RX for Oklahoma

Big Five assist persons in Bryan, Carter, Coal, Love and Pontotoc counties with free or low cost prescription drugs. This program helps clients fill out the required applications from participating pharmaceutical companies.

This program is for maintenance drugs only, not short-term or emergency drugs. All drugs will be mailed directly to the client or a prescribing physician. We do not dispense drugs or pay for prescriptions.


Oklahoma residents, regardless of age, who are uninsured or underinsured are encouraged to apply. Medicare Part D and Medicaid beneficiaries with unique circumstances may qualify.

Those wishing to apply for the program need to provide the following:

  • Age
  • Social Security Number
  • Residential address
  • Gross annual household income
    • Federal Income Tax Return (1040)
    • 1099 from Social Security (if applicable)
    • 30 day Income Verification (check stubs, social security income letter, etc.)
  • complete list of medications you are taking and physician information
  • Insurance coverage (if applicable)
  • SoonerCare (Medicaid) Denial Letter (if applicable)

Note: We cannot guarantee the approval for any program, as each decision is made by the pharmaceutical company.

For more information please call:

Durant – (580) 924-5331

Ada – (580) 332-8233

RX4OKLA – 1-877-RX4OKLA  (877) 794-6552


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