Medicare Interactive: State Pharmaceutical Assistance Programs

	Eligibility			Assistance			Enrollment¹
Program	Age	Income (Individual/Couple)	Requires Part D?	Assistance with Co-Pays?	Helps Pay Part D Premium?	Helps Pay Part D Deductible?	Requires Extra Help (LIS)?	Is It Free?
¹If you need emergency assistance paying for a prescription drug, your SPAP may be able to help. Call to find out.
Colorado Bridging the Gap (ADAP) 303-692-2148 Last Update: January 27, 2010	No age restrictions, but must be HIV positive.	1 person/family or household ($43,320); 2 person/family or household ($58,280); 3 person/family or household ($73,240); 4 person/family or household ($88,200). For each additional family member, add $14,960.	Yes.	You pay the standard Medicare Part D cost for each prescription.	Yes.	Yes.	No.	Yes.
Connecticut Connecticut Pharmaceutical Assistance Contract to the Elderly and Disabled (ConnPACE) 800-423-5026 Last Update: January 27, 2010	65+ (or 18+ with disabilities)	$25,100/$33,800	Yes.	Only assists with excluded Part D drugs.	Yes.	Yes.	Yes.	No. You pay $45/year.
Delaware Chronic Renal Disease Program 800-372-2022 Last Update: January 27, 2010	No age restrictions, but must have ESRD.	$32,490/$43,710	Yes.	Yes.	Yes.	Yes.	No.	Yes
Delaware Prescription Assistance Program 800-996-9969 Last Update: January 27, 2010	65+ (or under 65 and receiving SSDI)	$21,660/$29,140, or prescription costs are greater than 40% of annual income	Yes.	You receive $3,000 annually for co-pays.	Yes.	Yes.	Yes.	Yes.
Idaho Idaho HIV State Prescription Assitance 208-367-6079 Last Update: January 27, 2010	No age restrictions, but must be HIV positive.		Yes.	No.	No.	No.	No.	Yes.
Illinois Illinois Cares Rx Basic 800-252-8966 Last Update: January 27, 2010	65+ (or 16+ with disabilities).	$25,532/$33,877	Yes.	Yes.	Yes.	Yes.	Yes.	Yes.
Illinois Illinois Cares Rx Plus 800-252-8966 Last Update: January 27, 2010	65+	$24,891/$33,487	Yes.	You pay up to $5.60/prescriptions and $15 for each specialty and non-preferred drug brand.	Yes.	Yes.	Yes.	Yes.
Indiana Hoosiers Rx 866-267-4679 Last Update: January 27, 2010	65+	$16,485/$22,095	Yes.	No.	Yes (up to $70/month).	No.	Yes.	Yes.
Maine Low Cost Drugs for the Elderly and Disabled Program (DEL) 800-262-2232 Last Update: January 27, 2010	62+ (or 19+ and disabled).	$20,036/$26,955	Yes.	Yes.	Yes.	Yes.	No.	Yes.
Maryland Kidney Disease Program of Maryland (KDP) 410-767-5000 Last Update: January 27, 2010	No age restrictions, but must have ESRD.	No income restrictions.	Yes.	Yes.	No.	No.	No.	No. Fee depends on income.
Maryland Maryland Senior Prescription Drug Assistance Program 800-551-5995 Last Update: January 27, 2010	65+	$32, 490/$42,710	Yes.	Yes. SPAP pays up to $1,200/year toward Part D prescriptions during the donuthole.	Yes (up to $25/month).	No.	Yes.	Yes.
Massachusetts Prescription Advantage 800-243-4636 Last Update: January 27, 2010	65+ (or under 65 with disabilities).	65+: $52,000/$70,000; disabled: $19,552/$26,320	Yes.	Yes.	Yes.	Yes.	Yes.	Yes.
Missouri Missouri Rx Plan (MORx) 800-375-1406 Last Update: February 01, 2010	65+ (or under 65, disabled and receiving Medicare).	$21,660/$29,140	Yes.	Yes.	No.	Yes.	No.	Yes.
Montana Big Sky Rx Program 866-369-1233 Last Update: February 01, 2010	65+ (or under 65, disabled and receiving Medicare).	$21,660/$29,140	Yes.	No.	Yes.	Yes.	No.	Yes.
Nevada Senior Rx 866-303-6323 Last Update: February 01, 2010	62+	$24,477/$33,963	Yes, if eligible.	Yes. SPAP pays 100 percent of your out-of-pocket costs during donut hole.	Yes.	No.	Yes.	Yes.
Nevada Disability Rx 866-303-6323 Last Update: February 01, 2010	18 - 61 with a verifiable disability.	$24,561/$32,742	Yes, if eligible.	Yes. SPAP helps you cover out-of-pocket costs during donut hole. (If you are not eligible for Medicare, you pay $10 - $25/prescription).	Yes.	Yes.	Yes.	Yes.
New Jersey Prescription Assistance to the Aged and Disabled Program (PAAD) 800-792-9745 Last Update: February 01, 2010	65+ (or 18+ and receiving SSDI).	$24,432/$29,956	Yes.	Yes.	Yes.	Yes.	Yes.	Yes.
New Jersey Senior Gold 800-792-9745 Last Update: February 01, 2010	65+ (or 18+ and receiving SSDI).	$24,432-$34,432/$29,956- $39,956	Yes.	Yes.	No.	Yes.	Yes..	Yes.
New Jersey General Public Assistance Program Medicare D Wraparound Last Update: February 01, 2010	65+ or disabled and must have both Medicare and Medicaid.	$10,836 / $14,580, or must qualify for Medicaid through a spend down.	Yes.	Yes, but only for non-formulary drugs or those excluded by Medicare law..	Yes.	N/A (You should already have Extra Help, and therefore no deductible).	N/A	Yes.
New York Elderly Pharmaceutical Insurance Coverage (EPIC) 800-332-3742 Last Update: February 01, 2010	65+	$35,000/$50,000	Yes.	Yes. Depends on whether drug is covered by EPIC or by your Part D plan.	Yes.	Yes.	Yes.	No. Cost is based on income.
North Carolina NCRx 888-488-6279 Last Update: February 01, 2010	65+	$18,952/$25,497	Yes.	No.	Yes.	No.	Yes.	Yes.
Pennsylvania Pharmaceutical Assistance Contract for the Elderly (PACE) 800-225-7223 Last Update: February 01, 2010	65+	$14,500/$17,700	No.	Yes.	Yes.	Yes.	No.	Yes.
Pennsylvania PACE Needs Enhancement Tier (PACENET) 800-225-7223 Last Update: February 01, 2010	65+	$23,500/$31,500	No.	Yes.	Yes.	Yes.	No.	No. There is a $40 monthly deductible.
Pennsylvania Pennsylvania Chronic Renal Disease Program 800-225-7223 Last Update: February 01, 2010	No age restrictions, but must have ESRD.	$32,490/$43,710	No.	Yes.	Yes.	Yes.	No.	Yes.
Pennsylvania Special Pharmaceutical Benefits Program 800-922-9384 Last Update: February 01, 2010	No age restrictions, but must be HIV positive.	$35,000 (only your individual income is counted).	No.	Yes.	Yes.	Yes.	No.	Yes.
Rhode Island Rhode Island Prescription Assistance for the Elderly (RIPAE) 401-462-4000 Last Update: February 01, 2010	65+ (or 55-64 and receiving SSDI).	Level 1: $20,934/$26,170 Level 2: $26,279/$32,851 Level 3: $45,991/$52,661	Yes.	Yes.	No.	No.	Yes.	Yes.
South Carolina Gap Assistance Program for Seniors 888-549-0820 Last Update: February 01, 2010	65+	$21,660/$29,140	Yes.	No.	No.	No.	Yes.	Yes.
Texas Kidney Health Care Program 800-222-3986 Last Update: February 01, 2010	No age restrictions, but must have ESRD.	Total household income must be below $60,000.	Yes.	Yes.	Yes.	Yes.	Yes.	Yes.
Texas HIV SPAP 800-255-1090 Last Update: February 01, 2010	No age restrictions, but must be HIV positive.	$21,660/$29,140	Yes.	Yes. SPAP pays up to $9,986 for pescriptions/year.	No.	Yes.	Yes.	Yes.
Vermont Vpharm 1, 2, OR 3 800-250-8427 Last Update: February 08, 2010	65+ (or under 65 and receiving SSDI).	Vpharm 1: $16,308/$21,948 Vpharm 2: $19,032/$25,608 Vpharm 3: $24,468/$32,928	Yes.	Yes. Depends on income.	Yes.	Yes	Yes, if eligible for Vpharm 1.	No. Monthly premium ranges from $15 - $50.
Virginia DMHMRSAS Community SPAP (Mental Health) 804-786-3921 Last Update: February 08, 2010	No age restrictions, but must be receiving mental health services through a Virginia DMHMRSAS-contracted Community Service Board.	$21,660/$29,140	Yes.	Yes. SPAP provides 30-day supplies of psychotropic medications during donut hole.	No.	No.	Yes.	Yes.
Virginia Virginia Department of Health HIV SPAP 800-366-7741 Last Update: February 08, 2010	No age restrictions, but must be HIV positive.	Between $14,620.50 and $32,490/Between $19,669.50 and $43,710	Yes.	Yes.	Yes.	Yes.	Yes.	Yes.
Washington Washington State Health Insurance Pharmacy Assistance Program 800-657-2038 Last Update: February 08, 2010	No age restrictions.	No income restrictions.	Yes	Yes.	No.	Yes.	No.	No. Fee ranges from $163 to $487, depending on age and income.
Wisconsin SeniorCare 800-657-2038 Last Update: February 08, 2010	65+	Level 1: $17,328/$23,312 Level 2a: $21,660/$29,140 Level 2b: $25,661/$34,968 Level 3: $25,993+/$34,969+	No. (SeniorCare is considered creditable).	Yes.	No.	No.	No.	No; $30 annual fee.
Wisconsin Wisconsin Chronic Renal Disease Program 608-221-3701 Last Update: February 08, 2010	No age restrictions, but must be have ESRD.	No income restrictions.	No.	Yes, for ESRD-related prescriptions.	Yes.	Yes.	Yes.	Yes.
Wisconsin Adult Cystic Fibrosis Program 800-362-3002 Last Update: February 08, 2010	18+ and diagnosed with cystic fibrosis.	No income restrictions.	Yes, if eligible.	Yes, for limited prescriptions related to cystic fibrosis.	Yes.	Yes.	Yes.	Yes.
Wisconsin Hemophilia Home Care (HHC) 800-362-3002 Last Update: February 08, 2010	No age restrictions, but must be diagnosed with hemophilia.	No income restrictions.	Yes, if eligible.	Yes, for limited prescriptions related to hemophilia.	Yes.	Yes.	Yes.	Yes.
Wisconsin Health Insurance Risk Sharing Plan 800-828-4777 Last Update: February 08, 2010	Younger than 65.	No income restrictions.	Yes.	Yes.	No.	No.	No.	No.
U.S. Virgin Islands Senior Citizens Affairs 340-774-0903 Last Update: February 08, 2010	60+	$18,000/$30,000	Yes.	Yes.	Yes.	Yes.	No.	No.

State Pharmaceutical Assistance Programs (SPAPs)

State Pharmaceutical Assistance Programs

(Scroll down on the right side of the chart to see information for the SPAP in your state.)