Rx Outreach

Express-Scripts

Rx Outreach is a low-cost prescription medication program for people in need across the U.S. Prescriptions are mailed directly to the patient after receipt of an Rx Outreach form, a prescription, and payment.
Contact Information
Rx Outreach
P.O. Box 66536
St. Louis, MO 63166-6536
1-(800) 769-3880 (phone)
Physician requests should be directed to:
1-(800) 769-3880 (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Eligibility:
Rx Outreach is a patient assistance program that offers patients access to more than 400 prescription medications. Patients must qualify based on income.
Other Information:
Medications in this program are available in 90-day and/or 180-day supplies. Over 150 medications are available in a 6-month supply for just $20.
Product(s) covered by program:
  • Acyclovir
  • Afeditab CR
  • Alendronate
  • Allopurinol
  • Alprazolam
  • Amiodarone
  • Amitriptyline
  • Amlodipine
  • Aricept®
  • Atenolol
  • Atenolol/Chlorthalidone
  • Baclofen Tablets
  • Belladonna Alkaloids/Phenobarbital
  • Benazepril
  • Benazepril/HCTZ
  • Benztropine
  • Bicalutamide
  • Bisoprolol/HCTZ
  • Bumetanide
  • Bupropion HCL XL
  • Bupropion Tablets
  • Buspirone
  • Captopril
  • Carbamazepine
  • Carbidopa/Levodopa
  • Carbidopa/Levodopa SR
  • Carvedilol
  • Chlorthalidone
  • Cilostazol
  • Citalopram
  • Clindamycin
  • Clonazepam
  • Clonidine
  • Cyclobenzaprine
  • Diazepam
  • diclofenac EC
  • Diclofenac ER
  • Dicyclomine
  • Digoxin
  • Diltiazem ER
  • Diphenoxylate/Atropine
  • Divalproex DR
  • Doxazosin
  • Doxepin
  • Enalapril Maleate
  • Enalapril/HCTZ
  • Estradiol
  • Estropipate
  • Etodolac
  • Famotidine
  • Fexofenadine
  • Fibricor™
  • Finasteride
  • Fluoxetine
  • Fluticasone Nasal Spray
  • Folic Acid
  • Furosemide
  • Gabapentin
  • Gemfibrozil
  • Glimepiride
  • Glipizide
  • Glipizide ER
  • Glipizide ER tablet
  • Glyburide
  • Glyburide Micronized
  • Glyburide/Metformin
  • Haloperidol
  • Hydralazine
  • Hydrochlorothiazide/HCTZ
  • Hydroxychloroquine
  • Hydroxyurea
  • Ibuprofen
  • Indapamide
  • Isoniazid Tablets
  • Isosorbide Mononitrate
  • Isosorbide Mononitrate ER
  • Labetalol
  • Lamotrigine
  • Leflunomide
  • Levetiracetam
  • Levothyroxine
  • Lisinopril
  • Lisinopril/HCTZ
  • Lithium Carbonate
  • Lorazepam
  • Losartan
  • Losartan/HCTZ
  • Lovastatin
  • Meclizine
  • Medroxyprogesterone
  • Meloxicam
  • Metformin
  • Metformin ER
  • Methotrexate Tablets
  • Metoclopramide
  • Metolazone
  • Metoprolol
  • Minocycline
  • Mirtazapine
  • Nabumetone
  • Nadolol
  • Naproxen
  • Naproxen Sodium
  • Nitroglycerin SA
  • Nortriptyline
  • Omeprazole
  • Ondansetron
  • Ondansetron ODT
  • Oxaprozin
  • Oxybutinin
  • Paroxetine
  • Pentoxifylline ER
  • Phenytoin Sodium
  • Potassium Chloride ER
  • Potassium Chloride ER tablet
  • Pravastatin
  • Prazosin
  • Prednisone
  • Previfem®
  • Prochlorperazine
  • Propafenone
  • Propranolol
  • Propylthiouracil
  • Quinapril
  • Ramipril
  • Ranitidine
  • Risperidone
  • Ropinirole HCL
  • Sertraline
  • Simvastatin
  • Spironolactone
  • Stavudine
  • Sulfamethoxazole/Trimethoprim DS
  • Sumatriptan Succinate
  • Tamoxifen Citrate
  • Tamsolusin capsule
  • Temazepam
  • Terazosin
  • Theophyline ER
  • Ticlopidine
  • Tizanidine
  • Topiramate
  • Torsemide
  • Tramadol
  • Trandolapril
  • Trazodone
  • Tri-Previfem™
  • Triamterene/HCTZ
  • Venlafaxine
  • Verapamil
  • Verapamil SR
  • Warfarin
  • Zaleplon
  • Zolpidem
  • Zonegran®