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Big Five assists 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.

Eligibility

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.)
  • The 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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