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!
In 2011 our Prescription Drug Assistance Program helped people
receive over 4,000 free medication orders.  
We look forward to being an Advocate for all in need.

How does the Program Work?

You can call our office 573-624-1607 for an Enrollment Packet
to be mailed or you may download the enrollment forms
and  instructions by clicking on the links below and mailing them to
our office.



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 Medicines if:
  1. You do not have prescription drug
    insurance coverage.
  2. You meet the pharmaceutical
    company's income guidelines
  3. You are a U.S. Resident
Are you without
prescription drug
coverage?
Need help paying for medication?
Find out more about the
Prescription Drug Assistance
offered by the
Regional Healthcare Foundation
Prescription Drug Assistance
brochure, please click below
Individual
Below $21,780
Family of Two
Below $29,420
Family of Three
Below $37,060
Family of Four
Below $44,700
Family of Five
Below $52,340
Family of Six
Below $59,980
Family of Seven
Below $67,620
Family of Eight
Below $75,260
GUIDELINES
Guidelines are based on the
Federal Poverty Level 2011.

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
.