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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 Ryan White Title II ADAP
Connecticut Connecticut Pharmaceutical Assistance Contract to the Elderly and Disabled (ConnPACE)
Delaware Chronic Renal Disease Program
Delaware Prescription Assistance Program
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 Kidney Disease Program of Maryland
Maryland Maryland Senior Prescription Drug Assistance Program
Massachusetts Prescription Advantage
Missouri Missouri Rx Plan
Montana Big Sky Rx Program
Montana Montana Mental Health Program
Montana Bridging the Gap
Nevada Disability Rx Program
Nevada Senior Rx Program
New Jersey Prescription Assistance to the Aged and Disabled Program (PAAD)
New Jersey Senior Gold
New Jersey Work First New Jersey General Assistance
New York Elderly Pharmaceutical Insurance Coverage (EPIC)
North Carolina North Carolina HIV SPAP
North Carolina NCRx
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
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 V-Pharm
Virginia Virginia Department of Health HIV SPAP
Virginia DMHMRSAS Community SPAP
Washington Washington State Health Insurance Pharmacy Assistance Program
Wisconsin Chronic Renal Disease
Wisconsin Cystic Fibrosis Program
Wisconsin Health Insurance Risk Sharing Plan (HIRSP)
Wisconsin Hemophilia Home Care
Wisconsin SeniorCare (above 200% FPL)

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Last updated on: 10/23/2013

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