The Prescription Assist Program will provide assistance with medication that the Indian Helath Service does not provide and siist with co-pays for those that have medical insurance. No voucher will be issued for cosmetic or male /female enhancement prescriptions.
To be eligible for services, the client must complete an application, provide a copy of CDIB, and submit a written prescription from a physician. It is the responsibility of the client to get all the necessary documents that is needed
Upon receipt of a prescription for medication, a voucher will be issued for up to and not to exceed $100.00. The difference over this amount will be the responsibility of the client. The Prescriptioin Assistance program can assist clients once a month (30 days from the last voucher issued). This program is not intended to replace any existing resources that the client may have access to such as, medicare, Medicaid, Title IX, private inusrance, DHS, VA, or any other resources.
I have read and understand the policy and will abide by such: