HOW DO I APPLY?

¨ Fill out the information form provide in this brochure.

¨ Bring  the information form along with proof of your income (copy of your payroll check, income tax return, proof of Social Security  benefits) to the Prescription Assistance Program (PAP) office.

¨ The Prescription Assistance Program coordinator will then review your information and locate any available programs through the pharmaceutical companies.

¨ Once a program has been located, you will have to pay a $5 fee for each prescription application. The fee is non-refundable.

¨ Complete the pharmaceutical company forms and have your doctor to sign them.

¨  After your doctor has signed the forms, you will need to have the forms mailed to the pharmaceutical company.

Once the pharmaceutical company receives your paperwork it usually takes approximately 4-8 weeks to process your paperwork and mail your medications