Drug costs
Depending on your age and other factors listed below, you may need to pay a small fee of $4.00 per covered prescription.* This fee is also called a copay.
You will not have to pay a copay if:
- You fall under the designated income threshold (100% or below the federal poverty level);
- You are under age 18 years;
- You are in a nursing facility or in an intermediate-care facility for individuals with intellectual disabilities;
- You participate in one of the Home and Community-Based Care (HCBC) waiver programs;
- You are pregnant and receiving services related to your pregnancy or any other medical condition that might complicate your pregnancy;
- You are receiving services for conditions related to your pregnancy and your prescription is filled or refilled within 60 days after the month your pregnancy ended;
- You are in the Breast and Cervical Cancer program;
- You are receiving hospice care; or
- You are a Native American or Alaska native
*Pharmacies may not refuse to fill your prescription if you can’t pay the fee. However, the pharmacist may bill you for the fee.
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