Medication Assistance Resource Connection

Welcome to the Medication Assistance Resource Connection!

If you are currently uninsured or have Medicare Part D, this website may be able to direct you to a company that can provide your medication at no cost if the qualifications are met for that program.

Need to Know Information

  • Each drug company has specific guidelines for Medicare Part D patients
  • Patients with private insurance or Medicaid are NOT eligible
  • This program is not intended to help an immediate need to obtain medications. No samples or funds to help pay for medication are available.
  • The ordering process can take anywhere between 4-6 weeks.

To Apply

  • Must be uninsured or have Medicare Part D insurance
  • Must be able to provide valid picture ID
  • Must be able to provide a copy of current Medicare Part D insurance card (if applicable)
  • Must be able to provide a report stating what you have spent out-of-pocket on medications
  • Must be able to provide proof of income for all individuals within the household

Frequently Asked Questions

Who is eligible for this program?
Patients who are uninsured or who have Medicare Part D (Medicare Part D patients must meet the individual program qualifications)

What is a valid picture ID?
An active state Driver’s License, Passport, Military ID, or state Identification Card (all ID’s must have both picture and signature)

How do I provide a report stating what I have spent out-of-pocket on medications?
Provide a copy of your most recent Explanation of Benefits from your prescription drug plan or an official expense report printed from your pharmacy.

What is an acceptable proof of income?
One of the following: W2, 1040 Federal Tax Return, 1099 Form or Copy of awards letter from Social Security or Disability, Minimum of 3 consecutive pay stubs or if you do not have any financial documents proving household income, please provide a letter of support signed by the individual providing financial support to you.

How will I know if I am approved or denied?
The Medication Assistance Representative will contact you and the company will send you a letter of approval or denial, usually within 14 business days.

If approved, how much medication can I expect?
Typically, a 90-day supply of medication is sent to either you or the providers’ office based on specific company requirements.

Am I Ready to Proceed?

  • Am I uninsured or do I have Medicare Part D?
  • Am I able to provide a valid Photo ID with a signature?
  • Am I able to obtain my out-of-pocket expense report from my drug plan or my pharmacy?
  • Do I have proof of income for all individuals in the household?

If you have answered “Yes” to all 4 questions, you may proceed to the application process.

Look at the list below and click on the medication(s) that you need assistance with. Once you click on the medication, you will be directed to a webpage of the company’s requirements for their program. There is also a link titled “Other Generic Medications”. This link may be able to help if you are on any medication(s) not listed.

To review the program’s requirements, you can click on the link for the application. The application will have a section for both you and your physician to complete. The program requirement’s page also lists the company’s phone number for you to call if you have any additional questions.

Drug List