Medical Prescription Program

Medical Prescription Program

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

 

To Apply Online Click Here

 

To Print the Application and Apply by Mail Click Here

Click here download application form

 

Variety of Non-Proprietary Medicine Bottles and Large Pills on Reflective Surface With Grey Background.
 

Contact Information  

2670 Union Ext., Suite 500
Memphis, TN 38112
901.222.4200
901.222.4242

Hours

Monday - Friday
8:00 am - 4:30 pm

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
 

 

 

CSBG INCOME GUIDELINES FOR FY 2020
(EFFECTIVE OCTOBER 1, 2020)

200% Federal Poverty Guidelines

People in HouseholdAnnual IncomeMonthly 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

Shelby County Community Services Agency

Rent/Family Support/Prescription Assistance:
2670 Union Ave Extended, Suite 500
Memphis TN 38112
901.222.4200

 

Utility Assistance
3772 South Hickory Ridge Mall #516
Memphis, TN 38115
901.222.4200

The Community Services Agency strives to empower its customers to not only improve their lives through economic security and stability, but also their communities by planting seeds of change as we move toward a brighter future.