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Missouri Rx Plan - State Pharmacy Assistance Program

Page Reviewed / Updated - Apr. 2017

Program Description

Missouri's State Pharmacy Assistance Program is more commonly referred to as the Missouri Rx Plan or MoRx. This program assists low income seniors with the cost of their medications by paying up to 50% of their co-payment amounts. The MoRx Program is intended to supplement Medicare Part D (Medicare’s prescription drug program) plans, not to replace them. When an enrolled individual makes a medication purchase, Medicare Part D is the "first payer" and MoRx the "second payer," meaning the Missouri Rx Plan will only pay after Medicare Part D has paid their portion.

 Did You Know?  Relative to the state's median income, Missouri has some of the most, if not the most, affordable assisted living in the nation. 

 

Eligibility Guidelines

To be eligible for this program, seniors must meet the following criteria:

  • Be a Missouri resident and intend to remain a resident
  • Be at least 65 years of age or designated as disabled by Social Security
  • Be enrolled in or willing to enroll in a Medicare Part D Plan
  • Have an annual income below the limit. As of 2017, a single individual must have an annual income below $21,660 and a married couple must have an annual income under $29,140.

Note that persons enrolled in or eligible for the Missouri Medicaid (MO HealthNet) prescription program cannot concurrently receive assistance under this program.

 

Benefits and Services

MoRx will pay for 50% of participants' out-of-pocket prescription costs on prescriptions covered by a participant’s Medicare Part D Plan. Make note, this program does not assist in covering the cost of Medicare Part D Plan premiums. The program does not have enrollment or application fees. However, some participants perceive an added cost since they are required to enroll in a Medicare Part D plan, which they might otherwise have chosen not to do.

 

How to Apply / Learn More

Visit the Missouri Department of Social Services Rx Plan webpage for more information or to apply for the program. One can also download a PDF Application here.

Applicants should be aware that the amount of their countable assets, such as cash, bonds, and savings accounts, will be requested during the application process. However, this information is not used to determine eligibility.

Once an applicant is enrolled in this program, there is no need to reapply.

 

The state of Illinois has two programs designed to provide financial assistance to the elderly to help them purchase their prescription drugs. Rx Basic is for individuals without Medicare insurance and the Rx Plus is designed for those on Medicare.

Rx Plus is known as a Medicare wraparound program which means the benefits wrap around those benefits provided by a Medicare Part D plan. When making a prescription purchase, Medicare Part D is the first payer and then this program contributes towards those costs the Part D plan does not cover.