If yes, you are eligible to apply for coverage under the Assurance Plan. After approval, you should be eligible to receive full public coverage of all prescribed medicines that are listed on the NLPDP Coverage Status Table. However, you will be required to pay an annual deductible equal to a certain percentage of your annual family income (between 5-10% depending on your household income level). The table is available online and is updated regularly. You can search online to determine the listing status of your medication.
If your medicine is identified as a special authorization benefit or your prescriber prescribes it for a different purpose than that listed on the site, please click here to learn more.
If you aren’t sure whether you are eligible for a private plan (for example, through your employer, alumni association, etc.), please click here to learn more.
Sometimes, drug manufacturers have special programs to help with coverage. Please click here to learn more.