Free Medicine Program
Patient assistance program provides prescription medications to needy patients who do not have drug coverage through either private and/or government health plans.
Most patients that qualify
fall under the following
three criteria:

 
1. Do not have...
have outpatient prescription insurance coverage



2.
Do not qualify...
qualify for government programs



3. Do not have...
have the means to pay for their medicines.
Most of these assistance programs are sponsored by drug manufacturer companies. Free Medicine Program, assists you with finding the appropriate patient assistance program, as well, as assists you with the necessary paperwork to get started. Once qualified, you will receive your medications free of charge. Usually a 90 day supply will be sent to a patient’s home, most shipments go to the physician’s address that is listed on the application.

What
happens next?
1. Once you feel you have met the basic requirements described above , you're ready to apply for the Free Medicine Program, all you need to do is to print, fill out and return Medication Information Form (applying online will expedite your process).



2.
There is one-time processing
fee of $5 charged by
Free Medicine Program,
which is refunded if you do not your medication free from the applicable drug manufacturers.

3. When the information is received, Free Medicine Program processes the information and sends you an application kit. Included in the kit, will be a letter to your physician as well as steps to be taken by you and your physician in order to proceed with the application process. Once completed, the application is then sent the appropriate drug manufacturer for review.
If approved, a 90-day supply of your medicine is generally sent to you directly by drug manufacturers in two to three weeks.

How Do
I get started?

The first step is to see what drugs are available under patient assistance programs by going to:
www.themedicineprogram.com
For more information on Free Medicine Program please visit www.freemedicineprogram.com or call Toll Free 1-800-921-0072.

Each drug manufacturer company determines the eligibility criteria for its patient assistance program (eligibility criteria and the application process vary) General eligibility criteria involves income requirements, family size and status of prescription insurance coverage Some companies will provide certain medications to patients who have prescription insurance once they are capped out on quarterly or annual allowances. Some companies will only consider a patient eligible for approval if their income does not exceed the federal poverty guidelines. Others may qualify patients if their income is higher than federal poverty guidelines. Federal poverty guidelines may be found at: http://aspe.hhs.gov/poverty/poverty.shtml

For more in depth descriptions: www.santacruzhealth.org/cmhs/alcdrgs/3refdirectory.htm
For more in depth descriptions: www.santacruzhealth.org/cmhs/alcdrgs/3refdirectory.htm
For additional references and information, contact Barrios Unidos @ (831) 457-8208 www.barriosunidos.net

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Santa Cruz Barrios Unidos | 1817 Soquel Avenue, Santa Cruz, CA 95062 | Phone (831) 457-8208, Fax (831) 457-0389