MEDiC Outreach Program
MEDiC Clinics
4234 Health Sciences Learning Center
750 Highland Avenue
Madison, WI 53705
[email protected]
(608) 265-4972
(608) 265-8560 (fax)
Enhancing Education
Serving Others
Thank you for your interest in donating medications and/or medical supplies to the MEDiC Student-Run
Free Clinics. Your support is vital for the continued success of MEDiC and is greatly appreciated. Due to
an agreement with UW Hospital and the University of Wisconsin School of Medicine and Public Health,
MEDiC clinics operate using a strict formulary. Therefore we are only able to accept medications that are
currently on our organization’s formulary. We also accept a variety of medical supplies.
Please review the attached list that describes:
1) The complete formulary list for medications we are able to accept
2) A list of medical supplies that we accept
To ensure the safety of our patients, MEDiC does not dispense any medication that is near to, or past its
expiration date. We ask that any medications donated have at least 3 months before their expiration date.
We are also unable to accept drug samples of any kind per UW Hospital policy. We are able to accept
brand name versions of any of the drugs on our formulary.
Thank you so much for donating to MEDiC clinics. Your generosity helps uninsured patients receive the
care they need and invests in the continued success of our organization and Madison as a community.
Thank you as well for understanding our limitations in regard to these donations. We look forward to
working with you in the future.
Sincerely,
Nicole
Haebig, DPH-2
Eric
Chmielewski,
DPH-2
Doctor of Pharmacy Candidate, 2017
2019
University of Wisconsin – School of Pharmacy
MEDiC Student Run Free Clinics – Drug and Supply Coordinator
[email protected]
[email protected]
A Program of the UW School
of Medicine and Public Health
1180 Health Sciences Learning
Center 750 Highland Avenue
Madison, WI 53705
phone: 608-265-4972
fax: 608-265-8560
web: www.uwmedstudents.com/studentorgs/MEDIC/
MEDiC Clinics Medication Formulary
Acetaminophen 325 mg
Acetaminophen susp 160 mg/5 mL
Albuterol HFA 90 mcg/inh
Amitriptyline 25 mg
Amitriptyline 50 mg
Amlodipine 10 mg
Amoxicillin 500 mg
Aspirin 325 mg
Aspirin 81 mg
Atenolol 25 mg
Azithromycin 250 mg
Bacitracin topical ointment 500 unit/g
Bupropion SR 100 mg
Bupropion SR 150 mg
Calcium carbonate 500 mg
Clarithromycin 500 mg
Cephalexin 250 mg
Ciprofloxacin 500 mg
Citalopram 20 mg
Cough drops, cherry
Diphenhydramine 25 mg
Docusate sodium 100 mg
Doxycycline 100 mg
Excendrin tablets
Fluoxetine 20 mg
Fluticasone 50 mcg nasal spray
Gabapentin 100 mg
Gabapentin 300 mg
Hydrochlorothiazide 25 mg
Hydrocortisone 1% cream
Ibuprofen 200 mg
Ibuprofen 800 mg
Levothyroxine 50 mcg
Lisinopril 10 mg
Lithium carbonate 300 mg
Loperamide 2 mg
Loratadine 10 mg
Metformin 500 mg
Metoprolol tartrate 25 mg
Metoprolol tartrate 50 mg
Miconazole nitrate 2% vaginal cream
Miconazole 2% topical cream
Mirtazapine 15 mg
Multivitamin chew tab
Naproxen sodium 220 mg
Omeprazole DR 20 mg
Pantoprazole 20 mg
Permethrin 5% cream
Prazosin 1 mg
Prazosin 5 mg
Prednisone 20 mg
Prednisone 5 mg
Prenatal vitamins
Quetiapine 100 mg
Ranitidine 150 mg
Risperidone 1 mg
Saline nasal spray
Saline sinus rinse (Neti-Pots or similar)
Sertraline 100 mg
Sulfamethoxazole/trimethoprim DS
Sumatriptan 100 mg
Terbinafine 1% cream
Trazodone 100 mg
Triamcinolone 0.1% ointment
Tussin DM (guaifenesin/dextromethorphan
syrup)
Venlafaxine XR 150 mg
Venlafaxine XR 37.5 mg
Supplies Accepted for Donation
Hand sanitizer
Alcohol swabs
Gloves (all sizes)
Socks (M-XL)
Thermometers
Thermometer covers
Toothbrushes
Diabetes testing supplies (One Touch Brand
Only)
Sharps containers
Blood pressure cuffs (pediatric, adults, XL)
Peak flow meters
No surgical equipment or supplies are used in
MEDiC clinics.
If you are interested in donating supplies that are
not on this list, please e-mail Nicole Haebig at
[email protected] to see if the supplies are
something that could be used in our clinics.