Patients

Thank you for your interest in becoming a patient in the Florida Rx Connects program.

Eligibility requirements for patients:

• Have a family income that is below 200% of the federal poverty level as defined by the most recently revised poverty income guidelines, according to the U.S. Department of Health and Human Services OR uninsured or underinsured.
• Resident of Florida.
• Have a valid prescription for a donated drug.
• Complete and submit a Florida Rx Connects Patient Application and Dispensing form.

In addition to the eligibility criteria, patients that participate in the program should be aware of the following:

• Eligible patients must complete a Patient Application and Dispensing form and submit to a participating repository to receive a donation. This form includes a statement affirming that the patient meets the eligibility requirements and will inform the repository if their eligibility changes
• Repository may only dispense eligible donated drugs or supplies to Florida residents who are at or below 200% of the federal poverty level, and/or uninsured or underinsured.
• Have a valid prescription for the donated drug and present it to the repository before the drug can be dispensed.

If you would like additional information about becoming a patient/recipient, review the Patient Application and Dispensing form or the Florida Rx Connects Handbook.

• Patient Application and Dispensing form

If you have additional questions, contact PrescriptionDrugRepositoryProgram@FLHealth.gov. Please allow at least 24 hours for a response.