If you have prescriptions that your insurance doesn’t cover, or if you don’t have prescription health coverage, the Community Services Agency Medical Prescription Program can help.
Eligible households can receive up to $1000 once per program year.
Prescription must be new or refillable and non-narcotic. Call us if you have any questions or want more information.
To Qualify
This program is for Memphis and Shelby County residents whose monthly income falls at 200% at or below the Federal Poverty Income Guidelines and have prescription medication that is not covered by insurance.
To Apply
You will need:
- State Issued ID
- Social Security Cards for all household members
- Income information for household (i.e. check stubs, award letter)
- Written Prescription from doctor or refillable bottles
- Complete fillable application and print it (optional)
Please come into our facility to get an application for this program.
Eligible Pharmacies
Madison Pharmacy
1350 Concourse Ave. #111
Memphis, TN 38104
901-321-5530
The Medicine Shoppe
4770 Knight Arnold Rd
Memphis, TN 38118
901-363-0750
ALLIANCE HEALTHCARE SERVICES (3 locations)
2579 Douglass Ave. 2150 Whitney Ave. 3810 Winchester Rd.
Memphis, TN 38114 Memphis, TN 38127 Memphis, TN 38118
901-369-1484 901-354-7621 901-369-1421
CSBG/Medical Prescription Income Guidelines for FY 2025
(EFFECTIVE October 1, 2024)
200% Federal Poverty Guidelines
| People in household | Annual Income | Monthly Income |
|---|---|---|
| 01 | $30,120.00 | $2,510.00 |
| 02 | $40,880.00 | $3,406.67 |
| 03 | $51,640.00 | $4,303.33 |
| 04 | $62,400.00 | $5,200.00 |
| 05 | $73,160.00 | $6,096.67 |
| 06 | $83,920.00 | $6,993.33 |
| 07 | $94,680.00 | $7,890.00 |
| 08 | $105,440.00 | $8,786.67 |
| For Each Additional Person Add: | $10,760.00 | $896.67 |
