Get Help Paying for Prescriptions

Our Prescription Assistance Program is a community benefit to help our uninsured or underinsured patients receive medications through pharmaceutical companies. Pharmaceutical companies supply some of the medications they produce at reduced or no cost to patients in need.

The Prescription Assistance Program will work with you and your health care provider to help you obtain your medications through the pharmaceutical company programs.

Who is eligible?

  • You must be a US citizen.
  • You must not belong to any prescription coverage through state, military, or public/private insurance.
  • You must be taking a long-term medication listed on participating pharmaceutical drug list. No over the counter medications are covered under this program.
  • You must be a patient of Southern New Hampshire Health or St Joseph Hospital.
  • You must meet income requirements. Income eligibility varies among pharmaceutical companies.

 How do I enroll in Prescription Assistance?

  • Obtain an application from one of the following locations:
    • Your provider’s office
    • Southern NH Medical Center’s cashier office
  •  Complete and return an application, including all required supporting documentation listed in the cover letter checklist.

To open and print a copy of the Prescription Assistance packet click here for English or click here for Spanish.

Prescription Assistance Program FAQ's

I can’t afford my medications. What can I do?
Talk to your provider to determine if your medication is eligible, or check Also, talk with your pharmacist for discount coupons or other low-cost programs.

Can Prescription Assistance help with short-term medications?
No. Prescription Assistance can only help you receive medications prescribed for 90 days or longer. Talk to your provider about other options for receiving short-term medications.

All communication is handled by mail.
You will be notified regarding the status of your application, or

  • If additional documentation is necessary to complete your application.

  • If you are not eligible or if your application is denied by the pharmaceutical company.

How long does it take to receive the medications?
Four to six weeks. Once you have completed and submitted all the necessary paperwork to Prescription Assistance, our coordinator forwards the application to your provider’s office for the written prescriptions. After the provider adds the prescription information, the application is then forwarded to the appropriate Pharmaceutical Company. If you meet the Pharmaceutical Company guidelines, you can expect to receive your prescription in four to six weeks.

Where do I pick up my medication?
In your provider’s office. The Pharmaceutical Company sends your medication directly to your provider’s office where you can pick it up.

I need assistance with several medications. Do I have to complete new paperwork for each Pharmaceutical Company?
No. Once you have completed your initial application with Prescription Assistance each application is good for one year.

This free service is available for adults of all ages