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HOW WE CAN HELP Obtaining needed medication is difficult for many people. Many pharmaceutical companies provide free or reduced Brand name and generic medications may be available through
ADVOCATING FOR YOU The Prescription Assistance Program is carried out by trained staff
and volunteers. Our role is to advocate on behalf of all clients. Our program collects and processes required information from patients and doctors in order to submit applications to pharmaceutical companies. All services are provided free to individuals. An application form and attachments are used to gauge income,
assets and medication information. From this data we determine if the client meets preliminary eligibility requirements. From there, we proceed to work with the client, various doctors and pharmaceutical companies to help patients obtain needed medication. PROCESSING ORDER
1. Client contacts program or is referred by health care or human service providers. Program application is given or mailed to client for completion. 2. Completed form and required attachments are screened to determine individual medication eligibility. Applications for each medication are sent to patient for signature.
3. Client returns individual medication applications. Program forwards them along with additional pertinent information to prescribing doctor.
4. Doctors approve and attach handwritten prescriptions back to program.
5. Program assembles and sends medical information along with application and income verification to individual pharmaceutical company.
* Refills * It is important to remember that it is the client’s responsibility to contact the program in order to obtain refills for their medications. It is recommended that clients contact the office 30 days prior to their prescription ending, therefore avoiding any lapses in coverage.
Prescription Assistance Program Application & Information Application Information
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| Fargo Area | Valley City Area |
| Prescription Assistance 808 3rd Ave S, Suite 207 Fargo, ND 58103 Toll Free: 1-877-460-9996 Local: 701-364-0398 Fax: 701-364-5367 papfargo@SouthCentralSeniors.org |
South Central Adult Services 139 2nd Ave SE Valley City, ND 58072 Toll Free: 1-800-472-0031 Local: 701-845-4300 Fax: 701-845-4073 papvc@SouthCentralSeniors.org |
The Prescription Assistance Program is funded in part
by Dakota Medical Foundation, United Way of Cass-Clay
and United Way of Barnes.


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