Do you qualify for Rx Outreach?

Answer the simple questions below to determine if you are eligible for Rx Outreach, or use the table below.

Please tell us about your household.

How many people live in your household, including yourself?

Please tell us about your income.

What is your salary? Annually, monthly, weekly, etc?

Number of People in your household, Including YourselfAll States and Washington D.C., Except Alaska and HawaiiAlaskaHawaii
You Not More Than $35,640 a yearNot More Than $44,520 a yearNot More Than $41,010 a year
You + 1 Not More Than $48,060 a yearNot More Than $60,060 a yearNot More Than $55,290 a year
You + 2 Not More Than $60,480 a yearNot More Than $75,600 a year Not More Than $69,570 a year
You + 3 Not More Than $72,900 a year Not More Than $91,140 a year Not More Than $83,850 a year
Add this amount for each additional person*$12,420 a year$15,540 a year$14,280 a year