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State Pharmacy Assistance Programs

State Pharmacy Assistance Programs - are state-funded programs that provide low-income and medically needy senior citizens and individuals with disabilities financial assistance for prescription drugs. As noted by Medicare:


"The law allows State Pharmacy Assistance Programs to "wrap around" the Medicare benefit to fill gaps in coverage. As a result, State Pharmacy Assistance Programs will be able to provide the same or better coverage for the beneficiaries who receive coverage through state programs now, at a lower cost per beneficiary for the states because of the availability of the Medicare drug benefit."

A number of states are offering various programs that may help with monthly Medicare Part D plan premiums or even medication co-payments, which will ultimately be considered as a portion of the TrOOP or True out of Pocket expenses that you pay.

Qualified State Pharmaceutical Assistance Programs Under the MMA*
*Note: This list is based on qualified SPAP attestation forms received by CMS as of April 15, 2008. Please note that several states have more than one SPAP.

Click on the state or program name below for program details

State or Territory Program Name
Colorado Colorado Bridging the Gap
Connecticut Connecticut Pharmaceutical Assistance Contract to the Elderly and Disabled Program (PACE)
Connecticut Pharmaceutical Assistance Contract to the Elderly and Disabled Program (PACE)
Delaware Chronic Renal Disease Program

Delaware Chronic Renal Disease Program
Idaho Idaho AIDS Drug Assistance Program (IDAGAP)
Florida Florida Comprehensive Health Association (High Risk Pool)
Illinois Illinois Cares Rx
Indiana Hoosier Rx
Maine Low Cost Drugs for the Elderly and Disabled Program
Maryland Maryland Senior Prescription Drug Assistance Program
Maryland Kidney Disease Program
Primary Adult Care Program (PAC)
Massachusetts Prescription Advantage
Missouri Missouri Rx Plan
Montana Big Sky Rx Program
Montana Montana Mental Health Services Plan (MHSP)
Nevada Disability Rx Program
Senior Rx Program
New Jersey Prescription Assistance to the Aged and Disabled Program (PAAD)
New Jersey New Jersey Senior Gold Prescription Discount Program
New Jersey New Jersey Division of Medical Assistance and Health Services
New York Elderly Pharmaceutical Insurance Coverage (EPIC)
North Carolina North Carolina HIV SPAP
Pennsylvania Pharmaceutical Assistance Contract for the Elderly (PACE)
Pennsylvania PACE Needs Enhancement Tier (PACENET)
Pennsylvania Pennsylvania Chronic Renal Disease Program and General Assistance Program
Pennsylvania Special Pharmaceutical Benefits Program - HIV/AIDS & Special Pharmaceutical Benefits Program - Mental Health
Rhode Island Rhode Island Prescription Assistance for the Elderly (RIPAE)
South Carolina Gap Assistance Program for Seniors (GAPS)
Texas Kidney Health Care Program
Texas HIV SPAP
US Virgin Islands Senior Citizens Affairs Pharmaceutical Assistance Program
Vermont VPharm, Vermont Health Access Plan (VHAP-Pharmacy), VSCRIPT Expanded and Vermont VPHARM
Virginia Virginia HIV SPAP
Washington Washington State Health Insurance Pharmacy Assistance Program
Wisconsin Cystic Fibrosis Program
Wisconsin Health Insurance Risk Sharing Plan (HIRSP)
Wisconsin Hemophilia Home Care
Wisconsin SeniorCare

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