| Prescription Drug Assistance A vision of healthy people, living in healthy communities. |
| Are you without prescription drug coverage? Are you unable to purchase your medications? Let us help! |
| Our program helps those who find it difficult to afford their costly medicines gain access to them through Patient Assistance Programs. How does the Program Work? You can call our office 573-624-1607 for an Enrollment Packet to be mailed to you or you may download the enrollment forms and instructions by clicking on the link below. Once you have reviewed, printed and completed the necessary forms you can mail them and required documents to our office. Please do not fax completed applications. ENROLLMENT PACKET Click Here Upon approval, an application for your medication(s) will be sent to you. Please sign and date the application and mail it back to our office. We will attach other essential documents and send your application to your doctor. When the doctor returns the application to our office, other necessary documents will be attached and the paperwork will be finalized and sent to the pharmaceutical company. The medicine will be delivered according to the companies' guidelines either to your home or to your doctors' office for patient pickup. Most applications we submit are for a 90-day supply of medication. _________________________________ Regional Healthcare Foundation Prescription Drug Assistance (PDA) Program 215 W. Grant Dexter, MO 63841 573-624-1607 |
You might qualify for Free Medications...
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| Financial guidelines may be greater or less than those specified above, due to the guidelines of the drug companies. Do not hesitate to contact our office to verify eligibility. Guidelines are based on the 2018 Federal Poverty Level |
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