Prescription Drug Assistance

ATTENTION: NEW PATIENTS

Program is for residents of these Missouri counties ONLY: Bollinger, Bulter, Cape Girardeau, Carter, Dunklin, Iron, Madison, Mississippi, New Madrid, Pemiscot, Perry, Reynolds, Riley, Scott, St. Francois, Ste. Genevieve, Stoddard, Washington, Wayne.

Please allow 4 to 6 weeks to receive your "FIRST" fill on your prescriptions.

Regional Healthcare does "not" determine where medication(s) will be shipped. The pharmaceutical company which supplies the "free" medication(s) determines the date of shipment and place of delivery.

THIS IS HOW THE PRESCRIPTION DRUG ASSISTANCE PROGRAM WORKS:

Step 1

You will receive an application(s) to sign and return.

Step 2

We will handle processing for application with your doctor.

Step 3

We will process the application with all necessary documents to the pharmaceutical company.

Step 4

Once the pharmaceutical company processes your application, they will send your medicine either to you or to your doctor. You will receive a "GREEN" postcard from Regional Healthcare Foundation with delivery information each time your medication is ordered.

Step 5

Report Medication(s) received - You must report the date you receive your medication to Regional Healthcare Foundation (by phone or mail the "green" postcard to the office). When you report the date, you receive medication(s), the next refill date will be set. We cannot process any refills without this information.

After first order, refills will arrive in 7 to 10 days from the time they are processed.

If you need assistance filling out this application, please come by our office.
We will be happy to assist you.

*This program is not a substitute for those who are eligible for Medicare Part D, Medicaid or Health Insurance. You may qualify for assistance if medications are not covered by these programs, have high Medicaid spenddown, have high co-pay on prescription insurance or have reached Medicare Part D coverage gap (Donut Hole).

Prescription Drug Assistance Program