The program is open to all residents of the state of Arizona.
Arizona Rx Card is a free statewide prescription assistance program designed to help the residents of Arizona afford their prescription medications. Arizona Rx Card launched November 2009 and is available to every resident of Arizona regardless of age or income. The program offers savings of up to 75% on prescription medications. In addition to offering savings on both brand and generic medications, the Arizona Rx Card also provides savings on many pet medications.
Since inception, Arizona Rx Card has saved the residents of Arizona over $6.4 million on their medication costs. In an effort to further spread awareness, they have partnered with organizations including: Arizona Small Business Association, The Desert Cancer Foundation of Arizona, Canyonlands Healthcare, and numerous chambers of commerce and school districts across the state.
To obtain a free Arizona Rx Card, simply visit www.ArizonaRxCard.com and print as many pre-activated cards that you and your family need. Arizonians unable to obtain a card may visit any Safeway pharmacy location throughout the state and ask to be enrolled in the Arizona Rx Card. In addition to Safeway being the preferred pharmacy for the Arizona Rx Card, the program is also accepted at Bashas, CVS/pharmacy, Target, Food City, Frys, Kmart, Osco, Walgreens, and many more pharmacies throughout the state.
Is an Arizona resident Is an United States citizen or a qualified immigrant (If the person is not a U.S citizen or qualified immigrant, they may still be eligible for emergency services.) Has a Social Security number or applies for one To apply for a Social Security number visit the U.S. Social Security Administration Make a copy of the form submitted as confirmation of applying for a Social Security Number Cooperates with the Division of Child Support Enforcement if needed Applies for potential income that may be available, such as unemployment, pensions, and Social Security
AHCCCS offers health insurance who meet income and eligibility requirements. For those who qualify, there are no monthly premiums
You must be HIV-infected and a resident of Arizona. Annual income is set at 300% of federal poverty level. For example, you cannot have an income of more than $32,490 for a family unit of one. Assistance in determining qualifying income limits based upon monthly income. You cannot be eligible for AHCCCS (Arizona's version of Medicaid) nor have any other benefits that could pay for the medications. To ensure that Ryan White Part B is the payer of last resort for ADAP, all individuals applying for ADAP are screened for AHCCCS eligibility, which means all applicants must have AHCCCS denial letters. ADAP clients will be required to provide documentation of Arizona residency.
The Arizona Department of Health Services (ADHS) is responsible for the administration of ADAP for the state of Arizona. ADAP provides access to medications used to treat HIV and prevent the onset of related opportunistic infections to low-income individuals with HIV disease who have limited or no coverage from private insurance or Medicaid.
When you contact our office, we'll link you with a local SHIP counselor, who can help you with: Medicare Eligibility, Benefits and claim filing; Medicaid (AHCCCS) Eligibility, Benefits and claim filing; Medicare Part D (Medicare Prescription Drug Coverage); Long Term Care Insurance information ; Medicare Secondary Payor Other types of health insurance benefits; Medigap insurance