Prescription Assistance Programs

Qualifying Income Estimator Tool

There are several questions to answer before we can know if you'll qualify for a prescription assistance program including questions about residency status, do you have insurance today and information about your prescription(s). The most important question required by all programs, and typically the first step, concerns your income.

Find out now what your chances are to qualify for one or more programs by answering these two questions:


  1. 1.Annual Household Income:
    This is the combined, from you and your spouse, sources of income make each year before taxes. Examples include income from your job, alimony, workers compensation, unemployment insurance and social security, among others.


  2. 2. Household Family Size:
    The number of dependents, plus you, living with you now.