Long Term Prescription Assistance

Receive Prescription Medications Directly

Helps eligible residents of Kosciusko County receive prescription medications directly from the pharmaceutical company for one (1) year for free.

Patient Advocates complete applications and reorders on behalf of the client and work with the client’s doctor to have medications shipped either to the doctor’s office or client’s home.

Qualifying medications are determined by the pharmaceutical companies and researched by the Patient Advocate utilizing medication lists submitted by the doctor.

Check out the Eligibility Information or Client Information Checklist for details on how to qualify for the Long Term Prescription Assistance Program.

Download Client Information Checklist

My medications run into the thousands each month and without this program I would not be able to get any of these.
Kathy, Warsaw

Eligibility Information

To qualify for the program, you must bring:

  • Picture ID
  • Proof of living address
  • Proof of family income
  • Most recent tax return, if you file taxes

To be eligible, you must:

  • Be a Kosciusko County resident or be a patient of a doctor who practices in Kosciusko County
  • Be income eligible, at or below 250% Federal Poverty Level
  • Have no prescription insurance coverage

Income documentation includes, but is not limited to:

  • Most recent tax return
  • Most recent paycheck stub
  • Child support docket
  • Unemployment statement
  • Social Security award letter or benefit statement

Frequently Asked Questions

Long Term Prescription Assistance

Do I need an appointment?

To avoid waiting for assistance, we encourage individuals to schedule an appointment. We accept walk-ins, but there is a chance you may have to wait.

How do I know if I qualify for the Long Term Prescription Assistance?

To qualify for the Long Term Prescription Assistance, you must:

  • Be a resident of Kosciusko County or be a patient of a physician who practices in Kosciusko County
  • Be income eligible, at or below 250% Federal Poverty Level
  • Have no prescription drug coverage (insurance)
  • Have a medication that qualifies through the pharmaceutical company prescription assistance program
How do you know what medication(s) to order?

When we enroll you in the Long Term Prescription Assistance program, we first request a Medication List from your doctor(s). We use the information from that list to determine if any pharmaceutical companies offer your medications through the Long Term programs. If any of your medications qualify, we complete the application(s) for you and send all the necessary information to your doctor to sign and submit to the pharmaceutical company.

How do I know if my medication qualifies for the Long Term program?

We research your medications both by the brand and generic names. We use the NeedyMeds website, which you can access here to determine if your medication would qualify. If you need help navigating the website, call or visit our office.

How long does this process take?

Generally the process for an initial application for enrollment takes anywhere from 4-6 weeks from the time we begin researching until you receive your medication(s) in the mail. A reorder typically takes 1-3 weeks depending on the medication. We suggest you contact our office for a reorder when you begin your last 30-day supply of medication to ensure you do not run out of medication before your next supply is delivered.

How much medication do I receive?

Once your enrollment begins, you qualify for one (1) years’ worth of medication for free, as long as you do not obtain prescription insurance during that time. Typically in one (1) order, you will receive a 90-day supply of your medication and you will be responsible for contacting our office or the pharmaceutical company when you need a refill for your next 90-day supply.

General Questions

Can I request assistance over the phone?

Medication Assistance (Medication vouchers, medical supply vouchers, long term prescription assistance):

  • Yes, if you are already qualified for the program, we can provide assistance over the phone, including faxing vouchers to the pharmacy

Dental Assistance

  • No, you must be in-person to receive a dental voucher
Who is Eligible?

To have accurate information for each specific program, please visit the program tab and look at the Eligibility Information. Generally, individuals who are Kosciusko County residents and have family income at or below 250% Federal Poverty Guidelines may be eligible for Medication & Dental Assistance programs. For any questions, call or visit our office to speak with a staff member to help determine if you may be eligible for one or more of our programs.

What proves residency?

A picture ID with current living address will provide the proof we require. If your picture ID does not have your current living address, please bring a piece of mail, bill, or other professional document with such information.

What is family income?

Family size is determined by the number of individuals the client would claim if filing a federal tax return. Documentation of income is needed for any family member over the age of 18.

What is used for proof of income?

Income documentation includes, but is not limited to:

  • Most recent tax return
  • Most recent paycheck stub
  • Child support docket
  • Unemployment statement
  • Social security award letter
What if I have no income?

For verification of no income, a form is completed with our staff to document how you are financially supported.

What is 250% of the Federal Poverty Level?

All of our programs use the income guidelines established by the government to determine eligibility for assistance. Guidelines are based on gross annual income, which means deductions, wage garnishments, and monthly expenses are not taken into account. At 250% of the poverty line for 2023, monthly and yearly income looks like this:

  • Family of 1: $3,038 monthly or $36,450 yearly
  • Family of 2: $4,108 monthly or $49,300 yearly
  • Family of 3: $5,179 monthly or $62,150 yearly
  • Family of 4: $6,250 monthly or $75,000 yearly
  • Family of 5: $7,321 monthly or $87,850 yearly
I have insurance, can you help?

Yes. Our program can help with medication, medical supplies, or emergency dental assistance even if you have insurance coverage. As long as you qualify based on income (250% of the Federal Poverty Level) and live in Kosciusko County, we should be able to help.

How are you funded?

Medication & Dental Assistance is fully funded through donations and private organizations. The K21 Health Foundation is the primary funder of the agency’s programs and operations. Medication & Dental Assistance is not a program of the government and does not receive any governmental funding.