Get Started
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How to get started?

If you need help getting prescription medication, and have no prescription coverage or have  Medicare-D,  we may be able to help. We work with local doctor offices to provide prescription medication to those who cannot receive it themselves. We will need to start with a self-referral application. Please fill out the form to the best of your ability and you will be contacted after we review your application.

Click here to complete our online Self-Referral Application.

 

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