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AFFORDABLE PRESCRIPTION LISTS Generic Name Amantadine Amitriptyline Baclofen Benztropine Buspirone Buproprion IR Buproprion SR Buproprion XL Carbamazepine Carbidopa/Levodopa Carbidopa/Levodopa SR Chlorpromazine HCL Citalopram Clomipramine Clonidine Clozapine Diphenhydramine Divalproex DR Doxepin Donepezil Escitalopram Fluoxetine Fluphenazine Fluvoxamine Gabapentin Guanfacine Haloperidol Hydroxyzine Imipramine Lamictal Lithium Carbonate Lithium Carbonate ER Methyldopa Metoprolol Mirtazapine Nortriptyline Olanzapine Oxcarbazepine Paroxetine Prazosin Propranolol Quetiapine Risperidone Ropinrole Sertraline Thioridazine Thiothixene Topiramate Trazodone Trihexyphenidyl Valproic Acid Venlafaxine Venlafaxine ER Ziprasidone HCL Zolpidem Tartrate © BEYOND THE BRAIN Brand Name Symmetrel Elavil N/A Cogentin Buspar Wellbutrin Wellbutrin Wellbutrin Tegretol Sinemet Sinemet CR Thorazine Celexa Anafranil Catapres Clozaril Benadryl Depakote Sinequan Lexapro Prozac Prolixin Neurontin Tenex Haldol Vistaril Tofranil Eskalith Lithobid Aldomet Remeron Pamelor Zyprexa Trileptal Paxil Minipress Inderal Seroquel Risperdal Requip Zoloft Mellaril Navane Topamax Desyrel Artane Depakote Effexor Effexor XR Geodon Ambien www.beyondthebrain.net Rite Aid: No cost to sign up. $8.99/30days $15.99/90days CVS: $15/yr cost. $11.99/90days Walgreens: $20/yr cost. Cost varies $5-15/30days Rx Outreach: Based on income. Typ. $20/90days Target Walmart x x x x x x x x x x x x Hannafords x (50mg/5ml) x* x RiteAid CVS Walgreens x* x* x* x** x* x* x* x* x* x* x* x x* x x* x x x* x* x* x* x x x x x x x x* x x x x x x x x x x x x x x x x x x x x x x x x x x* x* x x x x* x x* x* x* x x x* x x x x x x x* x x x* x x x x x (chew) x* x x* x x x** x* x* x (syrup) x ? x* x x x x* x** x* x x x x* x* x x* x** x x* x* x x x* x* x x x** x x x x x (ODT) x x x* x* x x x x x x x x x x x x x x x* x x RxOutreach x (100mg tab) x x* x* x** x x* x x x* x x x x x* x x* x x x** x x x* x x x x x x* x x** x x x* x x x x x x x x x Forms 10/25/50/75/100/150*mg 10/20*mg 0.5*/1*/2mg 5/10/15*/30**mg 75mg 100/150/200*mg 150/300mg 100*/200mg 25/100mg 10/100mg* 25/250mg* 25/100mg, 50/200mg 10/25/50/100/200mg 10*/20/40mg 20/50mg 0.1/0.2mg 25mg 50mg 125/200*/500*mg 10/25/50/75*/100*/150*mg 5/10/25*mg 5/10/20mg 10(t)/10/20/40mg 1/2.5*/5*/10*mg 25/100mg 100/300*/400**/600**/800**mg 1/2*mg 0.5/1/2/5*mg 25/50mg 10/25/50*mg 25/100/150*/200*mg 300/600*mg 450mg 250/500*mg 25/50/100mg 15/30mg 10/25/50*/75**mg 2.5/5/7.5/10/15/20mg 150/300*/600*mg 10/20/30*/40*mg 1/2*/5**mg 10/20/40/80mg 25/50/100/200/300mg 0.25/0.5/1/2/3*/4*mg 0.25/3mg 25/50/100mg 10*/25/50/100**mg 1*/2mg 25/50/100/200mg 50/100/150mg 2/5*mg 250mg/5ml 25/37.5/50/75/100mg 37.5/75/150mg 40/60mg 5/10mg
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AFFORDABLE PRESCRIPTION LISTS Generic Name Amantadine Amitriptyline Benztropine Buspirone Buproprion Hcl Carbamazepine Carbidopa/Levodopa Citalopram Clomipramine Clonidine Clozapine Diphenhydramine...
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