866-728-4368

The patient must have no prescription coverage for the requested medication and have an income at or below 250% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. Bridges to Access has new enrollment instructions. It's no longer required to enroll via an advocate unless the patient requires immediate access to their medicine. Applicants can enroll by mailing a completed application, a current prescription and income documentation. An advocate, however, must call to enroll Bridges to Access applicants who need immediate access to medicine (please see web page http://www.bridgestoaccess.com/ for further details about the two methods of enrollment). If the patient chooses not to enroll in Part D and is not eligible for the Low Income Subsidy Program, then s/he may eligible for this program. The application can be filled out and printed on the website, but each application need an individual number (which the website does automatically.)

Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application can be faxed, mailed out or downloaded from website. The completed application must be mailed back.  The patient is notified in writing of acceptance or denial.  

The doctor must fill out a section, sign the application and attach a prescription. The patient must fill out a section, sign the application, and attach proof of income and any denial letters from insurance companies.

Up to a 90-day supply is sent to the patient's home. The patient must contact the company to arrange for refills. Once a year the application process must be repeated.

866-518-4357

The patient must have Medicare Part D, and have an income at or below 250% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. The patient must also have spent $600 dollars on medications through the Medicare Part D plan

Anyone requesting assistance can call to request a faxed application or download it from the website. The application will be faxed out. The completed application can be faxed or mailed back.  The patient is notified of eligibility for the program.  

Not applicable.

The patient is sent a pharmacy card. The pharmacy card is good for one year. Every year a new application is needed.

800-769-3880

Applicants with insurance are eligible. have an income at or below 300% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. This program is for generic medications only. Many medications are available for a fee of $20 for up to a 180 day supply. Prices vary for Tier 2 and Tier 3 medications. Please refer to the Rx Outreach website for more information.

Anyone requesting assistance can call to request a faxed application or download it from the website. The application can be either faxed or mailed out upon request. The completed application must be mailed back.  The patient is notified of eligibility for the program.  

The doctor needs to provide a prescription to the patient. The patient must fill out a section and sign the application.

The medication is sent to either the doctor's office or the patient's home. The patient must contact the company to arrange for refills. Every year a new application is needed.

866-699-8239

Applicants with insurance are eligible. The patient must have an income at or below 243% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. This is a program for generic medications only. There are fee for the medications either $20 or $30 for a 90 day supply. ($40 or $60 for a 180 day supply and $80 or $120 for a 360 day supply.)Xubex now offers a 30 day supply of some medications free of charge. Patients may apply online or print the prescription, complete and fax to the Xubex pharmacy for processing. Requests may be expedited by having the physician fax the completed form to the Xubex pharmacy.

Anyone requesting assistance can call to request a faxed application or download it from the website. The application will be faxed out. The completed application can be faxed or mailed back.    The medication is shipped within 10 business days.

The doctor needs to provide a prescription to the patient. The patient must fill out a section and sign the application.

The medication is sent to either the doctor's office or the patient's home. The company automatically sends out refills. Once a year a new application with financial documentation is needed.

800-444-4106

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 also be a US resident. 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.

The patient can call to get an application, apply on line, or download the application.      

Not applicable.

The patient is sent a Together Rx Access prescription savings card.