg (telithromycin)
Lamictal Tablets 25mg, 100mg, 200mg (lamotrigine)
Lamictal Tablets-Chewable 2mg, 5mg, 25mg, 150mg (lamotrigine)
Lamisil Oral Granules  (terbinafine)
Lanoxin Tablets 0.25mg, 0.125mg (digoxin)
Lescol Capsules 20mg, 40mg, 80mg (fluvastatin)
Leukeran Tablets 2mg (chlorambucil)
Levaquin Tablets 250mg, 500mg, 750mg (levofloxacin)
Levoxyl   (levothyroxine)
Lexiva Tablets 700mg (fosamprenavir)
Lincocin  300mg/ml (lincomycin)
Lipitor Tablets 10mg, 20mg, 80mg (atorvastatin)
Lomotil Liquid 2.5mg/.025mg 5ml (diphenoxylate/atropine)
Loniten Tablets 2.5mg, 10mg (minoxidil)
Lopid Tablets 600mg (gemfibrozil)
Lovaza Capsules 1gm (omega-3-acid ethyl esters)
Malarone Tablets 62.5mg/25mg, 250mg/100mg (atovaquone and proguanil hydrochloride)
Mavik Tablets 1mg, 2mg, 4mg (trandolapril)
Medrol Tablets 2mg, 4mg, 8mg, 16mg, 32mg (methylprednisolone)
Mepron Suspension  (atovaquone)
Meridia Capsules 5mg, 10mg, 15mg (sibutramine)
Minizide Capsules 1mg, 5mg (polythiazide/prazosin)
Modicon   (ethinyl estradiol/norethindrone)
Monistat-3 Cream  (miconazole topical)
Monistat-Derm Cream 2% (miconazole topical)
Mycelex Troche  (clotrimazole)
Mycobutin Tablets 150mg (rifabutin)
Myleran Tablets 2mg (busulfan)
Nardil Tablets 15mg (phenelzine)
Navane Capsules  (thiothixene)
Neurontin Capsule 100mg, 300mg, 400mg (gabapentin)
Neurontin Oral Solution 250mg (gabapentin)
Neurontin Tablets 600mg, 800mg (gabapentin)
Neutra-Phos-K   (potassium phosphate/sodium phosphate)
Niaspan Tablets 500mg, 750mg, 1000mg (niacin)
Nicotrol Patch  (nicotine transdermal)
Nitrostat IV  (nitroglycerin)
Nizoral Shampoo  (ketoconazole shampoo)
Nizoral Tablets  (ketoconazole)
Norpace Capsules 100mg, 150mg (disopyramide)
Norvasc Tablets 2.5mg, 5mg, 10mg (amlodipine)
Ogen Tablets 0.75mg, 0.625mg, 1.25mg (estropipate)
Omni-Pac Capsules  (cefdinir)
Omnicef Capsules 300mg (cefdinir)
Omnicef Oral Suspension  (cefdinir)
Onglyza   (saxagliptin)
Ortho Evra transdermal system  (ethinyl estradiol/norelgestromin transdermal)
Ortho Micronor Tablets 28days (ethinyl estradiol/norethindrone)
Ortho Novum 10/11 Tablets 28days (ethinyl estradiol/norethindrone)
Ortho Tri-Cyclen Tablets 28days (ethinyl estradiol/norgestimate)
Ortho Tri-Cyclen Lo Tablets 28days (ethinyl estradiol/norgestimate)
Ortho-Cept Tablets 28days (desogestrel/ethinyl estradiol)
Ortho-Cyclen Tablets 28days (ethinyl estradiol/norgestimate)
Ortho-Novum 1/35 Tablets 28days (ethinyl estradiol/norethindrone)
Ortho-Novum 7/7/7 Tablets 28days (ethinyl estradiol/norethindrone)
Pancrease MT 10 Tablets 10000units/30000units/30units (lipase/amylase/protease)
Parafon Forte Tablets 500mg (chlorzoxazone)
Parnate Tablets 10mg (tranylcypromine)
Paxil Tablets 10mg, 20mg, 30mg, 37.5mg, 40mg (paroxetine)
Paxil CR Tablets 12.5mg, 25mg (paroxetine)
Penlac Nail Lacquer Topical Solution 8% (ciclopirox)
Pfizerpen Injection  (penicillin g potassium)
Plavix Tablets 75mg (clopidogrel)
PolyCitra Syrup  (tricitrates oral solution)
PolyCitra LC Oral Solution  (tricitrates oral solution)
PolyCitra LC Oral Crystals  (potassium citrate/citric acid powder)
PolyCitra LC Oral Oral Solution  (potassium citrate/citric acid solution)
Prevacid Oral Suspension 15mg, 30mg (lansoprasole)
Prevacid Delayed Release Capsules 15mg, 30mg (lansoprasole)
Prevacid SoluTab Tablets 15mg, 30mg (lansoprasole)
Prezista Tablets 300mg (darunavir)
Procardia Capsules 10mg (nifedipine)
Procardia XL Capsules 30mg, 60mg, 90mg (nifedipine)
Provera Tablets 2.5mg, 5mg, 10mg (medroxyprogesterone acetate)
Quixin Ophthalmic Solution 0.5% (levofloxacin)
Razadyne Oral Solution 4mg/ml (galantamine)
Razadyne Tablets 4mg, 8mg, 12mg (galantamine)
Razadyne ER Capsules 8mg, 16mg, 24mg (galantamine)
Relenza Powder for Inhalation  (zanamivir)
Relpax Tablets 20mg, 40mg (eletriptan)
Reminyl Oral Solution  (galantamine)
Reminyl Tablets 4mg, 8mg, 12mg (galantamine)
Renova Emollient Cream  (tretinoin topical)
Requip Tablets 0.5mg, 0.25mg, 1mg, 2mg, 3mg, 4mg, 5mg (ropinirole)
Retin-A Cream  (tretinoin topical)
Retin-A Gel  (tretinoin topical)
Retin-A Liquid  (tretinoin topical)
Retin-A Micro Cream  (tretinoin topical)
Retrovir Capsules  (zidovudine)
Retrovir Syrup  (zidovudine)
Retrovir Tablets  (zidovudine)
Reyataz Capsules 200mg, 300mg (atazanavir sulfate)
Risperdal Oral Solution 0.25mg, 0.5mg (risperidone)
Risperdal Tablets 0.25mg, 0.5mg, 1mg, 2mg, 4mg (risperidone)
Risperdal M-TAB Tablets 1mg, .05mg, 2mg (risperidone)
Ritalin LA Capsules 20mg, 30mg, 40mg (methyliphenidate)
Rozerem Tablets 8mg (ramelteon)
Rythmol Capsules  (propafenone)
Rythmol SR Capsules  (propafenone)
Serevent Diskus Powder for Inhalation 50mcg (salmeterol inhaled)
Simcor Tablets 50mg, 750mg, 1000mg (simvastatin/niacin)
Skelaxin Tablets 800mg (metaxalone)
Sonata Capsules 5mg, 10mg (zaleplon)
Spectazole Cream  (econazole nitrate)
Sporanox Capsules  (itraconazole)
Sporanox Oral Solution  (itraconazole)
Stalevo Tablets 50mg, 100mg, 150mg (carbidopa/levodopa/entacapone)
Sustiva   (efavirenz)
Synarel Nasal Spray 2mg/ml (nafarelin nasal spray)
Synthroid Tablets 25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg, 300mcg (levothyroxine)
Tabloid Tablets 40mg (thioguanine)
Tarka Tablets 1mg/240mg, 2mg/180mg, 2mg/240mg, 4mg/240mg (trandolapril and verapamil)
Tegretol Tablets 200mg (carbamazepine)
Tekturna Tablets 150mg, 300mg (aliskiren)
Terazol 3 Suppository  (terconazole vaginal)
Terazol 3 Vaginal Cream  (terconazole vaginal)
Terazol 3 Vaginal Suppository  (terconazole vaginal)
Terazol 7 Vaginal Cream  (terconazole vaginal)
Teveten Tablets 400mg, 600mg (eprosartan)
Teveten HCT Tablets 12.5mg, 25mg (eprosartan)
Tikosyn Tablets 125mcg, 250mcg, 500mcg (dofetilide)
Topamax Sprinkle Capsules 15mg (topiramate)
Topamax Tablets 25mg, 50mg, 100mg, 200mg (topiramate)
Toviaz Extended Release Tablets 4mg, 8mg (fesoterodine fumarate)
Treximet Tablets  (sumatriptan/naproxen sodium)
Tricor Tablets 48mg, 145mg (fenofibrate)
Trileptal Tablets 150mg, 300mg, 600mg (oxcarbazepine)
Trilipix Capsules  (fenofibric acid)
Trizivir Tablets 300/150mg/300mg (abacavir/lamivudine/zidovudine)
Tylenol with Codeine Tablets  (acetaminophen and codeine phosphate)
Tylox Capsules  (acetaminophen/oxycodone)
Uloric   (febuxostat)
Ultracet Tablets 37.5mg (acetaminophen/tramadol)
Ultram Tablets 50mg (tramadol)
Urispas Tablets 100mg (flavoxate)
Valtrex Caplets  (valacyclovir)
Valturna   (aliskiren/valsartan)
Vantin Oral Solution 50/5ml, 100/5ml (cefpodoxime)
Vantin Tablets 100mg, 200mg (cefpodoxime)
Veramyst Nasal Spray  (fluticasone)
Viagra Tablets 25mg, 50mg, 100mg (sildenafil)
Vibramycin Capsules 50mg (doxycycline)
Vibramycin Oral Suspension 25mg (doxycycline oral suspension)
Vibramycin Syrup 50mg (doxycycline oral syrup)
Vistaril Capsules 25mg, 50mg, 100mg (hydroxyzine)
Vivelle-Dot Transdermal Patch 0.025mg/day, 0.0375mg/day, 0.05mg/day, 0.075mg/day, 0.1mg/day (estradiol transdermal)
Voltaren Ophthalmic Ophthalmic Solution 0.1mg (diclofenac ophthalmic)
Wellbutrin Tablets 75mg, 100mg (bupropion)
Xalatan   (latanoprost)
Zantac Injection  (ranitidine)
Zantac Injection Premixed  (ranitidine)
Zantac Syrup  (ranitidine)
Zantac Tablets 150mg, 300mg (ranitidine)
Zarontin   (ethosuximide)
Zemplar Capsules  (paricalcitol)
Ziagen Oral Solution  (avacavir sulfate)
Ziagen Tablets  (abacavir sulfate)
Ziagen Tablets  (avacavir sulfate)
Zithromax Oral Suspension 100mg/5ml, 200mg/5ml, 900mg (azithromycin)
Zithromax Powder for Oral Suspension 1200mg/5ml (azithromycin)
Zithromax Tablets 250mg, 600mg (azithromycin)
Zmax Tablets  (azithromycin)
Zofran Tablets 4mg, 8mg (ondansetron)
Zoloft Tablets 25mg, 50mg, 100mg (sertraline)
Zovirax Tablets 200mg, 400mg (acyclovir)
Zyban Tablets  (bupropion)
Zyvox Tablets 600mg (linezolid)
Application Forms Not Applicable
On-line Application
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

The patient must have no prescription coverage for any medications and have an income at or below $45000 if single, $60000 for a family of 2, $75000 for a family of 3, $90000 for a family of 4, $105000 for a family of 5 Medical diagnosis necessary for this program is not specified.  The patient must not be eligible for Medicare. Most cardholders save between 25%-40% on brand name prescription medications. Each card holder's savings depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased.
Application Process

The patient can enroll online to get their ID number which can be used immediately.      
Application Requirements

Not applicable.
Program Details

The patient is sent a Together Rx Access prescription savings card.  
Last Updated May 10, 2010