R X for Oklahoma

Prescription Drug Program

Mission:

  “Our mission is to assist the medically underserved in obtaining a supply of medication they would otherwise be unable to afford.”

**** No Fee to Apply ****

 Rx for Oklahoma…

Washita Valley Community Action Council’s Rx for Oklahoma is a program designed to help persons in Grady and Caddo Counties access prescriptions for much needed medications that can be received either free of charge, or with a small co-pay.

Many people who need the prescriptions are not aware of the long-standing manufacturers’ assistance programs available, or they are unable to access and complete the long and sometimes complicated individual forms.

Rx for Oklahoma helps individuals with this process by entering personal information, including financial documentation, and their prescription medication needs into a medication assistance computer program. Once assessed, a list of medications suited to a particular patient’s needs is displayed on the computer screen and the appropriate forms are printed out, with all information included.

If the medication is available, the medication is then sent to any qualified individual’s home or doctor’s office, usually within 4 to 6 weeks.

There is no charge for this service, which takes care of paper work and links individuals directly with free or low-cost medications. If you feel you may qualify for this program, please print out the application that follows, fill out, sign, and send to Rx for Oklahoma at the address shown on the application. We will then call you for an appointment to assess whether
or not you qualify for the prescription program.

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

 
 Assistance in completing the application may be obtained at the offices of Washita Valley CAC located at the Chickasha Commercial Center building,

405-224-5831 ext. 107
or e-mail at jowings@wvcac.chickasha.ok.us

DOCUMENTATION NEEDED WITH COMPLETED Rx APPLICATION