dakszaksmom
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- Aug 2, 2008
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Please read the following list of eligibility requirements. If you meet all four requirements, check Yes below to continue.Questions? Call us at 1-800-444-4106.
I have no prescription drug coverage of any kind.
I am not eligible for Medicare.
I am a legal resident of the US or Puerto Rico.
I have household income equal to or less than:
- $30,000 for a single person
- $40,000 for a family of two
- $50,000 for a family of three
- $60,000 for a family of four
- $70,000 for a family of five
Families of six or more and residents of Alaska and Hawaii should contact TogetherRx Access at
1-800-444-4106 for household income information.
http://togetherrxaccess.com/Tx/jsp/apply.jsp
I have no prescription drug coverage of any kind.
I am not eligible for Medicare.
I am a legal resident of the US or Puerto Rico.
I have household income equal to or less than:
- $30,000 for a single person
- $40,000 for a family of two
- $50,000 for a family of three
- $60,000 for a family of four
- $70,000 for a family of five
Families of six or more and residents of Alaska and Hawaii should contact TogetherRx Access at
1-800-444-4106 for household income information.
http://togetherrxaccess.com/Tx/jsp/apply.jsp