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You may be eligible if you ...
- Do not have public or private prescription drug coverage
- Have a yearly gross income of:
Self-Administered Products
- $22,980 or less for a single person
- $31,020 or less for a family size of two*
Physician-Administered Products
- $45,960 or less for a single person
- $62,040 or less for a family size of two*
*Larger family sizes are adjusted accordingly
- Reside in the United States or a United States territory
- Are being treated by a U.S.-licensed healthcare provider
- Are being treated as an outpatient