Drug List

Many states sponsor special programs to help you with the cost of prescription drugs. Find your state below for information on eligibility and benefits.

State	Name of Program	Eligibility	Benefits	Drug Source
AL	SenioRx/Wellness 800-243-5463 www.adss.state.al.us/seniorx.cfm	Alabama residents 55+ with a 2008 monthly income of $1,734 ($2,334 for couples) or less. Must have a chronic medical condition. Must not have any other Rx coverage.	Counselors assist with applications for patient assistance programs offered by drug makers. Discount depends on patient assistance program. Some programs provide free Rx, others require a $5 or $10 co-pay per Rx.	Any participating Alabama pharmacy.



AK	Senior Benefits Program 888-352-4150 http://seniorbenefits.alaska.gov/	Alaska residents 65+ with a 2008 yearly income of up to $22,750 (single) or $30,625 (couple) are eligible for a monthly payment. No asset limits. You must not be living in a nursing home, Pioneer Home, or be on an extended hospital stay.	You will get checks on a sliding scale based on your income, of either $125, $175 or $250.	Anywhere you get your prescriptions.



AZ	Arizona CoppeRx Card Prescription Discount Program 888-227-8315 http://www.rxamerica.com/ az_discount_home.html	All Arizona residents.	Discount depends on Rx.	Any participating Arizona pharmacy. Drugs can also be ordered online and delivered.



CA	Genetically Handicapped Person’s Program (GHPP) 916-327-0470 800-639-0597 www.dhs.ca.gov/ pcfh/cms/ghpp	California residents who have specific genetic diseases including cystic fibrosis, hemophilia, sickle cell disease, or certain neurological and metabolic diseases. Must not have employer, retiree, union, or some form of private drug coverage.	Helps pay for your prescription drugs. If you decide to enroll in a Medicare drug plan (Part D), you will only be able to get GHPP coverage of drugs that are specifically excluded from Medicare coverage by law.	Your local pharmacy



CA	SB-393 (Prescription Drug Discount Program for Medicare Recipients) 800-434-0222 www.dhs.ca.gov/ mcs/mcpd/MBB/contracting/ sb393/SB393_FAQ.htm	California residents with a Medicare card.	Members get drugs at Medi-Cal's reduced rate. Discount depends on Rx. Processing fee of 15 cents per Rx.	Any participating California pharmacy that accepts Medi-Cal.


CO	Colorado Cares Rx 800-769-3880 www.coloradocaresrx.com	Colorado residents with monthly income in 2008 below $2,601 ($3,501 for a couple).	90-day supplies of prescription drugs for $20, $30 or $40, depending on the Rx. Discounts only for drugs that are not otherwise covered—for example, drugs bought during your Medicare Part D coverage gap or “doughnut hole” or drugs not covered by your Medicare Part D plan.	Drugs are delivered by mail-order.



CT	Connecticut Pharmaceutical Assistance Contract to the Elderly and Disabled Program (ConnPACE) 800-423-5026 (CT residents only) 860-269-2029 www.connpace.com	Connecticut residents aged 65+ or with a disability aged 18+ with 2008 yearly incomes of $23,700 (single) or $31,900 (couple) or less. Must be enrolled in a Medicare prescription drug plan if eligible. Must show that you have applied for Extra Help with your Medicare drug benefit if you are income-eligible for Extra Help. You can have ConnPACE whether you qualify for Extra Help or not. Must not have any other form of prescription coverage or Medicaid (but may have Medicaid Spend-down).	Covers most Rx and diabetes supplies. $30 annual registration fee. Pays for your Medicare prescription drug plan premium. ConnPACE reduces your co-pays to $16.25 per Rx for drugs covered by either your Medicare private drug plan or ConnPACE. If your co-pay is normally less than $16.25, you will pay the lesser amount.	Any pharmacy in your Medicare drug plan's network.



DE	Chronic Renal Disease Program 800-372-2022 www.dhss.delaware.gov/ dhss/dss/crdprog.html	Delaware residents diagnosed with End-State Renal Disease (ESRD, or kidney disease). You must have 2008 monthly income below $2,601. If there is more than one person in your household, the limits may be higher.	Helps pays for prescription and over-the-counter medications that treat your chronic kidney condition. Also covers nutritional supplements prescribed by your primary doctor or nurse practitioner, transportation such as DART tickets, transportation provided by Gerneration Home Care, and mileage reimbursement for self-transportation to and from treatments.	Your local pharmacy



DE	Delaware Prescription Assistance Program (DPAP) 800-996-9969, press Option 2, then Option 1 www.state.de.us/ dhss/dss/dpap.html	Delaware residents 65+ or receiving Social Security Disability Insurance (SSDI) with 2008 monthly income of $1,734. If you are married, you and your spouse must apply separately. Individuals with incomes over these amounts may also be eligible if Rx costs are over 40% of yearly income. Must enroll in a Medicare prescription drug plan. Must not be eligible for the Nemours program.	Discounts depend on Rx. Will only cover drugs that your Medicare private drug plan does not pay for. $5 or 25% co-pay per Rx, whichever is greater. Maximum annual benefit of $2,500 per person.	Any Delaware pharmacy in your Medicare drug plan's network



FL	Florida Discount Drug Card Program 866-341-8894 TTY/TDD: 866-763-9630 www.floridadiscountdrugcard.com	Florida residents who are either age 60 or older OR under 60 with an income in 2008 below $2,601 ($3,501 for a couple). Must either have no drug coverage or be in the Medicare Part D coverage gap.	Provides discounts on prescription drugs. Discounts depend on Rx. $1.50 one-time fee the first time you use the Discount Drug Card.	Any participating Florida pharmacy.



FL	Sunshine for Seniors Patient Assistance Program 800-963-5337 www.floridashine.org/ presassis.html	Florida residents 60 and older who generally do not have drug coverage. Most PAPs will not accept people who are eligible for the Medicare drug benefit, but a few still do (they generally help people with chronic conditions).	Discounts depend on Rx.	Directly from drug manufacturers.



HI	Hawaii’s State Pharmacy Assistance Program (SPAP) www.med-quest.us/ eligibility/ EligPrograms_SPAP.html	Hawaii residents with Medicare whose annual income in 2008 is $17,940 (single) or $24,150 (couple) or less and whose assets are equal to or less than $6,000 (single) or $9,000 (couple). Must not have any other drug coverage. Must have a Part D plan with a monthly premium less than $25.32	Depending on your income, the Hawaii SPAP will cover all or part of your Part D copays.	Any pharmacy that participates in Med-Quest (Medicaid) and is in your Medicare Part D plan’s network.


HI	Hawaii Rx Plus 808-692-7999 Oahu residents 866-878-9769 Neighbor island residents www.hawaiirxplus.com	Hawaii residents whose annual income in 2008 is $41,860 (single) or $56,350 (couple) or less.	Around 10 – 15 discount on drugs Exact discount depends on the retail price of the drug Discounts only for drugs that are not otherwise covered—for example, drugs bought during your Medicare Part D coverage gap or “doughnut hole” or drugs not covered by your Medicare Part D plan.	Participating pharmacies.



ID	Rx Idaho 888-477-2669 www.rxidaho.org/	Idaho residents with 2008 monthly income of $1,734 ($2,334 for couples). In most cases, must not have any other Rx coverage.	Counselors assist with applications for patient assistance programs offered by drug makers (only certain programs accept people eligible for the Medicare drug benefit (Part D). Discount depends on patient assistance programs. Some programs provide free Rx, others require a co-pay per Rx.	Drugs sent directly from pharmaceutical company to physician or pharmacy.



IL	Illinois Cares Rx Senior Health Insurance Hotline (SHIP) 800-548-9034 Senior Helpline 800-252-8966 www.illinoiscaresrx.com	Plus Program: (Formerly SeniorCare) Illinois residents 65+ with yearly incomes of $23,225 (single), $31,264 (married couple or two qualifying residents living together) or less. Basic Program: (Formerly Circuit Breaker) Illinois residents 65+ or with a disability aged 16+ with yearly incomes of $24,808 (single), $32,916 (two qualifying residents living together), $41,023 (3 qualifying residents living together) or less. Must apply for a Medicare prescription drug plan. Must apply for Extra Help with your Medicare drug benefit.	Plus Program: Covers most Rx. Basic Program: Covers Rx for Alzheimer’s disease, arthritis, cancer, diabetes (including diabetes supplies), glaucoma, heart and blood pressure problems, lung and smoking-related illnesses, multiple sclerosis, osteoporosis, Parkinson’s disease. If you choose a plan that coordinates with the state, Illinois Cares Rx will help pay your premiums, coinsurance and deductibles. If you choose a plan that does not coordinate with Illinois Cares Rx, the program will only pay your monthly premiums as long as you choose a basic plan with a premium at or below the regional average ($31.60 in 2006). It will not pay your drug plan’s deductible or coinsurance.	Any participating Illinois pharmacy.



IL	Illinois Rx Buying Club 866-215-3462 866-215-3479 (TTY) www.illinoisrxbuyingclub.com	Illinois residents of all ages with 2008 monthly income below $2,601. Must not have any prescription drug insurance coverage. Illinois Cares Rx Basic participants are automatically enrolled with no enrollment fee.	$10 annual fee. Up to 24 percent discount on FDA-approved drugs offered by participating pharmacies or by mail order.	Any participating Illinois pharmacy.



IL	I-SaveRx 866-I-SAVE33 (866-472-8333) www.i-saverx.net	Illinois, Missouri, Vermont, Wisconsin and Kansas residents.	Discounts Rx up to 50%. Discount depends on Rx.	Pharmacies in Canada, Ireland and the United Kingdom. Drugs are ordered online and mailed.



IN	HoosierRx 866-267-4679 www.in.gov/fssa/ ompp/4248.htm	Indiana residents 65 and older with 2008 yearly incomes of $15,840 (single) or $21,240 (couple) or less. Must enroll in a Medicare prescription drug plan that coordinates with HoosierRx. Must apply for Extra Help with your Medicare drug coverage. Must not be eligible for full Extra Help benefits.	Pays for monthly premiums for drug plans that coordinate with HoosierRx	Does not help pay the cost of your prescription drugs, only your Part D plan’s monthly premium.



IN	Rx for Indiana 877-793-0765 http://rxforindiana.org/	All Indiana residents.	In most cases, must not have any other Rx coverage Counselors assist with applications for patient assistance programs (PAP) offered by drug makers (only certain programs accept people eligible for the Medicare drug benefit (Part D). Discount depends on PAP. Some PAPs provide free Rx, others require a copay.	Drugs sent directly from pharmaceutical company to physician or pharmacy.



KS	CommunityRx 800-279-3022 www.prescriptionnetwork.info/ communityrxks.cfm	Kansas residents with an yearly income in 2008 below $30,630 singles and $41,070. Must not have any other Rx coverage.	Provides discounted prices on up to 90-day supplies of certain generic prescription drugs. You pay $8, $13, or $25 for each Rx. No enrollment fee. Generic drugs only.	Participating pharmacies in Kansas.



KS	I-SaveRx 866-I-SAVE33 (866-472-8333) www.i-saverx.net	All Kansas, Wisconsin, Illinois, Vermont, and Missouri residents.	Discounts Rx up to 50%. Discount depends on Rx.	Pharmacies in Canada and the United Kingdom. Drugs are ordered online and mailed.



LA	Louisiana SenioRx Program 877-340-9100 www.louisianaseniorx.org	Louisiana residents 60 and older with 2008 monthly income below $2,601 for singles ($3,501 for couples). In most cases, must not have any other Rx coverage. Must have a chronic illness and take Rx daily for the condition. Must not have voluntarily cancelled state/federal Rx programs or a private reimbursement plan within 6 months.	Counselors assist with applications for patient assistance programs offered by drug makers (only certain programs accept people eligible for the Medicare drug benefit (Part D). Discount depends on patient assistance program. Some programs provide free Rx, others require a co-pay per Rx.	Sent directly from pharmaceutical company to physician.



LA	Partnership for Prescription Assistance -- Louisiana (PPARxLA) 888-477-2669 www.pprxla.org	Louisiana residents with 2008 monthly income of $1,734 ($2,334 for couples). In most cases, must not have any other Rx coverage.	Counselors assist with applications for patient assistance programs offered by drug makers (only certain programs accept people eligible for the Medicare drug benefit (Part D). Discount depends on patient assistance program. Some programs provide free Rx, others require a co-pay per Rx.	Drugs sent directly from pharmaceutical company to physician or pharmacy.



ME	Maine Low Cost Drugs for the Elderly and Disabled (DEL) Program 888-600-2466 866-796-2463 207-622-3210 (TTY) www.state.me.us/ dhs/beas/medbook.htm	Maine residents 62 and older or age 19 and older with a disability. You must have 2008 monthly income of $1,604 ($2,159 for a couple) or less. If 40% of your income is spent on Rx, monthly income limits are $1,734 (individual) or $2,334 (couples). Must not have Medicaid with Rx coverage. If Medicare eligible, you must enroll in the Medicare drug benefit (Part D). Can only have stand-alone Part D plan (PDP)	If you do not have Medicare, you pay 20% for each covered generic plus a $2 copay; either 20% or a discounted price for brand name drugs, depending on whether they are used to treat certain conditions. Once you spend $1,000 during DEL’s coverage year, you pay 20% for any covered drug. If you have a Medicare Part D plan that coordinates with DEL, DEL pays your Part D plan premium, 50% of the deductible; $2.15 towards the cost of each generic drug; and 50% or $10 of the cost of each brand-name drug whichever is less. During your Part D coverage gap, you will pay 20% coinsurance plus $2 per prescription.	Any Maine pharmacy in your Medicare drug plan's network.



ME	Maine Rx Plus 866-796-2463 800-423-4331 207-287-1828 (TTY) www.state.me.us/dhs/mainerx	Maine residents with 2008 monthly incomes of $3,035 (single) or $4,085 (couple) or less	15% discount per covered brand-name Rx. 60% discount per covered generic Rx. DEL members (see above) pay 20% plus $2 per Rx.	Any participating Maine pharmacy.



MD	Maryland Senior Prescription Drug Assistance Program (SPDAP) 800-551-5995 TTY/TDD: 800-877-5156 www.marylandspdap.com	Maryland residents 65 and older with 2008 monthly income of $2,601 ($3,501 for a couple) or less. Must enroll in a Part D stand-alone drug plan (PDP). Must apply for “Extra Help”—Part D assistance. Must not be eligible for full Extra Help.	Up to $25 in monthly drug plan premium assistance.	Does not help pay the cost of your prescription drugs, only your Part D plan’s monthly premium.



MD	Primary Adult Care Program 800-226-2142 www.dhmh.state.md.us/ mma/pac/index.htm	Maryland residents age 19 and older who have 2008 monthly income below $1,006 ($1,354 for couples), assets below $4,000 ($6,000 for couples). Must not have Medicare.	$2.50 co-pay per generic and some brand-name Rx. $7.50 co-pay for certain brand-name Rx.	Any participating Maryland pharmacy.



MD	Kidney Disease Program (KDP) 410-767-5000	Maryland residents diagnosed with End-Stage Renal Disease (ESRD, or kidney failure). If you are eligible for Medicare, you must enroll in Part A, Part B and Part D.	Helps pay for certain prescription drugs, health services related to ESRD, and Medicare deductibles and coinsurance when receiving services related to ESRD. No income limit, but if you have 2008 monthly income above $1,517 ($2,042 for couples) and/or assets above $20,800 ($28,000 for couples), you will have to pay a program fee based on your income.	Any participating Maryland pharmacy.



MA	Prescription Advantage 800-243-4636 www.mass.gov	Massachusetts residents 65 and over with yearly income in 2008 below $52,000 ($70,000 for couples) or residents under 65 and disabled with yearly income in 2008 below $19,552 ($26,320 for couples). If you are over 65 and not eligible for Medicare, you can enroll no matter your income. If eligible, must enroll in a Medicare prescription drug plan (Part D). Must apply for Extra Help—assistance with Part D. Must not have Medicaid with Rx coverage.	Covers most Rx and diabetes supplies. If you have Medicare Part D, Prescription Advantage may help pay your Part D plan premium. If you do not have Medicare, you may have to pay a deductible every three months. Copays, deductibles, and premium assistance depend on your income level and the type of Rx. After you reach a yearly out-of-pocket limit, you will no longer have to pay copays. Mail order service available.	Any Massachusetts pharmacy in your Medicare drug plan's network.



MI	MiRx Card 800-259-8016 www.mihealth.org/ mirx/index.html	Michigan residents with yearly income of $27,930 ($37,470 for a couple) or less. Must not have any other Rx coverage.	Covers most Rx. Discounts vary by Rx.	Any participating Michigan pharmacy.



MN	RxConnect 888-333-2433 www.minnesotarxconnect.com	Any Minnesota resident who needs assistance paying for prescriptions.	Counselors assist with applications for patient assistance programs offered by drug makers (only certain programs accept people eligible for the Medicare drug benefit (Part D). Discount depends on patient assistance programs. Some programs provide free Rx, others require a co-pay per Rx.	Drugs sent directly from pharmaceutical company to physician or pharmacy.



MO	Missouri Rx 800-375-1406 www.morx.mo.gov	Missouri residents 65 and older or ages 18-64 with a disability, enrolled in Medicare. Must have 2008 monthly income below $1,633 (single) or $2,200 (couple). People with Medicare and Medicaid automatically enrolled. Must enroll in a Medicare private drug plan (Part D).	Covers all Rx on your Medicare drug plan's formulary. 50% of deductible 50% of each copay before coverage gap begins 50% of coverage gap 50% of each copay in catastrophic coverage	Any Missouri pharmacy in your Medicare drug plan's network.



MO	I-SaveRx 866-I-SAVE33 (866-472-8333) www.i-saverx.net	Missouri, Vermont, Illinois, Wisconsin and Kansas residents.	Discounts Rx up to 80 percent. Discount depends on Rx.	Pharmacies in Canada, Ireland and the United Kingdom. Drugs are ordered online and mailed.



MT	Big Sky Rx (BSRx) 866-369-1233 www.dphhs.mt.gov/ prescriptiondrug/bigsky.shtml	Medicare eligible Montana residents with 2008 yearly incomes below $20,660 ($27,620 for a couple). Must apply for a Medicare prescription drug plan. Must apply for Extra Help with your Medicare drug benefit if you are eligible.	Pays up to $33.11 a month for your prescription drug plan premium in 2008.	Any pharmacy in your Medicare prescription drug plan's network.



MT	Mental Health Services Plan 888-866-0328 www.dphhs.mt.gov/ amdd/services/index.shtml	Have 2008 annual income below $15,600 ($21,000 for couples). Have a chronic or debilitating mental illness If you are eligible for Medicare, you must enroll in a Medicare private drug plan	MHSP will pay up to $425 each month in assistance. It can help pay for fees related to whatever prescription drug coverage you have, such as the deductible (MHSP will pay the plan directly for the cost of the deductible), monthly premiums, and copayments for drugs excluded from Medicare coverage, as long as they are on MHSP’s formulary.	One of four mental health service centers and their satellite pharmacies which are operated by the Mental Health Service Bureau located in Montana.



NC	Senior PHARMAssist 919-688-4772 www.seniorpharmassist.org	Durham County residents 60+. Have monthly income below $1,734 ($2,334 for couples) and assets below $20,000 ($30,000 for couples). You may still qualify if your income is slightly above this amount. Have or enroll in a Medicare private drug plan (and no other drug coverage). Are not eligible for full Extra Help paying for your Medicare drug coverage costs.	Covers Rx on PHARMAssist's or Part D plan's formulary. $3 for each 30-day prescription of a generic drug $6 for each 30-day prescription of a brand-name drug Provides one-on-one Rx counseling and referrals to other assistance programs even if you do not qualify for financial assistance from Senior PHARMAssist.	Any participating Durham county pharmacy that is in your Medicare private drug plan's network.



NC	NCRx 888-488-6279 www.ncrx.gov	North Carolina residents 65+. Monthly income below $1,734 ($2,334 for couple) and assets below $20,412 ($30,610). Must have or enroll in a participating private drug plan. Are not be eligible for full Extra Help paying your Medicare drug costs.	Pays up to $29 of your monthly private drug plan’s premium.



ND	Prescription Connection 888-575-6611 www.rxconnectnd.org	Anyone can apply to be screened for drug companies' discount programs (Prescription Assistance Programs) which each have different eligibility requirements.	Connects consumers with pharmaceutical companies' Patient Assistance Programs or other agencies. Benefits vary program to program. Most Patient Assistance Programs will not accept people who are eligible for the Medicare drug benefit, but a few still do.	Participating companies.



NE	National Association of Counties (NACo) Discount Card 877-321-2652 www.naco.advancerx.com	Nebraska residents of participating NACo member counties (see NACo web site). No age or income requirements, and no medical condition restrictions.	Average discount of 20% off any drug. Discount cannot be combined with any other drug coverage.	Any participating Nebraska pharmacy in participating Nebraska counties.



NH	New Hampshire Senior Prescription Drug Discount Program 888-580-8902	New Hampshire residents 65 and older.	Covers most Rx. Up to 40% discount on generic Rx. Up to 15% discount on brand-name Rx.	Any participating New Hampshire pharmacy.



NH	New Hampshire Medication Bridge Program 603-225-0900 www.healthynh.com/ fhc/initiatives/access/ medicationbridge.php	New Hampshire residents. Income eligibility varies by program but yearly incomes typically must be $20,420 (single) or $27,380 (couple).	Partner sites assist with applications for patient assistance programs offered by drug makers. Discount depends on patient assistance program. Some programs provide free Rx, others require a $5 or $10 co-pay per Rx.	Sent directly from pharmaceutical company to physician or partner site.



NH	Partnership for Prescription Assistance (PPARxNH) www.pparxnh.org	Anyone can apply to be screened for drug companies' discount programs which each have different eligibility requirements.	Provides help to apply for pharmaceutical companies' prescription discounts. Benefits vary program to program.	Participating companies.



NJ	Pharmaceutical Assistance to the Aged and Disabled Program (PAAD) 800-792-9745 www.state.nj.us/ health/seniorbenefits/ pbp/index.shtml	New Jersey residents 65+ or receiving Social Security Disability Insurance (SSDI) with 2008 yearly incomes of $23,092 (single) or $28,313 (couple) or less. Must enroll in a Medicare prescription drug plan (Part D). Must not have Medicaid.	Covers Medicare Part D monthly premium, as long as you choose a plan that coordinates with PAAD. Covers most Rx, diabetes supplies, and syringes and needles for injectable medicines used to treat multiple sclerosis. Up to $5 co-pay per covered Rx.	Any New Jersey pharmacy in your Medicare drug plan's network.



NJ	Senior Gold Prescription Discount Program 800-792-9745 www.state.nj.us/ health/seniorbenefits/ pbp/index.shtml	New Jersey residents 65+ or receiving Social Security Disability Insurance (SSDI) with 2008 yearly incomes between $23,092 and $33,092 (single) or $28,313 and $38,313 (couple). Works with or without the Medicare drug benefit.	Covers most Rx and diabetes supplies. You pay $15 co-pay per plus 50% of the remaining cost of the drug per Rx. You pay $15 co-pay if annual Rx costs are $2,000 (single) or $3,000 (couple) or more.	Any New Jersey pharmacy.



NM	Discount Prescription Drug Program (DPDP) 866-244-0882 New Mexico DPDP, enrollment and information 877-206-7434 Express Scripts, post-enrollment customer service www.nmrhca.state.nm.us	All New Mexico residents, regardless of age or other insurance.	Depending on specific drug and pharmacy, up to 50% off generics and an average of 13% off retail or 19% off mail-order prescriptions. If you have other insurance, you cannot use both at the same time. Speak to pharmacist about which coverage will offer you a better price throughout the year. DPDP covers specific list of drugs, or a formulary, which does not include specialty injectable drugs, over-the-counter drugs or drugs covered by Medicare Part B. Some drugs have quantity limitations set by the manufacturers.	Participating New Mexico pharmacies; or Express Scripts, for mail order.



NM	New Mexico SenioRx Program 866-244-0882 www.nmrhca.state.nm.us/ spdp/default.htm	New Mexico residents 65+.	Covers most Rx. 13% discount on brand-name Rx. 19% discount on mail order brand-name Rx. 50% discount on generic Rx. 55% discount on mail order generic Rx.	Any participating New Mexico pharmacy.



NY	Elderly Pharmaceutical Insurance Coverage (EPIC) 800-332-3742 www.health.state.ny.us/ nysdoh/epic/faq.htm	New York residents 65+ with yearly incomes of $35,000 (single) or $50,000 (couple) or less. Must enroll in a Medicare drug plan unless it will reduce or end your other drug coverage or you were in EPIC’s deductible plan before July 2007, and had not met your EPIC deductible in your last year with the program (if your reach your deductible in the future you will have to take Part D). Must not have Medicaid. May use program if Rx benefit has been exhausted.	Covers most Rx and diabetes supplies. $3-$20 co-pay depending on Rx. If yearly income is $20,000 (single) or $26,000 (couple) or less, $8-$300 annual fee applies per person. If yearly income is between $20,001-$35,000 (single) or $26,001-$50,000 (couple), $530-$1,715 annual deductible applies per person.	Any participating New York pharmacy.



NV	Senior Rx (through Catalyst Rx) 800-303-6323 http://dhhs.nv.gov/ SeniorRx.htm	Nevada residents 62 and older with 2008 yearly income up to $24,960 (single) or $33,600 (couple). Must not have Medicaid with Rx coverage. If you are eligible for Medicare, you must enroll in a Medicare drug plan (Part D) or have other creditable coverage Must apply for Extra Help—assistance with Part D—if eligible.	If eligible for Medicare Part D: Pays up to $20.56 for your monthly drug plan premium in 2007. If you qualify for Extra Help, SeniorRx will deduct the amount that Extra Help pays for your premium from the amount it will pay. Pays in full for Part D-covered drugs only during your Medicare drug plan's coverage gap. The assistance counts towards reaching your plan's catastrophic coverage limit. If not eligible for Medicare: $10 generics and $25 preferred brand Rx drugs. Special emergency fund to provide help with copayments and deductibles in special cases.	Any Nevada pharmacy.



NV	Disability Rx (through Catalyst Rx) 800-303-6323 http://www.dhhs.nv.gov/ DisabilityRx.htm	Nevada residents 18-61 with disabilities and with 2008 yearly incomes up to $24,960 (single) or $33,600 (couple). Must not have Medicaid with Rx coverage. If you are eligible for Medicare, you must enroll in a Medicare drug plan (Part D) or have other creditable coverage Must apply for Extra Help—assistance with Part D—if eligible.	If eligible for Medicare: Pays up to $20.56 for your monthly Part D plan premium. Provides drug coverage during your Medicare drug plan's coverage gap. If not eligible for Medicare: $10 generics and $25 preferred brand Rx drugs. Special emergency fund to provide help with copayments and deductibles in special cases.	Any Nevada pharmacy.



OH	Ohio’s Best Rx 866-923-7879 www.ohiobestrx.org	Anyone over 60 or with a 2008 annual income less than $30,636 $41,076 for couples). Must renew membership every 12 months.	20-45 percent off generic drugs and 10-25 percent off brand-name drugs. Exact savings depend on prescription and pharmacy. Covers diabetic supplies such as test strips, syringes and glucose monitors, when accompanied with a prescription from your doctor.	Participating pharmacies or through mail order.



OK	Rx for Oklahoma 866-794-7345	Any Oklahoman. Applicants are divided up by county into five regions and should apply through their region.	Helps Oklahomans to access manufacturers' prescription assistance programs (PAP) and to complete forms to apply for these services. Most PAPs will not accept people who are eligible for the Medicare drug benefit, but a few still do.	Participating pharmaceutical companies.


OR	Oregon Prescription Drug Program (OPDP) 503-373-1603 www.opdp.org	Oregon residents. You can have a Part D plan. You cannot have any other type of drug coverage.	Helps pay for any medication for which you have a prescription; does not include over-the-counter drugs. Average discount is 30 percent off price of the drug. Discount is greater for generic drugs, up to 60 percent.	Any pharmacy in the OPDP network. Check OPDP's website for an updated list.



PA	Pharmaceutical Assistance Contract for the Elderly (PACE) 800-225-7223 717-787-7313 www.aging.state.pa.us/ aging/cwp/view.asp?a=293 &q=252885	Pennsylvania residents 65+ with income $14,500 (single) and $17,700 (couple) or less from the previous year. Works with the Medicare drug benefit and Extra Help to save you more money on your prescription drugs. Must not have Medicaid with Rx coverage.	Covers most Rx and diabetes supplies. Generic substitution required. Up to $6 co-pay per generic Rx. Up to $9 co-pay per brand-name Rx. PACE covers up to $26.59/month in 2008 for your Medicare Part D monthly premium.	Any participating Pennsylvania pharmacy.



PA	Pharmaceutical Assistance Contract for the Elderly Needs Enhancement Tier (PACENET) 800-225-7223 717-787-7313 www.aging.state.pa.us/ aging/cwp/view.asp?a=293 &q=252885	Pennsylvania residents 65+ with yearly incomes between $14,500-$23,500 (single) or $17,700-$31,500 (couple) from the previous year. Works with or without the Medicare drug benefit. Must not have Medicaid with Rx coverage.	Covers most Rx and diabetes supplies. Up to $8 co-pay per generic Rx. Up to $15 co-pay per brand-name Rx. Without a Medicare drug plan, $26.59 monthly deductible in 2008.	Any participating Pennsylvania pharmacy.



PA	Chronic Renal Disease Program (CRDP) 800-225-7223 717-787-7313 www.dsf.health.state.pa.us/ health/CWP/view.asp?A=179 &QUESTION_ID=232459	Pennsylvania residents with End-Stage Renal Disease (ESRD) and monthly income below $2,450 ($3,300 for couples). Assists with costs related to treatments for End-Stage Renal Disease (ESRD), including prescription drugs.	Up to $6 co-pay per generic Rx. Up to $9 co-pay per brand-name Rx. Sliding scale deductible based on your income before CRDP will cover any drugs you get at a dialysis facility. CRDP covers up to $26.59/month in 2008 for your Medicare Part D premium.	Any participating Pennsylvania pharmacy.



RI	Rhode Island Pharmaceutical Assistance for the Elderly (RIPAE) 401-462-4000 www.dea.ri.gov/ medicare/guide/ about_ripae.html	Rhode Island residents 65+ or 55-64 receiving Social Security Disability Insurance (SSDI) with yearly incomes of $42,493 (single) or $48,563 (couple) or less. Must not be eligible for Medicaid.	Covers Rx used to treat Alzheimer’s disease, anti-infectives, arthritis, asthma and other chronic respiratory conditions, cancer, circulatory insufficiency, depression, diabetes (including insulin syringes), glaucoma, heart problems, high cholesterol, hypertension, osteoporosis, Parkinson’s disease, prescription minerals and vitamins for kidney patients, urinary incontinence and injectible prescription drugs used to treat Multiple Sclerosis. If you enroll in a Medicare prescription drug plan (Part D), RIPAE will only offer discounts on prescription drugs for which you pay 100 percent out of your own pocket (such as during your drug plan’s deductible or coverage gap, or when a drug is not on your Medicare private drug plan’s list of covered drugs). 60%, 30%, or 15% discount per Rx depending on income. People receiving SSDI receive Rx at lowest price offered through state.	Any participating Rhode Island pharmacy.



SC	Gap Assistance Program for Seniors (GAPS) 800-834-2680 http://southcarolina.fhsc.com/ beneficiaries/GAPS/	South Carolina residents 65+ with 2008 monthly incomes of $1,734 (single) or $2,334 (couple) or less. Must not be eligible for Extra Help. Must enroll in a Medicare prescription drug plan that works with GAPS.	Covers all Rx covered by your Medicare private drug plan during your Medicare prescription drug plan's coverage gap. 5% coinsurance for covered medications.	Any South Carolina pharmacy in your Medicare prescription drug plan's network.



SC	Commun-I-Care 800-763-0059 803-933-9183 www.commun-i-care.org	South Carolina residents under the age of 65, not covered by any other health or drug insurance, including Medicaid, Medicare and Veterans benefits. You must be either currently employed, receiving unemployment compensation, Social Security Retirement or Social Security Disability benefits. Your 2008 yearly income must be below $20,808 (for individuals) or $28,008 (for couples).	Free Rx on formulary. Also provides free medical care and counseling.	Medications from Abbott Laboratories, AstraZeneca Pharmaceuticals, Bristol-Myers Squibb Company, Johnson & Johnson, TAP Pharmaceutical Products, Eli Lilly, Pfizer and others. Fill your prescriptions through Commun-i-care's mail-order pharmacy.



UT	RxConnect Utah 866-221-0265 http://health.utah.gov/ rxconnectutah/	Usually low-income with no other Rx coverage, including Medicare Part D. Exact eligibility depends on the patient assistance program that RxConnect helps you find.	Assists in connecting you with patient assistance programs offered by drug makers. Discount depends on patient assistance program.	Mail-order pharmacies run by drug manufacturers.



VT	V-Pharm 800-250-8427 www.dsw.state.vt.us/ Programs_Pages/Healthcare/ vhap_pharmacy.htm	Vermont residents with Medicare with 2008 monthly incomes of $1,951 (single) or $2,626 (couple) or less. Must enroll in Medicare drug coverage. Must apply for Extra Help paying for Medicare drug coverage.	Covers all Rx excluded from Medicare drug coverage such as benzodiazepines, barbiturates, non-prescription over-the-counter drugs, and prescription vitamins and minerals as long as your Medicare drug plan does not cover them. Pays your monthly Medicare drug plan premium up to $27.35 (in 2007) Pays 100 percent for drugs through your deductible. Helps pay your drug copays when you have coverage. Pays 100 percent for drugs through the coverage gap.	Any Vermont pharmacy in your Medicare drug plan's network.



VT	VSCRIPT 800-250-8427 www.dsw.state.vt.us/ Programs_Pages/Healthcare/ vhap_pharmacy.htm	Vermont residents with 2008 yearly incomes of $23,400 (single) or $31,500 (couple) or less. Must not have any other Rx coverage, including Medicare Part D.	Covers Rx used to treat and maintain chronic conditions. A monthly premium that depends on your income. To get full coverage, drug maker must have contract with the state. Otherwise, discount depends on Rx and drug maker.	Any participating Vermont pharmacy.



VT	Vermont Health Access Plan (VHAP)—Pharmacy 800-250-8427 www.path.state.vt.us/ Programs_Pages/Healthcare/ vhap.htm	Vermont residents with 2008 monthly incomes of $1,301 (single) or $1,751 (couple) or less. Must not have any other health or drug insurance coverage. Must not qualify for Medicare or Medicaid.	Covered drugs are paid for in full. Has a monthly premium that depends on your income.	Any participating Vermont pharmacy.



VT	Healthy Vermont 800-250-8427 www.dsw.state.vt.us/ Programs_Pages/Healthcare/ Healthy_vermonters.htm	Vermont residents with Medicare with monthly incomes of $3,468 for an individual or $4,668 for a couple (in 2008) or less. Must not have any other Rx coverage, other than Medicare Part D.	Covers Rx used to treat and maintain chronic conditions. Discount depends on Rx and drug maker. If you have Medicare Part D, you receive discounts on drugs excluded from Medicare coverage.	Any participating Vermont pharmacy.



WA	Washington Prescription Drug Program (WPDP) 800-913-4146 www.rx.wa.gov	Washington residents.	On average save 20 to 60% off. Discount depends on Rx. You can have Medicare prescription drug coverage and WPDP, but you cannot use both programs at the same time.	Participating pharmacies, including mail order.



WV	Golden Mountaineer Discount Card 877-987-3646 304-558-3317 www.wvseniorservices.gov	West Virginia residents 60+.	Discounts on Rx. Discount depends on Rx.	Any participating United States pharmacy that contracts with AdvancePCS Pharmacy Benefits Manager. For a list of participating West Virginia pharmacies, see the Golden Mountaineer Discount Card website. For a list of participating pharmacies outside of West Virginia, call AdvancePCS at 877-321-2652.



WI	Badger Rx Gold 866-809-9382 www.badgerrxgold.com	All Wisconsin residents. Must not have Medicaid with Rx coverage. Works with or without the Medicare drug benefit.	Discounts of 20–40% on most Rxs, depending on the Rx. $25 annual enrollment fee per person.	Any participating Wisconsin pharmacy.



WI	SeniorCare-Level 1 800-657-2038 www.dhfs.wisconsin.gov/ seniorCare/	Wisconsin residents 65+ with 2008 yearly incomes of $16,640 (single) or $22,400 (couple) or less. Must not have Medicaid with Rx coverage. Works with or without the Medicare drug benefit.	Covers most Rx. $5 co-pay per generic Rx. $15 co-pay per brand-name Rx. $30 annual enrollment fee per person.	Any participating Wisconsin pharmacy.



WI	SeniorCare-Level 2a 800-657-2038 www.dhfs.wisconsin.gov/ seniorCare/	Wisconsin residents 65+ with 2008 yearly incomes between $16,641 and $20,800 (single) or $22,401 and $28,000 (couple). Must not have Medicaid with Rx coverage. Works with or without the Medicare drug benefit.	Discounts on Rx until $500 deductible per person is met. $5 co-pay per generic Rx after deductible is met. $15 co-pay per brand-name Rx after deductible is met. $30 annual enrollment fee per person.	Any participating Wisconsin pharmacy.



WI	SeniorCare-Level 2b 800-657-2038 www.dhfs.wisconsin.gov/ seniorCare/	Wisconsin residents 65+ with 2008 yearly incomes between $20,801 and $24,960 (single) or $28,001 and $33,600 (couple). Must not have Medicaid with Rx coverage. Works with or without the Medicare drug benefit.	Discounts on Rx until $850 deductible per person is met. $5 co-pay per generic Rx after deductible is met. $15 co-pay per brand-name Rx after deductible is met. $30 annual enrollment fee per person.	Any participating Wisconsin pharmacy.



WI	SeniorCare-Level 3 800-657-2038 www.dhfs.wisconsin.gov/ seniorCare/	Wisconsin residents 65+ with 2008 yearly incomes of $24,961(single) or $33,601 (couple) or higher. Must not have Medicaid with Rx coverage. Works with or without the Medicare drug benefit.	Must pay retail price of Rx until "spenddown," the difference between your 2008 income and $24,960(single) or $33,600 (couple), is met. After spenddown is met, discounts on Rx until $850 deductible per person is met. $5 co-pay per generic Rx after deductible is met. $15 co-pay per brand-name Rx after deductible is met. $30 annual enrollment fee per person.	Any participating Wisconsin pharmacy.



WI	I-SaveRx 866-I-SAVE33 (866-472-8333) www.i-saverx.net	Wisconsin, Illinois, Missouri and Kansas residents.	Discounts Rx from 25-80%. Discount depends on Rx.	Pharmacies in Canada, Ireland and the United Kingdom. Drugs are ordered online and mailed.



WY	Prescription Drug Assistance Program (PDAP) 800-457-3659	Wyoming residents of all ages with monthly income below $867 ($1,167 for couples) and total assets below $2,500 (Some assets will not be counted, such as your home and any vehicle that you own worth under $15,000).	If you are eligible for Medicare, you are not eligible for assistance from PDAP. Covers drugs on Wyoming Medicaid’s list of covered drugs (“formulary”). You pay $10 for each generic prescription and $25 for each brand-name prescription. Coverage is limited to one-month fills. You are allowed three prescriptions per month.	Any Wyoming pharmacies that accept Medicaid.

State Prescription Drug (Rx) Assistance Programs

State

Name of Program

Eligibility

Benefits

Drug Source