Patient Assistance
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State & Federal
Assistance Program

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State and Federal Assistance

State: IN
Program Name: Hoosier Rx
Must be an Indiana resident
must be without insurance coverage for prescription drug costs
This is a medication cost rebate program
50% reimbursement up to $500 per year

Website link: http://www.state.in.us/fssa/rxprogram/rxeligible.htm
General Information: 866-267-4679

State: IN
Program Name: Hoosier Rx
Must be an Indiana resident
must be without insurance coverage for prescription drug costs
This is a medication cost rebate program
50% reimbursement up to $750 per year

Website link: http://www.state.in.us/fssa/rxprogram/rxeligible.htm
General Information: 866-267-4680

State: IN
Program Name: Hoosier Rx
Must be an Indiana resident
must be without insurance coverage for prescription drug costs
This is a medication cost rebate program
50% reimbursement up to $1000 per year

Website link: http://www.state.in.us/fssa/rxprogram/rxeligible.htm
General Information: 866-267-4681

State: IN
Program Name: Hoosier Healthwise Plan A
Must be 18 years or younger
Must be Resident of Illinois
Must have no health insurance or medicaid.
No cost insurance

Website link: http://www.state.in.us/fssa/programs/chip/
General Information: For information call 800-889-9949

State: IN
Program Name: Hoosier Healthwise Plan B
Must be 18 years or younger
Must be Resident of Illinois
Must have no health insurance or medicaid.
Low cost insurance

Website link: http://www.state.in.us/fssa/programs/chip/
General Information: For information call 800-889-9949



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