State Pharmaceutical Assistance Program: North Carolina

Those that are on Medicare shouldn’t have to struggle to pay for their medications and their Medicare part D prescription drug plans. There are millions of beneficiaries that do struggle with the financial decisions they have to make each month. Because of these struggles, many of these Medicare beneficiaries look for help to pay for their increasing medication costs. As they begin to look for help, they often start with the federal government instead of their states. Many of these beneficiaries don’t realize their states have programs that will help them.

States that have assistance programs for their residents are happy to help. These states have state pharmaceutical assistance programs know there are residents that need help paying for the premiums of their Medicare part D prescription drug plans and/or their medications. Not all states have these programs in place but the states that do have the programs are able to help thousands of residents.

North Carolina is a state that has a state pharmaceutical assistance program available.

North Carolina HIV SPAP

North Carolina has a state pharmaceutical assistance program called North Carolina HIV SPAP. This is a program that is only available for those that live in North Carolina. Those that don’t live in the state should not apply. North Carolina residents that are interested should call 877-466-2232 or 919-733-7301 for more information or to apply.

Eligibility Requirements

Those that would like to apply should know the following are required:

  • Must be a North Carolina resident
  • Must be HIV positive
  • Must have a gross family income that is equal to or less than 300% of the federal poverty level
  • Must NOT have any other prescription drug coverage (must not be covered under anything EXCEPT Medicare)
  • Must be enrolled in a Medicare part D prescription drug plan
  • Must have at least one prescription medication on the SPAP formulary

*Applicants with an income at or below 150% of the federal poverty level should apply for the Low Income Subsidy Program through the Social Security Administration for additional benefits.

Who to Contact

Those that would like to apply should contact:

1902 Mail Service Center

Raleigh, NC. 27699

What are the Benefits?

Those that have met the eligibility requirements and have been accepted into the program will enjoy a huge benefit. Those that are accepted into the program will have to continue paying their Medicare part D prescription drug plan premium but they will pay a reduced price for their medications. They will no longer be responsible for the entire copayment that is required at the pharmacy.

Further information about the program has to be explained by plan administers and experts. Those that would like to know further benefits should contact the program.

Those that don’t meet the eligibility requirements should contact the Social Security Administration for assistance. Some Medicare beneficiaries may qualify for the Low Income Subsidy Program.

Jan. 16 14'

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