Services

Pharmaceutical Assistance Program

The Shannon Pharmaceutical Assistance Program (PAP) provides support to patients who are uninsured or who have no coverage in their insurance plan for medications. The program’s goal is to provide qualified patients with medications needed at the lowest cost possible to help control chronic conditions so they may avoid future healthcare events and re-admissions.

What Types of Medications are Available

The program does not operate like a retail pharmacy. It does not provide any “over-the-counter,” acute care or pain medications. Available medications include those for chronic conditions like high blood pressure, diabetes, and cholesterol, as well as insulin and inhalers.

PAP offers two different medication programs. The first is a generic medication program. These are generally available to the patient within a few days after their application is approved.

The second is a brand-name medication program* that can supply the patient with a 90-day supply of their prescription. These medications are generally available to the patient in two to four weeks once paperwork is completed, as they ship to PAP from the pharmaceutical companies.
*This program is only available to patients who have a prescription from a Shannon physician.

There is no charge for brand name medications shipped from the pharmaceutical companies. Generic medications are charged at cost, plus an administrative fee.

How to Apply for Assistance

All individuals seeking assistance must first complete an application and supply financial documentation to verify they meet the qualifications for the program. Required documentation includes:

1. Complete Application

2. Copy of Pharmaceutical Assistance Program Guidelines

3. Release of Information

4. List of all current medications

5. Copy of applicant’s Driver’s License or other Identification with a picture and address

6. Copy of applicant’s Social Security Card

7. Copy of applicant’s current Proof of Income

Once PAP receives the required documents and the patient’s current prescriptions, the patient meets with a patient navigator to review and discuss the application. Based on qualification and physician authorization, PAP then orders available medications for the patient.

Application packet may be downloaded here.

Spanish application packet may be downloaded here.

Printed copies are available at the PAP office.

Shannon Pharmaceutical Assistance Program

2030 Pulliam Street, Suite 16 (Shannon St. John’s Campus)
Hours: Monday-Thursday
8 am to Noon and 1 to 4 pm
325.657.8323

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