Who's Eligible

Find Out If You May Be Eligible

This free prescription program is available to individuals who meet certain income requirements, don’t have insurance coverage, are being treated as an outpatient by a United States licensed doctor, and live in the United States or a U.S. Territory.

To find out if you may be eligible, just answer a few simple questions or view our eligibility requirements.

Step 1 of 4

What medicine have you been prescribed?

The information you enter will not be saved or used in any way. This is meant as guidance only.

Step 2 of 4

How many people are in your family?

1
2
more

Step 3 of 4

What is your family’s total income for the year?

Different medicines have different income eligibility requirements.

Step 4 of 4

Answer the following questions

Do you live in the United States or a United States Territory?
No
Yes
Are you being treated by a United States licensed doctor?
No
Yes
Are you being treated as an outpatient?
No
Yes
Do you have any insurance or Medicare/Medicaid coverage?
No
Not Sure
Yes

Based on what you told us,

we encourge you to apply.

Apply Today

we may be able to help but
need more information.

Call 1-800-652-6227

It appears that you’re not eligible for the program because:

If you wish to speak to someone or have any questions about your eligibility, please call our program at

1-800-652-6227

Medication

Family Size

Family Income

Do you live in the United States or a United States Territory?

Are you being treated by a United States licensed doctor?

Are you being treated as an outpatient?

Do you have any insurance or Medicare/Medicaid coverage?

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