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Program Description
Rx for Oklahoma is a Prescription Assistance Program
designed to help uninsured Oklahomans with prescription medications.
Working with the pharmaceutical companies, we are able to provide a free
service to Oklahomans to help offset the high cost of medications. The
pharmaceutical companies often provide free and discounted medications with
this program. Since the inception of the program Rx for Oklahoma has
successfully helped more than 15,00 client throughout the state.
Eligibility
Participants must be a U.S. citizen, a resident of
Oklahoma and not have any type of prescription insurance and in most cases,
individuals must have income under 200% of the Federal Poverty Level which
is $25,660 for a family of two. Medicare Part D and Medicaid
beneficiaries with unique circumstances may qualify as well.
Location
We have four application sites:
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Northeast
Community Action Agency
P.O. Box 603
856 E Melton Dr.
Jay, OK
Phone # 918-253-4683
Fax # 918-253-6059
(M-F 8:30-5:30)
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Ambulatory
Care Center
900 E 13th St.
Grove, OK
74344
Phone # 918-787-3594
(Monday 8:00 –
3:00)
(Wednesday 10:00 – 3:00)
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Ottawa County
Community Clinic
200 2nd Avenue SW
c/o BRHC
Miami, OK 74354
or
P.O. Box 1372
Miami, OK 74355
Phone # 918-540-2707 Fax #928-540-2707
(Tuesday 6:00 to 8:00 pm)
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Grove Christian
Free Medical
Center
700 S Main
Grove, OK
74344
(Thursday 4:00 – 8:00)
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How Do I Apply?
Applications can be completed in person at any of the
above sites. If transportation is an issue, applications can be mailed
to your home, but your physician will need to complete his/her portion of
the application before it can be submitted to the pharmaceutical company for
processing. This process may take 4-5 weeks to complete.
Documents and Applications
What information does Rx for Oklahoma need?
1. Age
2. Residential address
4. Proof of annual household income
5. Complete list of medications and dosage for
each
6. Physician information
7. Insurance coverage (if applicable)
Rx for
Oklahoma Application
Staff
Bill Hamilton, Regional Director
Linda Ely, Customer Service Representative
Candy Watson, Rx Assistant
News
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