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 2009 we helped people receive over $2 million of prescription medications in our
Prescription Drug Assistance Program.  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.

Enrollment Packet

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 application 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 $21,660
Family of Two
 Below $29,140
Family of Three
 Below $36,620
Family of Four
 Below $44,100
Family of Five
 Below $51,580
Family of Six
 Below $59,060
Family of Seven
 Below $66,540
Family of Eight
 Below $74,020
GUIDELINES
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For more than eight please contact our office.

Guidelines are based on the
Federal Poverty Level 2009.

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.