Am I eligible for the program?
You can use SurvivorRxPlan regardless of your age or if you use another discount medicine program or patient assistance program. To be eligible your income needs to be less than a certain amount of money each year. This amount differs depending on the number of financially dependent people living in your home.Family Size |
All States except AK &HI |
Alaska |
Hawaii |
1 |
$36,425 |
$45,525 |
$41,900 |
2 |
$45,775 |
$57,225 |
$52,650 |
3 |
$55,125 |
$68,925 |
$63,400 |
4 |
$64,125 |
$80,625 |
$74,150 |
5 |
$73,825 |
$92,325 |
$84,900 |
6 |
$83,175 |
$104,025 |
$95,650 |