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 Less Than $35,310 a yearLess Than $44,160 a yearLess Than $40,650 a year
You + 1 Less Than $47,790 a yearLess Than $59,760 a yearLess Than $54,990 a year
You + 2 Less Than $60,270 a yearLess Than $75,360 a year Less Than $69,330 a year
You + 3 Less Than $72,750 a year Less Than $90,960 a year Less Than $83,670 a year
Add this amount for each additional person*$12,480 a year$15,600 a year$14,340 a year