The Prescription Assistance Program

This program serves as a patient advocate to assist eligible patients in receiving prescription medications through manufacturer sponsored programs. Not all medications have programs. If we cannot obtain medications for you, we will refer you to other available resources.

Our staff will apply for free or very low cost prescription drugs obtained directly from pharmaceutical companies or their representatives on your behalf. Approximately 1,500 brand name prescription medications are available through pharmaceutical company assistance programs.

Eligibility is based on household income, medical expenses, and liquid assets.

General Guidelines for Drug Company Programs:

• You must be a legal resident of the United States
• You must not have any outside prescription drug coverage including but not limited to:
  • Mainecare (Medicaid)
  • Veterans Administration Benefits
  • Private insurance
• The average Medicare acceptable monthly household income guidelines are (at or below):
  • $798-$1,595 for one person
  • $1,069-$2,138 for two people
• You will need the prescription for long term use
• Most name brand medications have programs for assistance
• Your primary care provider must have privileges at the Bridgton Hospital.
• You will need LIS denial if on Medicare Part D

Frequently Asked Questions

• Applications can take 4 to 8 weeks from the time your application is completed until the time you receive medications from the pharmaceutical company.
• Applications are subject to physician signature before submission to the pharmaceutical company. Your doctor must agree to participate.
• Not all prescription drugs are available.
• The program does not distribute or dispense medications. Medications will be delivered directly to your physician's office.
• The program does not assist with the purchase of medication from a retail pharmacy.
• In some instances programs may have a reduced fee for medication.
• Medication is not guaranteed through the medication assistance program. Pharmaceutical companies reserve the right to change or discontinue their assistance programs at any time.

Application Process

• Applications are available from our Prescription Assistance Office, located at 10 Hospital Drive, Bridgton, Maine or by calling (207) 647-6048
• Proof of income and health insurance coverage must be submitted along with your application.
• Applications can be delayed if proper documentation is not received with your application.
• Patients will be notified of what programs they are eligible for and which medications are available through the pharmaceutical companies.

Community Health Connection
Bridgton Hospital Prescription
Assistance Program

Office Hours
By appointment.
Please call: (207) 647-6048
Fax: (207) 647-6010