Pharmacy Connection

Pharmacy Connection

Text Box: Medication Assistance Program
(434) 696-2165 Extension: 6234
A free, eligibility–based prescription assistance program of Southern Dominion Health System. Made possible through a grant by the Virginia Health Care Foundation.

Text Box: What is the RxRelief Virginia Medication Assistance Program?
RxRelief Virignia helps Virginians without prescription insurance coverage obtain the medications they need, free-of-charge. RxRelief Virginia is an initiative of the Virginia Health Care Foundation working to develop health care solutions for patients. Southern Dominion Health System, Inc. has been awarded a RxRelief Virginia grant making it possible to obtain a Medication Assistance Caseworker to administer this program throughout the four counties it serves.
How does the program work?
1. The staff at your Provider's office will assist you in completion of the application for the program.
2. This application is forwarded to the RxRelief Caseworker, along with required financial documentation.
3. The Caseworker will submit the requests to the appropriate pharmaceutical manufacturer.
4. in 6-12 weeks, the pharmaceutical company mails your prescription medication to your Provider.
5. You will be notified that your prescription medication is ready for pick up.
6. After the initial application for your medication, refill and new prescription requests will be quickly completed.
How do I know if I am eligible for the RxRelief medication assistance program?
If you can answer "yes" to the following questions, you may be a candidate for this program:
-Have you ever been diagnosed with a chronic illness?
-Do you have difficulty affording prescription medications?
-Do you NOT have any type of prescription coverage through an insurance company?
-Each year does your family earn approximately:
        -$20,000 for a family of 1;
        -$27,000 for a family of 2;
        -$34,000 for a family of 3;
        -$40,000 for a family of 4; or
        -$44,000 for a family of 5.
-Have you been denied Medicaid benefits?
What are my responsibilites as a participant?
Our requests to the pharmaceutical manufacturers can only be successful with your cooperation. you will be responsible for completing the following:
- Providing your Provider's office and the RxRelief Caseworker with all documentation requested as quickly as possible.
- Providing accurate and up-to-date financial and personal information and notifying the Provider's office or the RxRelief Caseworker with any changes to this information.
- Completing satisfaction surveys to provide us with necessary feedback that will stregthen the support the program provides.
- Picking up your prescription medication within 5 business days of receiving notification that your medication is available.
How do I apply?
Patients are seen by appointment at SDHS sites:
                      Lunenburg Medical Center (434) 696-2165
                      KenCare (434) 676-9355
                      Dinwiddie Medical Center 9804) 469-3731
                      Emporia/Greensville Medical Center (434) 634-7723
                      Amelia Healthcare Center (804) 561-5150
                      Mannboro Medical Center (804) 561-4333

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Last modified: 05/07/08