Do I qualify for the program?
You can use Rx Outreach regardless of your age or if you use another discount medicine program or patient assistance program. To use Rx Outreach, your income needs to be less than a certain amount of money each year. This amount differs depending on the number of financially dependent people living in your house.
|Number of People in your household, Including Yourself||All States and Washington D.C., Except Alaska and Hawaii||Alaska||Hawaii|
|You||Less Than $35,010 a year||Less Than $43,740 a year||Less Than $40,260 a year|
|You + 1||Less Than $47,190 a year||Less Than $58,980 a year||Less Than $54,270 a year|
|You + 2||Less Than $59,370 a year||Less Than $74,220 a year||Less Than $68,280 a year|
|You + 3||Less Than $71,550 a year||Less Than $89,460 a year||Less Than $82,290 a year|
|Add this amount for each additional person*||$12,180 a year||$15,240 a year||$14,010 a year|
* For example, if six people are in your household, your income must be less than 95,910 a year ($71,550 + $12,180 + $12,180 = $95,910).