For our low-income friends we also offer Medicine Assistance from our pharmaceutical companies.

This program requires the cooperation of your physician.

This program was designed especially to:

    * Match the needed medication with the appropriate pharmaceutical company

    * Obtain the necessary pharmaceutical company patient assistance program application

    * Fill out paperwork based on preliminary information provided by the MAP applicant

    * Mail assistance program paperwork to applicant for signatures and verifications

    * Receive paperwork and appropriate documentation from applicant

    * Submit completed paperwork to respective pharmaceutical companies

Note: This process will not be successful without the cooperation of your physician.

General Qualification Guidelines:

1. Annual gross income must be less than $18,000 for individuals or $26,000 for a household of two or more.

2. Individuals or families must be paying 100% out-of-pocket for prescription medications

3. Upon approval you will be invoiced a service fee of $50.00 per medication for six months or $100.00 per medication for a full year.

How the program works:

1. Fill out all sections of the Application Form completely. Download an application to be printed off, completed and mailed into Medicine Assistance Program.

2. Include $25.00 per person for processing your application.   This fee is non-refundable and may be made by check, money order, cashier's check or credit card.

3. A Member Service Representative will contact you to review our program and see if you qualify.

4. Upon qualification, we will send you an invoice for $25.00 per medication per quarter or we will bill your credit card.  You may elect to have this fee processed every six months or every twelve months.

5. Once we receive your payment, we will expedite all paperwork to you for your signatures.

Our Guarantee To You

To be accepted into a patient assistance program, the applicant's income must fall within the limits established by each participating pharmaceutical company. Solely the participating pharmaceutical company makes decisions concerning which medication is provided free-of-charge and who is accepted into the program. If accepted, your medication will be shipped directly to your doctor's office.

Although we cannot guarantee your approval, we will be diligent in our efforts to assist you. If you have family or friends who may benefit from this program, please ask them to read this information.

For The Medicine Assistance Program Drug List click on the links below.

Brand Name Drugs List

Generic Name Drugs List: