
SenioRX
Prescription Drug Assistance Program for Senior
Citizens
NACOLG/SenioRx
Prescription Drug Assistance Program is
administered statewide by the Alabama Department of
Senior Services, through 13 Area Agencies on Aging.
This SenioRx partnership is between state agencies;
community organizations; the medical field and
pharmaceutical companies. The Program is designed
to assist persons 55 to 64 years old, and disabled
individuals of any age in the 24 months Medicare
waiting period. Also, individuals in the Medicare
Part D Coverage gap. To receive prescription
medicines free or at reduced prices. Seniors must
have no prescription drug coverage and with incomes
at or below 200% of the FPL.
The NACOLG/Department
of Aging Services administers the program at the
local level, which covers Colbert, Franklin,
Lauderdale, Marion and Winston Counties. NACOLG has
three satellite SenioRx offices and NACOLG’s main
office:
NACOLG Main Office: (256)389-0532
1-800-AGE-LINE
Janette Sutton -
Program Director (243-5463)
103 Student Dr.
POB 2603
Muscle Shoals, AL 35662
Lauderdale County & the City of Florence:
(256) 765-2345
Location: 610 West College St., Florence (Burrell
Slater Bldg.)
Contact Person: Patsy Richardson - Hrs.
Monday-Thursday: 8-4:30
Franklin County & Colbert County:
(256) 331-6216
Location: 2080 College Rd. NWSCC Phil Campbell
Campus, Occupational Bldg.
Contact Person: Paula Pardue - Hrs. Monday-Thursday:
7:30-4:00
Marion County & Winston County: (205)
486-4062
Location: 1815 28th Street, Haleyville
Contact Person: Danita Burleson - Hrs. Monday-Thursday:
8:00-4:30
TO QUALIFY:
1. Must be 55 to 64 years old
2. Must have no
prescription drug coverage
3. Must have a chronic
medical condition
4. Must be a legal
resident of Alabama
5. Must meet income
guidelines
Other individuals may
be eligible:
6) If you are in the
Medicare Part D Coverage Gap
7) Disabled individuals
of any age in the 24 month Medicare waiting period
A
SenioRx Intake form must be completed, as well as,
the following information must be available: 1)
Proof or all insurance (Blue Cross, QMB, Medicaid,
other insurance); 2) A list of your present
medicines from your pharmacy, your medication
bottles or new prescriptions; 3) Your Social
Security Benefits letter for the current calendar
year for EVERYONE in the house who receives
benefits; 4) Current pension or retirement benefit
letters; 5) Proof of income for EVERYONE who lives
in your house, including copy of the last three
paycheck stubs for each person who is working; 6)
Proof of any other income, such as: annuities,
stocks, bonds, CDs, savings accounts, IRAs, interest
income; 7) A copy of your Medicare Card, Social
Security and driver’s license or photo
identification; 8) For those disabled, must provide
Social Security approval letter.
200% of Poverty Level:
1
Person Living in Household $21,780
2
People Living in Household $29,424
FREQUENTLY ASKED
QUESTIONS
- Each drug
company has individual requirements for
eligibility. SenioRx cannot guarantee that you
will receive all medicines requested.
- Unless you are
physically unable, you will be expected to help
collect what is needed to complete the process.
- Most drug
companies mail the medicine directly to your
doctor.
- It usually
takes anywhere between 6 to 8 weeks after
mailing off you application. Please let
your SenioRx know when you receive your first
medication.
- You will need
to call your SenioRx Office for re-application
once you start your last month’s supply of
medication. SenioRx staff will verify any
medication changes and order the refill
prescriptions at that time.
- All personal
information will be kept strictly confidential.
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