Eligibility criteria for patients enrolled in Medicare Part D

Eligibility Requirements

In order to be eligible for the program, you must meet the following requirements:

  • Must be a resident of the U.S. or U.S. Territories

    You must be a resident of the U.S. or U.S. territories and be under the care of a licensed healthcare provider authorized to prescribe, dispense and administer medicine in the U.S. or U.S. territories

  • Must have an annual household income of ≤400%

    You must have an annual household income of ≤400% of the current Federal Poverty Level. If you may be eligible for Medicaid, you will be required to provide documentation of Medicaid denial before being assessed for patient assistance eligibility

  • 2%

    You must also spend at least 2% of your annual household income on prescription medications covered through your Part D plan in the current calendar year. For example, if your household income is $20,000, your out-of-pocket prescription drug expense would have to equal $400 or more before your application can be reviewed

View Financial Eligibility Information

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