I wish I qualified, I could get a 3 month supply of Synthroid $20.00 vs what
Medicare is costing!

Income
To use Rx Outreach, your income needs to be less than a certain amount of money
each year.
Number of People in your household, including yourself
All States and Washington D.C., Except Alaska and Hawaii [see website for Alaska
& Hawaii]


You Less Than $25,525 a year
You + 1 Less Than $34,225 a year
You + 2 Less Than $42,925 a year
You + 3 Less Than $51,625 a year
Add this amount for each additional person $8,700 a year. For example, if six
people are in your household, your income must be less than $67,000 a year

It's easy to begin your savings...
a.. Print the form [attached]
b.. Fill out the Rx Outreach form
c.. Visit or call your doctor or clinic and get a WRITTEN prescription for a
90-day supply of each medicine you need.
d.. Your doctor can write your prescription for a 90-day supply with up to 3
refills.
e.. Sign the completed form, include your payment and written prescription(s),
and mail to Rx Outreach.
Program:
Rx Outreach - Express-Scripts

Address:
Rx Outreach
Express Scripts Specialty Distribution Services, Inc.
PO Box 66536
Saint Louis, MO 63166-6536

Phone:
1-(800) 769-3880

URL:
http://www.rxoutreach.com/

Qualifications:
http://www.rxoutreach.com/eligibility_en.php

Application:
http://www.rxoutreach.com/PDF/PatientAppEC6021107.pdf

Medication List
http://www.rxoutreach.com/medications_search_en.php

125 different medications in over 45 different therapeutic categories
totaling more than 312 medications. Meds for Allergy, Angina, Anti-infective,
Anxiety, Arthritis, Asthma, Bi-Polar, Bladder, Blood/Heart, Blood Pressure,
Cancer, Cholesterol, Depression, Diabetes, Diarrhea, Glaucoma, Gout, Heartburn,
Hemorrhoids, Hormones, Insomnia, IBS, Muscle Spasms, Parkinson's, Psychosis,
Seizures, Skin, Thyroid, TB, Ulcers and Viral Infections!

Description
Easy to Use - No financial documents or tax returns required for
application. No Hidden Fees - cost for each 90-day supply and covers the
medication, processing, and shipping. Trusted Sources & Reliable Service - FDA
approved

Eligibility: Rx Outreach is a patient assistance program. Medications in
this program cost $20, $30, or $40 for each 90-day supply, depending on the
medication. There is no limit to the number of different medications you can
order. You can use Rx Outreach regardless of your age and even if you use
another program.





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