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Generic Assistance Program (GAP)

This program provides medication at no cost.

Provided by: NeedyMeds and Rx Outreach

Languages Spoken:

English Spanish


Patient Assistance Applications


Generic Name Medications


Eligibility Requirements   

Insurance Status Must have no prescription coverage for needed medication
Those with Part D Eligible? Yes, if medication is not covered or those in the donut hole
Income At or below 200% of FPL
Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
US Residency Required? Must reside in the US and be under the direct care of a US physician


Obtaining Call or download
Receiving Faxed, emailed, mailed or downloaded
Returning Email, fax or mail
Doctor's Action Complete section
Applicant's Action Complete section, sign, attach a copy of proof of income
Decision Communicated
Decision Timeframe


Sent To
Delivery Time
Refill Process
Re-application New application yearly

Additional Information

When approved, the medication vouchers will be mailed.

Updated January 14, 2019