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Medical Prescription Program
CLICK HERE FOR MORE INFORMATION
Comprehensive Services
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.
Those who are eligible can be served up to $1,000 once per year per household.
NO CRISIS NECESSARY.
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 125% or below the Federal Poverty Income Guidelines and have prescription medication that is not covered by insurance.
- Participants must be a resident of Shelby County
- Monthly Income must fall below 125% of Federal Poverty Income Guidelines
- Actual prescription or refillable bottles
Items to Bring to Appointment
- State Issued ID
- Social Security Cards for all household members
- Income verification for household
- Prescription or refillable bottles
Printable Applications
Medical Prescription Application
Contact Information 2670 Union Ext., Suite 500 |
HoursMonday - Friday |
Eligible Pharmacies
|
Madison Pharmacy |
The Medicine Shoppe 4770 Knight Arnold Rd Memphis, TN 38118 901-363-0750 |
CSBG INCOME GUIDELINES FOR FY 2019
(EFFECTIVE MAY 1, 2019)
125% Federal Poverty Guidelines
| People in Household | Annual Income | Monthly Income |
|---|---|---|
| 01 | $15,613.00 | $1,301.08 |
| 02 | $21,138.00 | $1,761.50 |
| 03 | $26,663.00 | $2,221.92 |
| 04 | $32,188.00 | $2,682.33 |
| 05 | $37,713.00 | $3,142.75 |
| 06 | $43,238.00 | $3,603.17 |
| 07 | $48,763.00 | $4,063.58 |
| 08 | $54,288.00 | $4,524.00 |
| For Each Additional Person Add: | $ 5,525.00 | $ 460.42 |
