English
Chinese (Simplified)
French
German
Hindi
Italian
Japanese
Korean
Persian
Portuguese
Russian
Spanish
Turkish
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 |
|
 |
 |
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 2020
(EFFECTIVE OCTOBER 1, 2020)
200% 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 |
